5.3 Pulmonary Flashcards

1
Q

we are designed to have ____ gradients for exchange?

A

partial pressure

*O2 leaves capillaries into tissue where CO2 leaves tissue, at alveoli it is opposite; all due to PP

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2
Q

Parital pressure gradients are the driving force of?

A

diffusion at both pulmonary capillaries AND body tissue

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3
Q

average pressure at sea level

A

760mm of Hg

*O2, CO2, N2 and each other gas in the atmosphere contribute a part of the overall 760 mm Hg total barometric pressure

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4
Q

so what IS partial pressure?

A

the pressure contibution of a gas to overall totoal pressure

*doesn’t matter which gas you are talking about! diffusion is by partial pressure

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5
Q

1) what is another way of saying partial pressure?

2) of mm Hg?

A

1) tension

2) torr

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6
Q

units for

1) cardio
2) ventilation mechanics
3) gas exchange

A

1) mm Hg
2) cm of H2O
3) mm Hg

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7
Q

what is dalton’s law?

A

in a gas mixture, the pressure exerted by each individual gas in independent of the pressures of the other gases in the mixture

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8
Q

how do you calculate partial pressure?

A

% of total gas mixture times total ressure

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9
Q

define dry atmospheric air?

A

completly devoid of air

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10
Q

what tow things happen to air when you breath it through nose?

A

1) warmed to 37 celcius

2) 100% humidified to exert 47 torr

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11
Q

what are standard condition of air we breath?

A

37 degrees C
100% humidified to exert 47 torr
O2 =21% of atmosphere

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12
Q

inspired air at 100% humidified at 37 degrees exerts ____ torr

A

47

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13
Q

is humidified 47 torr part of 760?

A

yes. You must substract 760- 47 = 713

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14
Q

how do you calculate oartial pressure?

A

% of total gas mixture multiplies by total pressure

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15
Q

PO2 vs OiO2 vs P,AO2?

A
  • PiO2= PP of INspired oxygen

- P,A = PP of alveolar oxygen

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16
Q

what changes your calculations of PP?

A

atmospheric pressure! (aka total barometric pressure)

17
Q

what greatly affects barometric pressure?

A

altitude

18
Q

what are typical #s of inspired and alveolar gas?

A

Inspired

  • PiO2= 150
  • CO2= 0

alveolar

  • PaO2= 100
  • CO2= 40
19
Q

what determiens PaO2 and PaCO2?

A

1) alveolar ventilation

2) O2 uptake from and CO2 delivery to the lung

20
Q

why isn’t alveolar gas PPs for O2 150 like when it is inspired?

A

O2 is castantly diffusiong out of alveoli into pulmonary capillaries. So even at rest, you can’t fill up to 150 bc O2 is always leaving (can’t fill up bath with a drain open)
**same thing happens with CO2 but in other direction

21
Q

alveolar oxygen and CO2 are regulated by?

A

alveolar ventilation rates

22
Q

hypo vs hyperventilation relationship woth O2 and CO2 levels?

A
  • hypo= increase CO2; decrease O2

* hyper= decrease CO2; increase O2

23
Q

normall ventilation of gas is about?

A

100

24
Q

why is O2 and CO2 relationship different?

A

bc we have a cap on how much oxygen we have. It is really determined by atmosphere

25
Q

at sea level, inspired O2 is at 150 meaning?

A

the highest you can drive O2 levels is 150

*so until that point, you have somewhat of a direct relationship bw alveolar ventilation and alveolar oxygen

26
Q

the amount of PP CO2 and O2 in alveoli in a typical healthy person regulates how much is in?

A

arterial blood

27
Q

driving force for simple diffusion?

A

either pressure or concentration gradients

28
Q

diffusivity of CO2 or O2 is greater?

A

CO2

29
Q

partial pressure of CO2 or O2 is greater?

A

O2

30
Q

how do this factors affect diffusion rate?

1) excericise
2) emphysema
3) pulmonary edema
4) alveolar fibrosis
5) supplemental oxygen

A

1) increase surface area
2) decrease SA and causes impairment
3) increase thickness and causes impairment
4) increase thickness and causes impairment
5) increases P1 - P2

31
Q

metabolically active cells have a lower PP intracellularly or extracellularly?

A

intracellularly

* lower PP = greater PP gradient of O2 = more O2 will diffuse into cell

32
Q

what happens with CO2 and O2 in metabolically active cells?

A
O2= influx
CO2= efflux (exit cells)