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← Human Body & HealthA patient with pulmonary fibrosis experiences decreased arterial oxygen saturation despite supplemental oxygen. Which mechanism explains why increased inspired oxygen only partially corrects hypoxemia?
A)Reduced hemoglobin oxygen-binding affinity
B)Increased cardiac output shunting blood
C)Thickened alveolar membrane limits diffusion✓
D)Compensatory hyperventilation decreases PaCO2
💡 Explanation
Alveolar thickening in pulmonary fibrosis impairs gas exchange via diffusion across the membrane; because of this, increased oxygen can only partially compensate for the diffusion limitation. Therefore, thickened alveolar membranes prevent complete oxygen saturation, rather than hemoglobin affinity changes or hyperventilation.
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