General Anesthetics · Pharmacology

Which of the following describes the cause of 'Diffusion Hypoxia' after nitrous oxide administration is stopped?

  1. Accumulation of excessive carbon dioxide in the blood and tissues
  2. A sustained rise in systemic blood pressure
  3. Reflex laryngospasm during emergence
  4. Dilution of alveolar oxygen by rapidly exiting nitrous oxide
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Correct answer: Dilution of alveolar oxygen by rapidly exiting nitrous oxide

When nitrous oxide is discontinued it leaves the blood and floods into the alveoli in large volumes, diluting the oxygen present there. Patients should therefore receive 100 percent oxygen for several minutes after the gas is turned off.

Difficulty: Medium Question 18 of 20

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