5.4 Flashcards

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1
Q

how does gas exchange occur

A

by difussion

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2
Q

rate of diffusion across the lungs is:

A
  1. proportional o partial pressure gradient
  2. proportional to the available surface area
  3. inversely proportional to the thickness of the membranes
  4. over the short distances
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3
Q

partial pressure gradient influenced by:

and how are they affected

A
  1. composition of inspired air
    - affected by altitude
  2. Alveolar ventilation
    - can be affected by :
    - - changes in airway resistance - eg asthma

– changes in lung compliance - fibrosis

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4
Q

how are gasses transported throught the body

A

they dissolve in plasma or in the RBCs

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5
Q

how is tthe solubility of oxygen in plasma and how is it transported

A

low solubility in plasma
- most o2 is transported by RBC (erythrocytems) - whithin RBCs O2 is bound by haemoglobin

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6
Q

how many oxyegn molecules can each hemogoblin molecule bind to

A

up to 4 oxygen molecules

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7
Q

how do oxygen bind twith iron in haeme group

A

reversibly

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8
Q

what is hemoglobin bound to oxygen

A

oxyhaemoglobin (HbO2)

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9
Q

what is unbound heamoglobin

A

deoxyhemoglobin

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10
Q

what percent of saturation of heamoblobin

A

% of available binding sites that are bound to oxygen

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11
Q

how is carbon dioxide trnsported

A

3 mechanisms

  1. dissolved in plasma
  2. interact with protiens
  3. convert to bicarbonate
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12
Q

how does carbon dissolve in plasma and what it do

A

CO2 is more soluble in body fluids than oxygen; however, cells produce more CO2 than can be carreid in plasma, more CO2 b/c more soluble

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13
Q

how does CO2 interact with protiens

A

including heaemoglobin via 4 termnal amine groups on the protien

  • forms carbaminohaemoglobins
  • deoxy-heamoglobin interact more readily with CO2 than oxy-haemoglobin
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14
Q

how does CO2 to bicarbonate

A

the majority of CO2 entering the blood is converted by reaction catalyzed by carbonic anhydrase (resent in RBCs) - the H+ formed by this reaction binds to Hb

The bicarbonate ions are moved out of the RBC by a transpoter protein which exchanges HCO3- for Cl- in a process is known as the chloride shift

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15
Q

when venous blood reaches lungs what happens

A

the PCO2 of alveoli is lower than blood

  • CO2 dissolves in plasma diffuses into alveoli and then CO2 in RBC diffuses into plasma

and the equilibrium of CO2- bicarbonate reaction is shifted

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16
Q

how is the equilibrium of CO2- bichorbonate reaction shifted

A

bicorbonate ions move from plasma into RBCs and then bicorbonate and H+ form corbonic acid and then CO2 -> Catalyzed by carbonic anhydrase

17
Q

CO2 diffuses out of RBC into what

A

plasma and then alveoli