17-18 - Respiration Regulation & Blood Transport of Gases Flashcards

1
Q

O2 requires transport proteins as it has…

A

Low plasma solubility

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2
Q

PO2 in the plasma influence the…

A

Saturation of haemoglobins

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3
Q

Factors that influence haemoglobin saturation are…

A
  • PCO2
  • PO2
  • pH
  • Temperature
  • 2,3-BPG
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4
Q

The oxygen-haemoglobin saturation/dissociation curve shows rapid changes in O2 saturation % of Hb at which PO2?

A

Physiological tissue PO2

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5
Q

A small change in PO2 within the physiological range leads to a large…

A

Change in the amount of O2 bound to haemoglobin

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6
Q

Effects of exercise on the O2-Hb saturation curve (2)…

A
  • Increase in PCO2 causes shift to the right
  • Decrease in pH causes shift to the right

= decrease in O2 affinity, release of O2

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7
Q

A decrease in blood pH or an increase in PCO2 reduce the oxygen affinity of haemoglobin. This is known as the…

A

Bohr Effect

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8
Q

The Bohr effect occurs because _________ displace _______ from haemoglobin

A

The Bohr effect occurs because hydrogen ions (H+) displace oxygen (O2) from haemoglobin

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9
Q

Haemoglobin exists in a tense or relaxed form. The relaxed form is readily ( deoxygenated / oxygenated)

A

Haemoglobin exists in a tense or relaxed form. The relaxed form is readily oxygenated

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10
Q

The binding of H+ to haemoglobin favours which conformation?

A

Tense

(hence reducing O2 affinity)

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11
Q

An increase in temperature with shift the oxy-Hb saturation curve to the…

A

Right, decreasing affininty and leading O2 offloading

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12
Q

2-3BPG (2-3 bisphosphoglycerate) effects…

A

Need more O2 -> 2-3 BPG!

  • Long term adaptation to O2 availability
  • Interacts with beta globin chains, causing conformational change, reducing O2 affinity, increasing offload (right shift)
  • Seen in anaemia, chronic lung disease, altitude (low O2), congestive heart failure
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13
Q

2-3BPG (2-3 bisphosphoglycerate) is produced where and when?

A

In erythrocytes (as a biproduct of glycolysis)

Production increases when O2 is low

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14
Q

CADET (or CABET), look right!

A

Increases in….

C O2

A cid

B/D PG 2-3

E xercise

T emp

Shift the oxygen-Hb saturation curve to the RIGHT… more dissociation!

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15
Q

Foetal haemoglobin is comprised of which subunits?

A

2x alpha, 2x gamma globins

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16
Q

Carbon monoxide poisining is treatable via…

A

Hyperbaric O2

17
Q

Carbon monoxide binds tightly to Hb.

This is ( reversible / irreversible ) and has the effect of…

A

Carbon monoxide binds tightly to Hb.

This is reversible and has the effect of…

a) limiting saturation (curve max moves down) - competes with O2
b) increased O2 affinity (slight left shift) - tight binding hard to release remaining O2

18
Q

7% of CO2 is ________________

23% of CO2 is _____________________

A

7% of CO2 is dissolved in the plasma

23% of CO2 is bound to haemoglobin (-> carbaminohaemoglobin)

19
Q

Conversion of CO2 to hydrogen carbonate (HCO3-)

The direction of the reaction depends on the…

A

CO2 gradient between tissues and blood.

If PCO2tissue > PCO2blood, then CA converts CO2 + H2O = H2CO3 (which dissociates into H+ and HCO3-)

If PCO2blood > PCO2tissue, then CA converts H2CO3 back to H2O + CO2(which is expelled via lungs)

CA = carbonic anhydrase (found in RBCs)

20
Q

PO2 in alveoli and aterial blood is ____ mmHg

A

PO2 in alveoli and aterial blood is 100 mmHg

21
Q

PO2 in venous blood is ____ mmHg

A

PO2 in venous blood is 40 mmHg

22
Q

PCO2 in venous blood is ____ mmHg

A

PCO2 in venous blood is 46 mmHg

23
Q

PCO2 in arterial blood and alveoli is…

24
Q

Overinflation of the lungs is prevented by the…

A

Heing-Breuer Reflex (triggered by stretch receptors in lung smooth muscle and signals the end of inhalation)

25
The key effects of the **diving response** are...
(via **trigeminal nerve**) Decreased **HR**, **peripheral vasoconstriction**, increased **blood pressure**, inhibition of **respiratory drive** from *peripheral* chemoreceptors (up to break point)
26
Respiratory drive has ( high / low ) sensitivity to CO2...
High
27
Peripheral chemoreceptors detect low PO2. Signals sent to medullary repsiratory centre... Aortic bodies signal via \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Carotid bodies signal via \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Peripheral chemoreceptors detect low PO2. Signals sent to medullary repsiratory centre... Aortic bodies signal via **vagus nerve** Carotid bodies signal via **glossopharyngeal nerve**
28
Peripheral chemoreceptors detecting PO2 (do / do not) show adaptation to prolonged stimulation. Central chemoreceptors detecting PCO2 (do / do not) show adaptation to prolonged stimulation.
Peripheral chemoreceptors detecting PO2 **DO NOT** show adaptation to prolonged stimulation. Central chemoreceptors detecting PCO2 **DO** show adaptation to prolonged stimulation.
29
The brain stem respiratory centre generates...
Rythmic breathing
30
The respiratory centre is located in the medulla. It is comprised of 4 main parts...
1. Pre-Botzinger complex (**PBC**) within the... 2. Ventral Respiratory Group (**VRG**) 3. Dorsal Respiratory Group (**DRG**) 4. Pontine Respiratory Group (**PRG**)
31
The respiratory centre generates rhythmic breathing. The signal is output via the...
**Phrenic nerve**
32
Automatic breathing is driven by: a) DRG b) DRG and VRG c) Spinal reflex d) PRG
Automatic breathing is driven by: a) DRG **b) DRG and VRG** c) Spinal reflex d) PRG
33
The PRG (pontine respiratory group) inhibts inspiration allowing...
**smooth breathing**
34