Ch 18 Flashcards

1
Q

areas of the brain that regulate breathing

A

medulla and pons

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2
Q

oxygen and Co move into and out of the blood at

A

pulmonary and systemic capillaries

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3
Q

oxygen exchange occurs at

A

alveolar-capillary interface

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4
Q

oxygen is transported via

A

hemoglobin

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5
Q

oxygen is exchanged with cells for

A

carbon dioxide

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6
Q

CO2 is exchanged from

A

capillaries to alveoli

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7
Q

fisk’s law of diffusion states

A

diffusion rate = (SA x conc gradient x permeability) / membrane thickness

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8
Q

which factor is most important to diffusion rate

A

concentration gradient

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9
Q

moving from a gas to a liquid is directly proportional to which factors

A

pressure gradient
solubility
temperature

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10
Q

is O2 or CO2 more soluble

A

CO2 is much more soluble`

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11
Q

partial pressures of O2 in circulation

A

alveoli - 100 mm Hg
oxygenated tissue - 100 mm Hg
peripheral tissue - <40 mm Hg
de-oxygenated tissue - 40 mm Hg

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12
Q

partial pressures of CO2 in circulation

A

alveoli - 40 mm Hg
oxygenated tissue - 40 mm Hg
peripheral tissue - >46 mm Hg
oxygenated tissue - 46 mm Hg

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13
Q

types of hypoxia

A

hypoxic - low O2
anemic - low O2 bound to Hb
Ischemic - reduced blood flow
Histotoxic - failure to use O2 bc poison

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14
Q

hypercapnia

A

too much Co2
cause system to panic

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15
Q

emphysema effect on alveolar ventilation

A

destruction of alveoli means less SA for gas exchange

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16
Q

Gibrotic lung dieseas effect on alveolar ventilation

A

thickening of alveolar membrane slows gas exchange
loss of lung compliance may decrease alveolar ventilation

17
Q

pulmonary edema

A

fluid in interstitial space increases diffusion distance
CO2 levels may not be altered

18
Q

asthma

A

increased airway resistance decreases alveolar ventilation

19
Q

oxygen diffuses across ______ to enter the plasma

A

alveolar epithelial cells and capillary endothelial cells

20
Q

gas transport in the blood begins with

A

O2 leaving alveoli for blood bc of low partial pressure in blood

21
Q

once in the blood, 98% of O2 _____ while the other 2% _____

A

binds to hemoglobin;
dissolves in plasma

22
Q

hemoglobin and O2 dissolved in plasma both

A

transport to cells and exit the blood

23
Q

physical factors that alter Hb affinity for O

A

pH, temperature, P(CO2), 2,3-DGP

24
Q

an increase in pH ____ HbO binding

A

increases; more basic

25
Q

an increase in temperature ____ HbO binding

A

decreases

26
Q

an increase in P(CO2) ____ HbO binding

A

decreases;
CO2 competes for binding sites

27
Q

an increase in 2,3-DPG ____ HbO binding

A

decreases;
a normal amount is needed so that O will stay bound long enough to be delivered

28
Q

percentages of CO2 in transport

A

dissolved: 7%
converted to bicarbonate ion: 70%
bound to Hb: 23%

29
Q

before being converted to bicarbonate, CO2 becomes

A

carbonic acid

30
Q

bicarbonate has the ability to

A

dissolve in plasma and act as a buffer

31
Q

stimuli for reflex control of ventilation

A

emotions, CO2, O2`=

32
Q

integrating centers for stimuli

A

emotions - higher brain centers + limbic
all - MO and pons

33
Q

sensory receptors for stimuli

A

Co2 - medullary chemoreceptors
CO2 and O2 - carotid and aortic chemoreceptors

34
Q

respiratory neurons in the medulla control _____ while neurons in the pons modulate ______

A

inspiration and expiration;
ventilation

35
Q

peripheral chemoreceptors properties

A

-located in carotid and aortic arteries
-specialized glomus cells
-sense changes in PO2, pH and PCo2 central chemoreceptors

36
Q
A