18-20 Flashcards
What is physiologic dead space?
the sum of anatomic and alveolar dead space
- anatomic = air left in conducting airways
- alveolar = alveoli with no blood flow
What is gill dead space?
the water that flows through gills but not between lamellae consitutes anatomic dead space
- Lamellae dead space is if water passes between and then no exchange of gases
What is the expired minute volume?
volume of air moved out of the lungs in a minute
Ve = Vt x Breathing Frequency
- based on assumption that the volume inspired is equal to the volume expired
- not quite true
The volume of fresh air that actually reaches alveoli is the alveolar ventilation
Va = (Vt - Vd) x f
- Vt is the tidal volume
- Vd is the dead space volume
- f is breathing frequency
How can the alveolar ventilation be measured directly?
- volume of expired CO2/fractional concentration of CO2 in the alveolar gas x K (to account for BTPS and STPD conversion)
K usually = 0.865
= alveolar ventilation equation
VeCo2 from spirometer measurements
What happens during hyperventilation?
doubling alveolar ventilation
arterial Pco2 reduces (halves)
- P02 must increase
Palveolar O2 increases but not double
What happens during hypoventilation? halving of alveolar ventilation
double arterial Pco2
- alveolar P02 must decrease
What is the respiratory exchange ratio?
R = volume CO2 exhaled/ volume of O2 taken up
What is the alveolar gas equation?
- work out alveolar oxygen partial pressure
PICTURE OF EQUATION
- pg 18
Where is the central pattern generator of breathing in the brain?
brain stem
- both frequency and tidal volume alteration
- probably the medulla
What is the negative feedback system if differs from 40mmHg PCO2 or 100mmHg PO2?
detected by sensors
- fed to controller
- superimposed on regular cyclic pattern
- arterial O2 conc is achieved by regulating arterial blood CO2 content
What happens when CO2 dissolved in blood?
How to get HCO3- ions
- react with water to get carbonic acid which dissociates
- reaction to carbonic acid by carbonic anhydrase
How is CO2 level measured in blood?
Proton content (pH)
- chemoreceptive cells
Carotid and aortic
- outside of brain
What are the chemosensitive cells of the carotid body?
glomus cells
- same in aorta
- inhibition of potassium channel activity with increase H+
Formula for calculating partial pressure
P = fraction of mixture occupied by gas x total pressure exerted by mixture