0610 - Oxygen delivery to the periphery - EG Flashcards

1
Q

How does CO2 predominantly travel from the periphery to the lungs?

A

bicarbonates (~60%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does O2 predominantly travel from lungs to periphery?

A

O2-Hb, small amount dissolved in plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which catabolic pathways consume more O2 than CO2 produced?

A

fat and amino acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What causes the sigmoidal shape of the O2-saturation curve of Hb?

A

initially hard to bind O2, however once O2 is bound, successively easier to bind subsequent O2.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the O2 capacity?

A

~1.35 mL O2/g Hb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

roughly how much O2 can be maximally bound to Hb in 1 L of blood?

A

~200 mL, plus a small amount of dissolved.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the rate of O2 consumption at rest?

A

~250 mL/min (for a cardiac output of 5L)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List the stressors that “right-shift” the Hb-O2 saturation curve.

A

Fast mediators of shift:Increased temperature, decreased pH, increased ppCO2. Factors often consequence of active tissue.Slow mediators of shift:increased 2,3-DPG (takes ~14 days)Increase O2 release from N (50mL/L) to 90 mL/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the stressors that “left-shift” the Hb-O2 saturation curve.

A

Fast mediators of shift:decreased temperature, increased pH, decreased ppCO2. Slow mediators of shift:decreased 2,3-DPG (takes ~14 days)Decrease O2 release from N (50mL/L) to 30 mL/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is complex IV of the electron transport chain also known as? (i.e. the name of the protein that consumes O2)

A

cytochrome oxidase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

At what location does CO2 occur in mitochondria?

A

dehydyrogenases (a-ketoglutarate DH; isocitrate DH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the various ways CO2 can transport.

A

(1) CO2 dissolves in plasma. (2) can bind to amino termini of proteins: carbamino-compounds. (3) formation of bicarbonate (water and CO2 to form H2CO3-)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Are erythrocytes in veins larger or smaller than those in arteries (haematocrit count)?

A

larger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the breakdown (%ages) of the various forms of CO2 transport?

A

21% as carbamino-Hb; 69% as HCO3-; 10% dissolved CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Is carbamino-Hb found in plasma?

A

No (neglibable (<1%). Just 11% of CO2 in plasma, with 6% dissolved and 5% as bicarbonate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Is carbamino-Hb found in erythrocytes?

A

Yes. 89% of CO2 in erythrocyte, with 4% dissolved, 21% carbamino-Hb; 64% as bicarbonate.

17
Q

What is the function of carbonic anhydrase?

A

convert CO2 to HCO3-

18
Q

What is the function of the Cl–HCO3- exchanger of RBCs?

A

export one HCO3- for intake of 1 Cl-. Water follows the influx of Cl-. incoming water also aids formation of HCO3- from CO2. excess H+ from this dislodges O2.

19
Q

What 3 effects (N) contribute to O2 unbinding in the periphery?

A

(1) decreased ppO2 in local perfused tissues causes Hb to dump O2. (2) drop in pH due to metabolic activity. (3) increased ppCO2 in local tissue, carbamino-Hb formation.

20
Q

What is the O2 consumption rate per L?

A

~50 mL/min

21
Q

Where is O2 consumed and CO2 produced within a cell?

A

mitochondria