Blood gases Flashcards
Atmospheric gas composition
Nitrogen (78.6%)
Oxygen (20.9%)
Carbon Dioxide (0.04%)
Water Vapour (0.5%)
Partial pressures of:
- Nitrogen
- Oxygen
- CO2
- 597 mmHg
- 159 mmHg
- 0
Dalton’s Law
The pressure exerted by each gas in a mixture is independent of the pressure exerted by the others
Sum of all the partial pressure in atm air at sea level
760 mmHg
5 important parameters for gas diffusion
- Driving force (partial pressure differences across the membrane)
- Distances to cross need to be small
- Diffusion coefficient (CO2 diffuses faster than O2)
- Total surface contact needs to be large
- Blood flow and airflow need to be coordinated
How many molecules of oxygen can on Hb carry?
4
4 factors Hb saturation is affected by
- Partial pressure of O2
- Blood pH
- Temperature
- RBC metabolism
The amount of O2 delivered to tissues is determined by… (2)
Blood flow (cardiac output) x O2 content of blood
What is the lower limit for saturation?
60 mmHg
Causes of shift to the right (4)
Harder to load the Hb, but easier to unload
- Increase in partial pressure of CO2
- Decrease in pH
- Increase in temperature
- Increase in 2,3-DPG
Causes of shift to the left (4)
Easier to load Hb, harder to unload 1. Decrease in partial pressure of CO2 2. Increase in pH 3. Decrease in temperature 4. Decrease in 2,3-DPG Ex: hyperventilation
How is CO2 transported (3 ways)
- Dissolved in arterial blood
- Bound to hemoglobin (forms carbamino-Hb)
- Transported as bicarbonate