54: Oxygen Transport Flashcards

1
Q

Solubility of Oxygen

A

0.003 ml O2 per 100 ml of plasma

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2
Q

[02] dissolved

A

PO2 (100) x 0.003

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3
Q

Blood oxygen content is increased by which oxygen carrier molecule?

A

Hemoglobin

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4
Q

Hemoglobin

A

tetramer

each monomer has heme group (porphyrin ring with Fe & polypeptide globin)

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5
Q

O2 saturation

A

25, 50, 75, or 100%

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6
Q

Saturation

A

fraction of hemoglobin binding sites that are currently occupied of O2 (%)

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7
Q

1 g of hemoglobin

A

can bind 1.36 ml O2

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8
Q

Oxygen content

A

1.36 x 15 = 20.4

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9
Q

Saturation Curve

A

Sigmoid binding curve

Hill coefficient of 2.8, amount of agonist binding to binding site

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10
Q

Why is Hill coefficient of saturation curve not 4?

A

B/c there’s not complete cooperativity

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11
Q

Cooperativity

A

once one O2 bound to hemoglobin, it’s easier for next one to bind

binding site affinity increased for agonist

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12
Q

Hemoglobin relaxed state

A

high affinity for O2

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13
Q

Hemoglobin tense state

A

low affinity for O2

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14
Q

Percent Saturation equatioin

A
100 x (PO2)^2.8
divided by (P50)^2.8 + (PO2)^2.8

P50: 50% of binding

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15
Q

P50 of Oxygen

A

27mm Hg, 50% Hb binding sites are full

low P50: high affinity

high P50: low affinity

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16
Q

Decreased P50

A

left shift in saturation curve

increased Hb affinity for oxygen

harder to unload oxygen but easier to load oxygen

17
Q

Increased P50

A

right shift in saturation curve

decrease Hb affinity for oxygen

easier to unload oxygen

18
Q

P50 changes

A

only minor oxygen loading problems occur if P50 changes since alveolar PO2 is 80-100mm Hg

19
Q

Sigmoid Curve Plateau

A

Alveolar PO2: loading of O2 good even if alveolar PO2 falls slightly, blood remains well saturated with O2

20
Q

Sigmoid Curve Steep Region

A

HbO2 at tissues experience drop in PO2, small change in PO2

leads to a large unloading of O2 from Hb

21
Q

Anemia

A

100% saturation, all binding sites are full

there are less binding sites in total

02 content falls but saturation not affected

22
Q

Anemic patient

A

has 1/2 the Hb and carries 0.5 times the O2

23
Q

Polycythemia

A

increase conc of RBC

more Hb per 100 ml of blood

increased oxygen carrying capacity of blood

no change in affinity just more binding sites

opposite of anemia

24
Q

Factors Affecting Hb affinity for O2

A
ph
PO2
CO
PCO2
temperature
2,3 DPG
25
Q

Working muscle

A

heats up, produces CO2, acidic

temp >
ph <
CO2 >
2,3 DPG >

right shift and P50 >

lower affinity for O2

easy unloading

26
Q

pH Bohr effect

A
PCO >
pH <
rightward shift
low affinity
easy unloading
27
Q

2,3-DPG

A

synthesis in RBC enhanced by hypoxia, exercise, high altitudes

holds Hb in tense state, low affinity, high P50

low O2 affinity, helps unload O2 to tissues

feature of chronic hypoxia (COPD, anemia, emphysema)

28
Q

Venous Blood

A
low pH
high PCO2
P50 increased
rightward shift
low O2 affinity
29
Q

Carbon Monoxide

A

high affinity for Hb

compete with O2 even at low CO concs.

P50 reduced, O2 has greater affinity for O2

harder for Hb to unload the O2 to tissues

reduces carrying capacity of Hb for O2 by binding to O2 sites

driven off Hb by breathing 100% O2

30
Q

Cooperativity

A

One O2 site taken up by CO, P50 decreased, O2 unloading reduced