4-Gas Exchange Flashcards

1
Q

atmospheric pressure

A

weight of gas molecules from gravity pulling towards earth
-dec as go higher, inc as closer to earth
-density of air less higher in atmos

760 mmHg

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

partial pressures

A

calculate by multiplying fractional concentration x atmos P

air is mostly nitrogren + some oxygen + others

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

daltons law

A

total P of a mixture of gases = sum of partial pressures of component gases

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

effect of water vapor on partial pressure

A

subtract water vapor P from total atmos P THEN multiply by fractional concentration

PH20 = 47 mmHg so 760-47

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

primary driving force of diffusion

A

pressure gradient

rate of diff = (cross section area x diffusion coefficient x pressure gradient) / thickness of membrane

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

partial pressure trends

A

O2 and CO2 diffuse downhill along gradients
-CO2 in oppo direction tho

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

henry’s law

A

solubility of gas in a liquid (oxy in blood) directly proportional to partial P of gas above liquid
-higher PP in lungs then higher in blood

aqeous gas = partial pressure gas x constant

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

gas exchange driven by what

A

diffusion and perfusion

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

pressures in dry inspired air

A

O2 = 160
CO2 = 0

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

pressures in humidified air trachea

A

O2 = 150
CO2 = 0

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

pressures of alveolar air

A

O2 = 100
CO2 = 40

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

alveolar capillary membrane

A

blood PCO2 equil rapidly unless heavy exercise so venous PO2 lower and blood flow faster

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

O2 diffusion to tissues

A

@ arterial capillary = 95/100
@ venous end = 40 mmg

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

tissue PO2 balanced by

A

oxygen consumption and delivery
-if inc consumption then dec PO2 if delivery not inc proportionally (exercise)

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

CO2 diffusion

A

arterial end capillary = 40 mmHg
tissue = 45 mmHg
venous end = 45 mmHg

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

CO2 balance

A

CO2 production = tissue metabolism
CO2 removal = blood flow to tissue and uptake by blood

if inc oxy consumption may inc in PCO2 if removal CO2 not inc proportionally

17
Q

atelectasis

A

collapse of alveoli = affect P gradient
dec cross sectional area for diffusion = dec rate

18
Q

pneumonia

A

inc diffusion distance/thickness bc inflammation or bacteria

19
Q

pulmonary edema

A

inc diffusion distance/thickenss
inc fluid in intersitial space

20
Q

pulmonary fibrosis

A

inc diffusion distance/thickness

21
Q

simplified alveolar gas equation

A

based on arterial PO2 then compare to calculated value

prediction of gas exchange status (tells quality of respir membrane and therapeutic decision)

22
Q

normal ranges of PaO2

A

5-20mmHg for person up to middle age

23
Q

diffusing capacity DLCO

A

measure lung ability to transfer gas
-dep on both diffusion of gas and interaction with Hb

admin known amount of CO to see how much consumed by Hb

24
Q

factors that affect DLCO

A

anything that affects membrane
-thicken membrane = dec DLCO
-emphysema, fibrosis, interstitial lung dz, pulm hypertension

anemia and polycythemia = inc DLCO