Blood Supply and Gas Exchange Flashcards

1
Q

What is the function of the Bronchial Arteries?

A

The supply nutrients to the lungs.

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2
Q

Describe two features of the Pulmonary Circulation.

A

High Flow- contains the same volume of blood as passes around the entire body.
Low pressure- 1/5 of the pressure of the systemic arteries.

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3
Q

By which process does air pass across the alveolar membrane?

A

Simple diffusion- down the concentration gradient

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4
Q

What two factors determine the rate of diffusion?

A
  • Solubility of gas

- Partial Pressure of gas

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5
Q

How does the solubility of Carbon Dioxide differ to the of O2?

A

Carbon dioxide is much more soluble in water/blood than O2.

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6
Q

How does the difference in solubility impact on the size of the concentration gradient?

A

Carbon dioxide has a much smaller concentration gradient than oxygen.

  • 40-46 (pulmonary vein to pulmonary artery)
  • 100-40 (pulmonary vein to pulmonary artery)
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7
Q

What other factors affect the rate?

A
  • Surface area (emphysema reduces)

- Thickness of the membrane- thick membrane (fibrosis) = barrier to diffusion

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8
Q

How does pulmonary oedema effect diffusion?

A

Fluid increases the distance over which gases diffuse.

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9
Q

How does asthma effect diffusion?

A

No effect on diffusion but ventilation is reduced so partial pressure of co2 and o2 are decreased.

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10
Q

What is the relationship between air in the alveoli and the local blood flow.

A

Should overall be in equilibrium.

  • Base= ventilation > perfusion (fluid pools)
  • Apex= perfusion > ventilation (air rises)
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11
Q

How does the body respond to a decrease in ventilation?

A
  • PaO2 decreases
  • PaCO2 increases
  • Cells detect hypoxia
  • Pulmonary Vasoconstriction= less blood flows to the damaged alveoli.
  • Mild bronchodilation increases airflow.
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12
Q

How does the body respond to a decrease in blood flow?

A
  • Blood clot or embolism restricts the blood flow.
  • creates ALVEOLAR DEAD SPACE
  • pulmonary vasodilation
  • bronchoconstriction.
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13
Q

What is Alveolar dead space?

A

Air that is in the alveoli but there is no perfusion so no gas exchange.

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14
Q

What is anatomical dead space?

A

Air in the conducting airways that does not take part in gas exchange.

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