Carriage of gases Flashcards

1
Q

Where is oxygen found in the body?

A

in alveolar gas in lungs, in solution in plasma, Majority bound to RBC, Bound to myoglobin in muscle

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2
Q

oxygen in solution equation

A

O2 in sol=pp of O2 x solubility

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3
Q

what is pp of O2 in aterial blood?

A

13.3kPa

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4
Q

solubility of O2 in blood

A

0.225ml O2 per litre of blood kPa

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5
Q

How much oxygen per litre of blood

A

13.3x0.225= 3ml litre

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6
Q

Total amount of O2 in arterial blood

A

200ml

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7
Q

what are our oxygen requirements at rest

A

250ml a minute at rest

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8
Q

what are our oxygen requirements during exercise

A

can increase upwards of 4000ml

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9
Q

structure of RBC

A

Biconcave, flexible, small, large SA to vol ratio, 7um in diameter, no nucleus so more space for Hb, contains 280million Hb molecules, Hb has 4 prosthetic groups (fe)
consists of 2 alpha and 2 beta chains in adults. it is a globular protein, is soluble

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10
Q

Haemoglobin+oxygen=

A

oxyhaemoglobin

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11
Q

Haemoglobin-oxygen=

A

deoxyhaemoglobin

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12
Q

equation for association

A

HHb+O2—-HbO2 + H+

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13
Q

What facilitates the affinity of O2

A

Concentration of CO2, when high affinity decreases, O2 is released

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14
Q

Binding of O2 to haem

A

Affinity is low, as first O2 binds leads to a change in shape, increases the affinity for 2 & 3rd bind easier, 4th takes longer as it attaches to remaining prosthetic group

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15
Q

Normal oxygen saturation in blood

A

98

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16
Q

Describe the Bohr effect

A

When the affinity for O2 is facilitated by the conc of CO2, is a sigmoid (s-shape)

17
Q

PvO2

A

venous partial pressure of O2= 5.3kPa (40mmHg)

18
Q

PaO2

A

arterial partial pressure of O2= 13.3kpa (100mmHg)

19
Q

Factors that affect the bohr curve to right (o2 dissociation curve)

A

dependent on partial p of O2,
increase in temp
increases PCO2
decreased pH (due to CO2)
increased 2,3 DPG (metabolic product in RBC)

20
Q

If curve shifts to right:

A

Hb affinity for O2 is reduced, O2 is given off to tissues where CO2 is high, Hb is less saturated

21
Q

If curve shifts to left:

A

Hb affinity for O2 is increased, O2 is picked up at lungs

22
Q

effect of CO2 on curve

A

increased CO2 causes more H+ concentration, reducing pH
a drop in pH shifts curve to the right, pH causes bond to weaken between Hb and O2, leading to offloading

23
Q

CO2 transport in blood:

A

10% dissolved in plasma
15% if CO2 bound to plasma proteins
75% transported as carbonic acid

24
Q

Buffering of CO2 equation

A

H2O+CO2-H2CO3-H++HCO3-

25
Q

explain equation

A

CO2 diffuses into RBC
water combines with co2 to form carbonic acid, this is catalyzes by carbonic anhydrase enzyme, this causes carbonic acid to dissociate into H+ and HCO3- ions, HCO3- diffuses out of RBC, Cl- moves in to restore electrochemical balance
H+ lowers pH

26
Q

Carbamino compounds

A

CO2 combines with Hb to form carbinohaemoglobin
H+ and CO2 can inhibit binding of O2,(Haldane effect)

27
Q

Define Haldane effect:

A

Binding of O2 to Hb promotes release of CO2 and H+, e.g., at lungs

28
Q

At tissues:

A

15% of CO2 replaces O2 in RBC forming carboxyhemoglobin, causes O2 to be released at tissues, causes an increase in H+, so lowers pH, leading to more O2 to be released

29
Q

At Lungs:

A

High affinity for O2, as O2 combines with Hb to form oxyhaemoglobin, releases CO2 at lungs, allowing it to be breathed out, bicarbonate recombine with H+ to form carbonic acid which dissociates to water & CO2 which diffuses out of RBC

30
Q

What are the percentage regarding CO2:

amount of CO2 dissolved in plasma
Amount of CO2 bound to Hb
Amount of CO2 transported as HCO3- ions

A

7% dissolved in plasma
70% carried as HCO3- ions
23% is attached to Hb to form carbinohaemoglobin