Exam #2 Flashcards
define solubility
the maximum amount of one substance (solute) that is able to dissolve into another (solvent)
3 factors that affect solubility
intermolecular interactions
temperature
pressure
how do intermolecular interactions affect solubility
like dissolves like
polarity/ionization
similar electron configuration–> higher solubility
how does temperature affect solid/liquid solubility
elevated temperature increases solubility
how does pressure affect solubility
affects gases
higher pressure increases solubility
how does temperature affect the solubility of gases
inverse relationship
hypothermia– anes. gases stay soluble in blood rather than to lungs and being exhaled by the body as a gas
Henry’s law
What is the formula?
at constant temp, the amount of gas dissolved in liquid is directly proportional to the partial pressure of that gas at equilibrium above the gas-liquid interface
p=kc
(k-constant)
(c-concentration)
(p-partial pressure)
Graham’s law
the rate of effusion of a gas is inversely proportional to the square root of its molecular weight
smaller molecule-> faster diffusion
Fick’s law
diffusion of a gas is directly proportional to the partial pressure gradient, the membrane solubility of the gas, and the membrane area
diffusion of a gas is inversely proportional to the membrane thickness and the molecular weight of the gas
how does Fick’s law apply to anesthesia (4)
passive oxygenation (in ENT cases, unable to ventilate)
diffusion hypoxia
concentration effect
second gas effect
what is diffusion hypoxia
nitrous is very soluble
tissues become saturated, diffuse into alveoli quickly once turned off, creating hypoxic mixture in the lungs <21%
what is concentration effect
increasing the fraction of inspired concentration (FI) of an inhalation anesthetic will more rapidly increase the fraction of alveolar concentration (FA) of the agent– think about Henry’s law
what is second gas effect
As nitrous is diffused into the blood from the alveoli at a faster rate than the volatile anesthetic, it leaves a void of volume in the alveoli. It creates pressure gradient, allowing more volatile anesthetic to enter the alveoli at a faster rate.
plasmolysis
cells in hypertonic fluid
cytolysis
cells in hypotonic fluid
tonicity
the capacity of a solution to modify the volume of a cell by altering its water content
tonicity example in clinical practice
elevated ICP treated with an agent creating a hypertonic osmotic environment, pulling fluid from interstitial space around brain
Osmotic diuretic (mannitol) increases serum tonicity, drawing edema from brain parenchyma into the intravascular space
Bronsted-Lowry Acid
proton donor
Bronsted-Lowry Base
proton acceptor
Lewis Acid
electron pair acceptor (electrophile)
Lewis Base
electron pair donor (nucleophile)
define acid
substance that can donate a proton or accept an electron pair in a chemical reaction
define base
substance that can accept a proton or donate an electron pair in a chemical reaction
acid-base reaction
acid and a base react to form water and a salt (ionic compound)
acid+base->water+salt