Chapter 18 Gas Exchange and transport Flashcards

1
Q

normal alveolar and arterial PO2

A

about 100 mm Hg

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2
Q

normal alveolar and arterial PCO2`

A

about 40 mm Hg

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3
Q

normal venous PO2

A

about 40 mm Hg

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4
Q

normal venous PCO2

A

about 46 mm Hg

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5
Q

body sensors monitor blood oxygen, CO2, and pH in an effort to avoid

A

hypoxia and hypercapnia

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6
Q

what affects alveolar PO2

A

composition of inspired air

effectiveness of alveolar ventilation

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7
Q

what affects gas exchange efficiency and arterial PO2

A

changes in alveolar surface area, in diffusion barrier thickness, and in fluid distance between the alveoli and pulmonary capillaries

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8
Q

amount of gas that dissolves in a liquid is proportional

A

to the partial pressure of the gas

and solubility of the gas in liquid

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9
Q

CO2 is how many more times soluble in aqueous solutions than oxygen

A

20 x

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10
Q

oxygen transported

A

less than 2% dissolved in plasma

greater than 98% bound to hemoglobin

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11
Q

PO2 of plasma determines

A

how much oxygen binds to hemoglobin

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12
Q

oxygen-hemoglobin binding is influenced by

A

pH
PCO2
temperature
2,3- BPG (DPG)

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13
Q

venous blood carries CO2

A

7% dissolved in plasma

23% as carbaminohemoglobin

70% as bicarbonate ion in plasma

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14
Q

Carbonic anhydrase in RBC converts

A

CO2 to H+ and HCO3-

the H+ ten binds to Hb, and HCO3- enters the plasma using the chloride shift

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15
Q

Respiratory control

A

resides in networks of neurons in the medulla and pons

influence by input from Central and peripheral sensory receptors and higher brain centers

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16
Q

medullary dorsal respiratory group (DRG)

A

contains mostly inspiratory neurons that control somatic motor neurons to the diaphragm

17
Q

ventral respiratory group (VRG)

A

includes the pre-botzinger complex with its pacemakers as well as neurons for inspiration and active expiration

18
Q

peripheral chemoreceptors

A

in carotid and aortic bodies

monitor PO2, PCO2, and pH

PO2 below 60 mm Hg triggers an increase in ventilation

19
Q

the primary stimulus for ventilation changes

A

CO2 is the primary

chemoreceptors in the medulla and carotid bodies respond to changes in PCO2

20
Q

protective reflexes

A

are monitored by peripheral receptors

they prevent injury to the lungs from inhaled irritants