3/14 Gas exchange and gas transport Flashcards

1
Q

What does emphysema affect?

A

Alveoli

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

What is Diffusion?

A

the process of randomly moving molecules making their way back and forth across the respiratory membrane

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

What determines the movement of gases?

A

Concentration- moving from high to low

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

Pressure is defined as….

A

the amount of force on the container

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

Total pressure at sea level is….

A

760 mmHg

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

What gas makes up most of the atmospheric pressure? Least?

A

Most=Nitrogen

Least=CO2

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

Partial pressure of a gas in fluid is determined by what two things?

A

concentration

solubility

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

What does it mean if a gas is more soluble than another?

A

This means that it is more attracted to water so it can diffuse more quickly (ex. CO2 is more soluble than O2)

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

If a patient has lots of mucous in their lungs what does this mean for diffusion?

A

diffusion will take longer

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

Diffusion is determined by what 6 things?

A
Pressure difference
solubility of the gas in fluid 
cross-sectional area of the fluid
distance the gas must diffuse
molecular weight of the gas
temperature of the fluid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Respiratory gases are very soluble in ____ so diffusion across the membranes occurs relatively easy.

A

Lipids

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

____ is the limiting factor when diffusing through tissues and therefore makes it tougher to diffuse.

A

Tissue water

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

What makes O2 concentrations different?

A

It is constantly being absorbed from alveoli

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

What makes CO2 concentrations different?

A

It is constantly diffusing from blood into alveoli

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

What makes H2O concentrations different?

A

The water is vaporized in respiratory tract

PH2O at body temp =47mmHG

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

Which gas makes up the balance to total 760 mmHg?

A

Nitrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

O2 is at what partial pressure in the alveoli?

A

104 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

About how much alveolar air is replaced by each breath?

A

1/7th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Alveolar oxygen concentration is controlled by what two things?

A

The rate of absorption by pulmonary capillaries (amount leaving)
The rate of oxygen entry into alveoli via ventilation (amount entering)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The partial pressure of O2 can never exceed 149 mmHg bc why?

A

the pressure of all of the others have to add up to 760 so it cant go any higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Internal expiration occurs where?

A

In the tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

External expiration occurs where?

A

In the alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Diffusion of gases across the respiratory membrane occurs very quickly because of….

A

the large surface area of respiratory membrane with small amounts of blood
Also the small diameter of pulmonary capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Diffusion of gases through respiratory membrane is affected by what 4 things?

A

Thickness of membrane

Surface area of respiratory membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Diffusion of gases through respiratory membrane is affected by what 4 things?

A

Thickness of membrane
Surface area of respiratory membrane
Diffusion coefficient
Pressure difference across the membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the respiratory membranes diffusion capacity?

A

The volume of a gas that will diffuse through the membrane each minute for a partial pressure difference of 1 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Normal ventilation-perfusion ratio (Va/Q) is ____

A

0.8 (4/5)

28
Q

How much gas exchange occurs at a ventilation-perfusion ratio of zero and at infinity?

A

No gas exchange for both

29
Q

What two factors determine the PO2 and PCO2 in the alveoli?

A

How fast you breath

solubility

30
Q

What are the partial pressures of O2 and CO2 in the alveoli?

A

PO2- 104 mmHg

PCO2- 40 mmHg

31
Q

What is the partial pressures of O2 and CO2 in venous blood of pulmonary capillary at its arterial end?

A

PO2-40 mmHg

PCO2-45 mmHg

32
Q

What is the partial pressures of O2 and CO2 in venous blood of pulmonary capillary at its arterial end?

A

PO2-40 mmHg

PCO2-45 mmHg

33
Q

Pulmonary diffusion (alveoli to capillary) occurs where in the capillary?

A

In the first 1/3 of the capillary

34
Q

Pulmonary diffusion (alveoli to capillary) occurs where in the capillary?

A

In the first 1/3 of the capillary

35
Q

____ supplies deep tissues of the lungs and do not come in contact with lung air.

A

Bronchial arteries

36
Q

How much pressure of O2 do cells require to fully support chemical processes?

A

1-3 mmHg

37
Q

Does CO2 follow the same pattern of diffusion and transport?

A

Yes

38
Q

Which requires less of a pressure difference to diffuse, CO2 or O2?

A

CO2

39
Q

A decrease in blood flow at tissue interstitial fluid causes an increase or decrease in PCO2 in the fluid?

A

Increase

40
Q

An increase in metabolism causes the PCO2 to increase or decrease?

A

increase

41
Q

An increase in metabolism causes the PCO2 to increase or decrease?

A

increase

42
Q

This transports 97% of O2 from the lungs to the tissues.

A

Hemoglobin

43
Q

This transports about 3% of O2 from the lungs to the tissues

A

H2O of plasma and RBCs

44
Q

In the oxygen -hemoglobin dissociation curve, if the PO2 is high, O2 will….. (ex of where this happens)

A

bind with hemoglobin

happens in the lungs

45
Q

In the oxygen -hemoglobin dissociation curve, if the PO2 is low, O2 will…..

A

be released from hemoglobin because the bond would be lessened

46
Q

Normal O2 delivery is __ml per 100 ml of blood

A

5

47
Q

How does hemoglobin act as a tissue PO2 buffer?

A

the PO2 drops to 40 mmHg. Hgb releases just enough O2 at 40 mmHg for the normal 5ml. Therefore hemoglobin sets the upper limit on O2 partial pressure

48
Q

A small decrease in O2 partial pressure at exercise can cause a very large release of O2 from hemoglobin; what does this do to the dissociation curve? Blood flow?

A

The dissociation curve would be steeper

Decreased O2 would cause for increased blood flow

49
Q

If in your alveoli the PO2 was increased to 500 mmHg what would happen with O2 since you cannot increase hemoglobin saturation over 100%?

A

Because Hgb is a buffer it will release O2 to the tissues in order to drop PO2 to just above 40 mmHg

50
Q

What 5 factors push the dissociation curve to the right and cause a weakened affinity?

A
C-Increase CO2
A-Increase acidity
D-Increase DPG
E-Exercise
T-Increase temp
51
Q

What shifts the dissociation curve to the left causing hemoglobin to hold on to O2?

A

higher pH (A decrease in CO2 and H+ will do this)

52
Q

An increase in H+ and CO2 will do what to the dissociation curve?

A

Shift right

53
Q

The weakening of the hemoglobin-oxygen bond to unload O2 where it is needed is called the ______.

A

Bohr effect

54
Q

Normally, a PO2 of ___ mmHg is sufficient for cellular reactions.

A

> 1 mmHg

55
Q

What happens in Carbon monoxide (CO) poisoning?

A

CO combines with hemoglobin at the same spot O2 does so you are kept from getting oxygen. 0.6 mmHg is lethal

56
Q

Normally ___ml of CO2 per 100ml blood is transported from tissues to lungs.

A

4 ml

57
Q

CO2 can be transported from the tissues to the lungs in what 4 ways.

A
  1. As CO2 in plasma
  2. Combines with H2O to form carbonic acid in the RBC
  3. Carbonic acid dissociates into H+ and HCO3-
  4. binds with hemoglobin
58
Q

Carbon dioxide dissociation curve: normal range of blood PCO2 is ___mmHg in tissues and ___mmHg in arterial blood.

A

45mmHg in tissues

40mmHg in arterial blood

59
Q

CO2 picked up in the tissue capillaries does what to the arterial blood pH?

A

slightly decreases pH (release of CO2 in the blood returns pH to higher value)

60
Q

The ratio of metabolic gas exchange is called the ______. (formula?)

A

respiratory quotient

CO2 produced/O2 consumed

61
Q

What is the RER for carbs?

A

1

62
Q

What is the RER for fats?

A

0.7

63
Q

What is the RER for protein?

A

0.85

64
Q

When could an RER exceed 1.00? and what does that value mean?

A

Hyperventilation
Exhaustive ex.
lipogenisis
Means that there is very high levels of CO2 with no change in O2.

65
Q

When could an RER drop below 0.7? What does that value mean?

A

Recovery from exhaustive ex.

means that there is high levels of O2 with no change in CO2.