20. blood gas transport Flashcards

1
Q

gas transport

A

process of carrying O2 from the alveoli to systemic tissues and CO2 from the systemic tissues to the alveoli
via blood transport

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2
Q

gas exchange via diffusion is dependent upon (5)

A
diffusion surface area eg large, moist
diffusion distance eg short
concentration gradient between alveolar air and blood 
solubility of gases 
coordinated blood flow and airflow
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3
Q

what is daltons law of partial pressure

A

the total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture

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4
Q

what is partial pressure

A

the pressure exerted by each gas

is directly proportional to its percentage in the total gas mixture

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5
Q

henrys law (solubility)

A

amount of gas that dissolves in water is determined by its solubility in water and its partial pressure in air
at equilibrium the amount of dissolved gas in solution is proportional to the partial pressure of that gas

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6
Q

which gas is more soluble (able to dissolve in solution)

A

carbon dioxide

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7
Q

strcture of haemoglobin

A

4 globular protein subunits (2a and 2B)

each subunit has a globin protein and a non protein haem (iron) group

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8
Q

function of haemoglobin

A

each Hb molecule binds four molecules of oxygen to it in a rapid and reversible reaction
Hb + O2 to HbO2
deoxyhaemoglobin to oxyhaemoglobin

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9
Q

Hb saturatio

A

the percentage of haem units in a Hb molecule that contain bound oxygen

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10
Q

the oxygen binding to Hb is affected by (4)

A

PO2 of blood
blood pH
temperature
state of O2 binding to the Hb molecule

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11
Q

100% PO2 means the Hb saturation is

A

100%, the higher the p)2 the more O2 combines with Hb

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12
Q

explain the bohr shift

A

decreased pH or increased CO2
curve shifts to the right
better unloading of oxygen at the tissues

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13
Q

what happens to the dissociation curve if theres an increase in temperature

A

curve flattensshifts tp right

high O2 unloading in active tissues

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14
Q

what happens to the dissociation curve if theres an increase in DPG

A

curve shifts to right so more )2 unloading in tissues due to anaerobic conditions

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15
Q

what symptoms would u experience at high altitudes

A

foogy brain weak muscles
hypoxia- blood O2 conc very low
faster deeper breathing

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16
Q

carboxyhaemoglobin

A

CO2 binds tighter than O2

dramticallt reduces the ability of O2 to bind to Hb

17
Q

methaemoglobin

A

the Fe2+ in haem is oxidised to Fe3+ by eg a drug
this means it is unable to carry O2
overtime the Fe2+ is slowly converted back

18
Q

fetal haemoglobin

A

2a and 2Y

curve is shifted to left, has a higher affinity for o2 which is important in transferring O2 across the placenta

19
Q

carbon dioxide

A

is generated by aerobic metabolism in peripheral tissues

co2 molecules ente the bloodstream then get transported

20
Q

what are the three ways in which CO2 can be transported

A
  1. 70% is converted to carbonic acid formation H2CO3- and transported in plasma as bicarbonate ion HCO3-
  2. bound to haemoglobin as carbaminohaemoglobin (23%)
  3. remains dissolved in plasma (7%)
21
Q
  1. describe the chloride shift
A

CO2 + H2O
to carbonic anhydrase H2CO3
dissociated into H+ and HCO3- (carbonic acid)
the HCO3- moves out of the RBC in exchange for Cl-

22
Q

how is carbaminohaemoglobin formed

A

the CO2 binds with HbNH2 to form HbNHCOOH

COO= carbamino

23
Q

what are the best buffers in red cells (2) to consume/release H+

A

histidine residues in haemoglobin: HbNNH + H+ to HbNNH2+

deoxygenated haemoglobin has the strongest affinity for H+

24
Q

describe the Haldane effect in the lungs (5)

A
oxygenation of Hb 
lowers the affinity for H+ ions 
decreases buffering power 
release of H+
aids in unloading of CO2 in the lungs
25
Q

describe the Haldane effect in the tissues

A
deoxygenation of Hb
higher affinity for H+ ions 
increase in buffering power 
increase in H+ uptake 
aids intaking CO2 from tissues