arterial blood gases Flashcards

1
Q

which form of Hb is low affinity?

A

T form

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

which form of Hb is high affinity?

A

R form

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

what reduces oxygen affinity?

A

lower pH, 2,3-BPG binding, higher conc CO2

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

reduced oxygen affinity stabilizes the T form or the R form?

A

increases/strengthens contact b/w subunits–>stabilizes T form

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

diminished contacts b/w subunits stabilizes which form of Hb?

A

R form

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

what diminishes contacts b/w subunits

A

increased oxygen affinity

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

higher pH, no 2,3 BPG binding, lower concentration of CO2 results in incr or decr oxygen affinity?

A

increased

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

what are the 3 forms that CO2 is moved in?

A
  1. dissolved in blood
  2. attached to Hb as N terminal carbamates
  3. bicarbonate ion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does formation of carbamates and HCO3 generate?

A

H+

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

what form is CO2 predominantly found in?

A

bicarb ion

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

what is the haldane effect?

A

CO2 concentration of blood varies as a fxn of blood oxygenation (less total CO2 in oxygenated blood)

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

which is a stronger base? deoxyHb or oxygreanted Hb?

A

deoxyHb

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

proton binding ______O2 affinity, and facilitates oxygen_______

A

decreases, unloading

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

if you’re hypoventilating, what happens to the partial pressure of CO2?

A

incr

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

if you’re hyperventilating, what happens to the partial pressure of CO2?

A

decr

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

respiratory imbalances result from changes _________

A

PCO2

17
Q

metabolic imbalances result from changes in_____

A

concentration of bicarb

18
Q

hypoventilation results in PCO2 _____40 torr

A

above

19
Q

hyperventilation results in PCO2 _____40 torr

A

under

20
Q

what is respiratory compensation?

A

when the lungs hypo or hyperventilate to regulate PCO2; rapid response

21
Q

what is renal compensation?

A

when the kidneys regulate bicarb concentration and regulate H+ excretion ; slow response

22
Q

how does the body compensate for metabolic acidosis?

A

increased ventilation

23
Q

how does the body compensate for respiratory acidosis?

A

kidneys incr plasma HCO3 concentration

24
Q

how does the body compensate for respiratory alkalosis

A

kidneys excrete HCO3

25
Q

how does body compensate for metabolic alkalosis?

A

hypoventilation