Carbon Dioxide in the Blood Flashcards

1
Q

How much more CO2 is there in arterial blood than O2?

A

2.5 times as much

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2
Q

What is the role of CO2 in the arterial blood?

A

Not present as a waste product

Used as a buffer to control pH

Reacts with water = carbonic acid (H2CO3) = H+, HCO3 (bicarb)

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3
Q

What is the normal range for pH?

A

7.35-7.45

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4
Q

How does carbon dioxide react in plasma?

A

CO2 + H20 < —- > H+ + HCO3-

Reversible

Determines pH

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5
Q

What happens if pCO2 rises?

A

pH falls = more acidic

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6
Q

What happens if pCO2 falls?

A

pH rises = more alkaline

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7
Q

The amount of CO2 dissolving in the blood depends on what?

A

Partial pressure of CO2

Rate of breathing

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8
Q

Where does the high levels of bicarb in the blood come from?

A

Dissociating CO2

Production in RBCs

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9
Q

What is the henderson-hasselbalch equation?

A

Calculate pH of plasma

pH = pk + log ( [HCO3] / (pCO2 x 0.23) )

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10
Q

What enzyme is present in RBCs that allows for high production of HCO3?

A

Carbonic anhydrase

Reaction proceeds in the forward direction because H+ is mopped up by Hb

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11
Q

The amount of HCO3 that RBCs can produce is dependent on what?

A

Levels of binding of H+ to Hb

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12
Q

What determines the pH of arterial blood?

A

Ratio between [HCO3] and pCO2

1) rate of breathing = level of CO2 present
2) kidney excretion = level of HCO3 present

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13
Q

How does the venous blood give up the correct amount of CO2 to the lungs?

A

Hb picks up O2 = R state = gives up extra H+ = H+ reacts with HCO3 = CO2 to be breathed out

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14
Q

The amount of H+ bound the Hb depends on what?

A

More O2 = R state = less H+ bind Hb (lungs)

Less O2 = T state = more H+ bind Hb (tissue)

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15
Q

How can venous blood transport more CO2?

A

Less O2 = Hb T state = more H+ bind Hb

More H+ that binds Hb = more HCO3 prod = more CO2 being carried in its reacted form

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16
Q

If venous blood can transport more CO2 why is pH not changed?

A

CO2 ratio to HCO3 remains the same

More is just carried in both forms due to the Hb T state

17
Q

Briefly outline how CO2 is transported in the blood?

A

10% dissolved = CO2

60% reacted = HCO3

Also transported as carbamino compounds, 30%

18
Q

Where does CO2 bind on Hb?

A

Amine groups = contributes to CO2 transport