Diffusion of respiratory gases Flashcards

1
Q

Atmospheric pressure

A

760 mmHg

597 (N2 pressure) + 159 (O2 pressure) + 0.3 (CO2 pressure) + 3.7 (H2O pressure) = 760
Dalton law - total of pressures of individual gases

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2
Q

How does partial pressure of respiratory gases differ between atmospheric and alveolar air?

A
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3
Q

Thickness of respiratory membrane

A

0.6 microns

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4
Q

What are the components of the respiratory membrane?

A

Alveolar membrane
Interstitial fluid
Capillary wall

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5
Q

Formula for calculating the diffusion of gases

A

D = (𝚫P x A x S)/(d x √MW)

𝚫P = pressure gradient
A = Cross-sectional area
S = Solubility of gas
d = Distance (thickness of respiratory membrane)
√MW = Molecular Weight of gas

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6
Q

What is the diffusion coefficient?

A

Diffusion coefficient = S/√MW

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7
Q

Diffusion coefficient of atmospheric gases

A
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8
Q

What is nitrogen narcosis?

A

High pressures in deep sea diving causes nitrogen to dissolve in the body

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9
Q

What are the factors affecting diffusion of gases across the respiratory membrane?

A

Factor 1: Pressure gradient
Factor 2: Surface area of the respiratory membrane
Factor 3: Nature and thickness of the respiratory membrane
Factor 4: Ventilation perfusion ratio (V/Q)

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10
Q

How can partial pressure be calculated?

Factor 1: Pressure gradient

A

Partial pressure = Concentration of dissolved gases/Solubility coefficient

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11
Q

Partial pressures of oxygen and carbon dioxde in the alveoli and venous blood

Factor 1: Pressure gradient

A
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12
Q

What is the surface area of the respiratory membrane?

Factor 2: Surface area of the respiratory membrane

A

70m2

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13
Q

What factors increase the surface area of the respiratory membrane?

Factor 2: Surface area of the respiratory membrane

A

Exercise opens closed pulmonary capillaries, dilates the capillaries and allows alveoli to expand

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14
Q

What factors decrease the surface area of the respiratory membrane?

Factor 2: Surface area of the respiratory membrane

A

Lung disease (pneumonia, fibrosis, cancer)
Old age

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15
Q

What factors can affect the nature and thickness of the respiratory membrane?

Factor 3: Nature and thickness of the respiratory membrane

A

Lung fibrosis → Change the nature of the respiratory membrane → Decrease gas diffusion
Pulmonary edema → Increase the thickness of the respiratory membrane → Decrease gas diffusion

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16
Q

What factors increase the ventilation perfusion ratio?

Factor 4: Ventilation perfusion ratio

A

Pulmonary thrombi or emboli → less perfusion → decreased gas exchange.
Emphysema → high ventilation → decreased gas exchange.

17
Q

What factors decrease the ventilation perfusion ratio?

Factor 4: Ventilation perfusion ratio

A

Bronchial asthma → less ventilation → decreased gas exchange