Energy Production and Energy Consumption Flashcards

1
Q

what is the equation for partial pressure

A

fractional concentration x pressure

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2
Q

eg what is the partial pressure in a normal room

A

PO2 = FiO2 x PB

0.2094 x 101.325 = 21 kPa

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3
Q

how does the kPa of O2 change from dry air, to humid air, to alveolar gas

A

21kpa

  1. 9 kpa
  2. 9 kpa
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4
Q

what are the 6 steps in the oxygen cascade

A
humidification 
alveolar gas 
alveolar capillary diffusion 
ventilation-perfusion mismatch and shunt 
tissue diffusion 
diffusion with cell
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5
Q

what is the pulmonary capillary PO2 vs arterial O2

A
  1. 9 in capillary

13. 6 in artery

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6
Q

what is the difference in PO2 in mean tissue vs in the mitochondria

A

5 Kpa in tissue

greater than 0.15 kPa

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7
Q

what is the definition of oxygen delivery

A

amount of oxygen leaving the heart in one minute

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8
Q

how do you calculate oxygen delivery (DO2)

A

check home screen

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9
Q

what is the definition of oxygen consumption

A

amount of oxygen used by the body in one minute VO2

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10
Q

what is the basal metabolic rate equal to

A

VO2 at rest

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11
Q

how do you measure oxygen consumption

A
Direct calorimetry
2. Indirect calorimetry:
measure VO2:
Arterio-venous CO2  difference
Inspired-expired O2 volume difference
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12
Q

what are the normal values for oxygen consumption

A

200 ml/min
relative to body size BMR = 45 W/m^2
VO2 = 4.8 ml/min/kg

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13
Q

what factors affect VO2

A

age - peak at 0-2 years then falls throughout life
temperature - metabolic rate doubles very 10 degrees
exercise

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14
Q

what are the physiological responses of aenemia

A

increased 23-DPG shift and O2-Hb curve to the right
rescued blood flow to non-essential organs such as skin or the bowel
instead oxygen extraction
increased in cardiac output

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15
Q

in aenemia what is the average DO2

A

1000 ml/min

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16
Q
as altitude increases what happens to 
partial pressure of arterial oxygen 
arterial oxygen saturation 
haemoglobin conc
arterial oxygen content
A

partial pressure of arterial oxygen decreases
arterial oxygen saturation decreases
Hb concentration increases
arterial oxygen content increases and then decreases past 6400m

17
Q

what is the definition of the respiratory exchange ratio

A

the ration of carbon dioxide production VCO2 to oxygen consumption VO2

18
Q

what is a normal RER value and what affects it

A

1
acid base balance
hyperventilation
metabolic fuel

19
Q

what is the RER value for
carbs
fatty acids
protein

A

1

  1. 7
  2. 8
20
Q

what are the three stages of generation of energy

A

glycolysis
tricarboxylic acid cycle
oxidative phosphorylation

21
Q

where does the process of glycolysis occur and what does it do

A

occurs in cytoplasm
glucose to pyruvate or lactate
no oxygen required
2 ATP molecules per glucose

22
Q

where does the TCA cycle occur and what is produced

A

occurs mostly in mitochondria
acetyl CoA (from glycolysis) to CO2
38 ATP molecules per glucose

23
Q

where does oxidative phosphorylation occur and what does it do

A

occurs in mitochondria
NADh provides H+
H+ combines with O2 to produce water and ATP

24
Q

what are the three causes of cellular hypoxia

A

anoxic - lack of O2 in the blood
Stagnant - lack of blood supply
Anaemic - lack of Hb

25
Q

what diseases happens when you are anoxic, stagnant or stagnant and anaemic

A

respiratory failure
angina
angina and low Hb