5. Gas Transport and Erythrocyte Physiology Flashcards

1
Q

How does hematocrit differ between men, women, newborns, and 2 mo old?

A

45% for men
40% for women
55% for newborn
35% for 2 mo old

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2
Q

What is the main regulator of erythrocyte maturation?

A

Erythropoietin (EPO)

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3
Q

What happens at the end of an erythrocyte’s life cycle?

A

It ruptures in the red pulp of the spleen. Released hemoglobin is ingested by monocyte-macrophage cells immediately.

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4
Q

How many O2 molecules can bind to 1 hemoglobin?

A

4 O2 molecules

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5
Q

What is a normal blood hemoglobin?

A

15 g/dL

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6
Q

What is the average amount of O2 dissolved in blood?

A

.3 ml per 100 ml of blood

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7
Q

What is the maximum amount of O2 that can be bound to Hb? What’s the actual?

A
  1. 1 ml O2/dl blood

19. 5 ml O2/dl blood

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8
Q

What does a left shift on the oxygen dissociation curve represent? What is it associated with?

A

Increased affinity of Hb for O2

Polycythemia and methemoglobinemia

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9
Q

What does a right shift on the oxygen dissociation curve represent? What is it associated with?

A

Decreased affinity of Hb for O2 (exercise response)

Anemia

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10
Q

What can cause megaloblastic macrocytic anemia?

A

Folate or B12 deficiency

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11
Q

What can cause pernicious anemia?

A

Poor B12 absorption

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12
Q

What can cause microcytic anemia?

A

Iron deficiency

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13
Q

What can cause hypochromic anemia?

A

Deficient transport of transferrin to developing erthyroblasts

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14
Q

What is hemochromatosis?

A

Iron overload, can be genetic or secondary.

Can lead to liver cirrhosis, skin pigmentation, and DM.

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15
Q

How does the blood change in primary polycythemia?

A

Extra RBCs, higher blood viscosity

Left shift

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16
Q

How does the blood change in methemoglobinemia?

A

Iron is in wrong form (Fe3+, ferric). Skin appears blue.

Left shift

17
Q

How does one calculate the respiratory quotient?

A

(volume of CO2 produced) / (volume of O2 consumed)

Usually around 0.8

18
Q

How is most of the CO2 transferred in the blood?

A

It is converted to bicarbonate (HCO3) in RBCs. Then exchanged for Cl- across the RBC. HCO3 is converted back to CO2 in lungs.