Gas Exchange Flashcards

1
Q

What is the pressure of the thoracic cavity compared to atmospheric air?

A

-ve pressure

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2
Q

What is the elastic property of lung tissue?

A

Wants to collapse/deflate

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3
Q

What structures bound the thoracic cavity?

A

Ribs, sternum, diaphragm

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4
Q

What keeps the lungs semi-inflated even during exhalation?

A

-ve pressure

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5
Q

What does high lung compliance indicate?

A

A small change in pressure leads to a large change in volume

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6
Q

How is compliance defined mathematically?

A

Change in volume/change in pressure

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7
Q

What substance increases lung compliance?

A

Surfactant

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8
Q

What are the benefits of surfactant in the lungs?

A
  • Reduced energy needed to inflate lungs
  • Prevents transudate (fluid) coming out of capillaries
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9
Q

What type of cells produce surfactant?

A

Type II pneumocytes

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10
Q

What disease states can alter lung compliance?

A
  • Lack of surfactant (e.g., respiratory distress syndrome)
  • Increase in connective tissue (e.g., fibrosis)
  • Reduced lung elastic tissue (e.g., emphysema)
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11
Q

What type of process is inspiration?

Active or passive?

A

Active process

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12
Q

What happens during inspiration to lower pressure?

A

Increases volume of the thorax

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13
Q

What are the steps involved in inspiration?

A
  • Diaphragm contracts and flattens
  • External intercostal muscles contract to aid ribs opening
  • Increased thoracic volume lowers pressure
  • Lungs expand, increasing lung volume
  • Air is drawn into the alveoli
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14
Q

What type of process is expiration at rest?

Active or passive?

A

Passive process

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15
Q

What occurs during passive expiration?

A
  • Diaphragm relaxes, reducing thorax volume
  • Thoracic wall and ribs return to resting position
  • Elastic lung recoils, expelling air
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16
Q

What muscles are involved in active expiration?

A
  • Internal intercostal muscles
  • Accessory muscles (e.g., abdominal muscles)
17
Q

How does ventilation differ in the horse?

A
  • Firm thoracic wall shows biphasic inspiration and expiration
  • Active and passive phases
18
Q

What does partial pressure Px refer to?

A

Pressure exerted by a single gas

19
Q

What is the principle of gas movement related to partial pressure?

A

Gas moves from area of high Px to low Px

20
Q

What is the ultimate goal of respiration?

A

To keep correct concentrations of certain molecules in the tissues for correct function: O2, CO2, H+

These molecules are essential for cellular metabolism and maintaining homeostasis.

21
Q

How are gases exchanged during respiration?

A

Via simple diffusion from alveolus to blood (external respiration) and from blood to tissue (internal respiration)

This process relies on concentration gradients.

22
Q

What does Fick’s Law describe?

A

Factors influencing the rate of diffusion of a gas across a membrane, including:
* SA of membrane
* Membrane thickness
* Partial pressure difference
* Diffusion coefficient

Fick’s Law is crucial for understanding gas exchange efficiency.

23
Q

What can affect gas diffusion according to Fick’s Law?

A

Diseases affecting:
* Alveolar destruction (SA)
* Fibrosis or edema (thickness)
* Ventilation disturbances
* Perfusion disturbances

Diseases like emphysema or pulmonary fibrosis can significantly impair gas exchange.

24
Q

Describe external respiration for O2.

A

Diffusion of O2 from alveolus into blood follows pressure gradient

Rapid equilibriation occurs between capillary and alveolar PO2.

25
Q

How does the rate of O2 diffusion change during external respiration?

A

Slower rate as PO2 difference gets smaller

This is due to the decreasing gradient as O2 diffuses into the blood.

26
Q

Describe external respiration for CO2.

A

Diffusion of CO2 from blood to alveolus

PCO2 in blood varies depending on metabolic activity in different body regions.

27
Q

What is internal respiration?

A

Diffusion down the pressure gradient of O2 from blood to interstitial fluid, and vice versa for CO2

This process is crucial for cellular respiration.

28
Q

How is O2 primarily transported in the blood?

A

Most is transported by hemoglobin within RBCs

O2 has low solubility in blood, making hemoglobin essential for transport.

29
Q

What is the role of iron-based haem groups in hemoglobin?

A

Haem binds to molecular oxygen

Each hemoglobin molecule contains 4 haem groups.

30
Q

What happens when the first O2 binds to hemoglobin?

A

Causes a conformational change in hemoglobin

This change increases the affinity for subsequent O2 binding.

31
Q

What does the Oxygen Dissociation Curve represent?

A

The relationship between PO2 and hemoglobin saturation

It illustrates how hemoglobin’s affinity for O2 changes with different partial pressures.

32
Q

When is hemoglobin’s affinity for O2 low?

A

When PO2 is low, such as in tissues

This encourages hemoglobin to release O2 where it is needed most.

33
Q

How is CO2 transported in the blood?

A

As:
* dissolved in plasma
* bound to amine group of hemoglobin
* as bicarbonate ions (HCO3)

This transport is crucial for maintaining acid-base balance.

34
Q

What is the significance of bicarbonate (HCO3) in the blood?

A

Contributes to the bicarbonate buffer system, helping to buffer dramatic changes to pH

This system is vital for maintaining acid-base homeostasis.

35
Q

Why is carbon monoxide (CO) considered poisonous?

A

Binds to hemoglobin with 200-300x greater affinity than O2

This binding is ‘irreversible’ and displaces O2, leading to hypoxia.