Gas Exchange Flashcards

1
Q

External Respiration

A
Pulmonary ventilation (Breathing)
Pulmonary Gas Exchange
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2
Q

Components of Respiration

A

External Respiration
Internal Respiration
Transport of Gases through blood

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3
Q

Internal Respiration

A

Systemic tissue gas exchange

Cellular Respiration

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4
Q

Respiratory Cycle-Inspiration

A

During inspiration, the diaphragm contracts, increasing the volume of the thoracic cavity. This increase in volume results in a decrease in pressure, which causes air to rush into the lungs.

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5
Q

Respiratory Cycle-Expiration

A

During expiration, the diaphragm returns to an upward position, reducing the volume in the thoracic cavity. Air pressure thus increases, forcing air out of the lungs.

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6
Q

Partial Pressure of Gases

A

Partial Pressure of gases is the pressure exerted by a gas in a mixture of gases or liquids

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7
Q

Law of Partial Pressure

A

Dalton’s Law

The partial pressure of a gas in a mixture will equal the total pressure if that gas

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8
Q

Arterial Blood

A

PO2 and PCO2 equal alveolar PO2 and PCO2

Due to continuous ventilation PO2 and PCO2 should remain relatively constant

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9
Q

Factors that Determine Diffuse of O2 into blood

A

1) O2 pressure gradient between alveolar air and blood
2) Total functional surface are
3) Respiratory minute ventilation
4) Alveolar ventilation versus deadspace ventilation

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10
Q

Structural Factors that Facilitate Oxygen Diffusion from the Alveolar Air to the Blood

A

The walls of the alveoli and capillaries form only a very thin barrier for gases to cross. As little as half a micron.
The alveolar and capillary surfaces are large
The blood is distributed through the capillaries in a thin layer so that each red blood cell comes close to alveolar air.

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11
Q

Bohr Effect

A

Increased PCO2 at the tissue level will decrease the affinity between oxygen and Hb (dumping of O2 at the tissue level)

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12
Q

Haldane Effect

A

Increased CO2 loading caused by a decrease in PO2 (increase loading of CO2) at the tissue level

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13
Q

Rate of Diffusion

A
〖Diffusion 〗_gas= [(A x Cs)/T ] x ∆P
	According to Fick’s Law the membrane diffusion rate is affected by
	Surface Area (A)
	Solubility of Gas (Cs)
	Membrane Thickness (T)
	Partial Pressure (∆P)
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14
Q

Diffusion Rate and Surface Area

A

As surface area increases there will be a greater diffusion rate

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15
Q

Diffusion Rate and solubility coefficient

A

As solubility coefficient increased there will be an increase in diffusion rate

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16
Q

Diffusion Rate and Partial Pressure Gradient

A

As the partial pressure gradient increases there is an increase in diffusion rate

17
Q

CO2 Diffusion versus O2

A

CO2 will diffuse 20 times faster than O2 due to the fact that it has a higher solubility (heavier molecule)

18
Q

Graham’s Law

A

Gas diffusion rate is inversely proportional to the square root of the gram molecular weight (density)
the lighter the gas the faster the diffusion rate

19
Q

Henry’s Law

A

Gas diffusion is directly proportional to the partial pressure
Basis of O2 therapy
Greater pressure=greater diffusion

20
Q

Capillary Blood Transit

A

Capillary Transit Time=0.75 sec

Alveolar-Capillary Equilibrium-Within the first 0.25

21
Q

Perfusion and Diffusion Limitations to O2 transfers

A

Decreased or increased blood flow

Thickened alveolar blood flow

22
Q

CO Diffusion

A

Limited diffusion due to a strong affinity to Hgb

PP doesn’t rise easily

23
Q

N2O Perfusion

A

Perfusion is limited

Equilibrium pressure is reached quickly, therefore more blood is needed to accept more N2O

24
Q

Oxygen Diffusion Path Length

A

From alveolar gas to red blood cells

The path is less than 1/2 micron

25
Pathologies that increase O2 Diffusion
Pulmonary Fibrosis Interstitial Edema Alveolar Fluid Interstital Fibrosis
26
Measuring Diffusion Capacity
Done through the Single-Breath CO Diffusion Test (DLCOsb) DLCO=mL CO transferred to the blood/min Mean PACO=Mean PCCO
27
Normal Values in Diffusion Capacity
20-30mL/min/mmHg DLO2=DLCO x 1.23=~32mL/min/mmHg Unit of diffusion is opposite of resistance
28
Conductance
Flow/pressure
29
Factors that Affect DLCO
``` Body Size Age Lung Volume Exercise Body Position (will be 15-20% higher in supine) Alveolar PO2 and PCO2 Alveolar PCO Hemoglobin Concentration Pulmonary Diseases (decrease total AC Membrane) ```
30
Water Balance in Lungs
The Pulmonary capillary is a semi-permeable membrane Due to the net outward pressure there will always be movement of fluids out of the capillaries Lymphatic vessels will immediately drain the fluid coming out of the interstitial , which is important to make sure that fluid does not enter the alveoli Due to the fact that the alveolar wall is so thin any increase in interstitial pressure will rupture the alveoli
31
Oncotic Pressure
Influence of proteins on osmotic pressure the effect of of filtration on protein concentration will also serve as a mechanism to limit capillary filtration Normal tissue oncotic pressure is ~5mmHg
32
Tissue (Interstitial) Oncotic Pressure (Πi)
The oncotic pressure of interstitial fluid will interstitial protein concentration and reflection coefficient of the capillary wall The more permeable the capillary barrier is to protein the higher interstitial oncotic pressure Pressure is also determined by amount of fluid filtration into interstitum (increase filtration will decrease interstitial protein concentration and reduce osmotic pressure)
33
Water Imbalance-Pulmonary Edema
Increased hydrostatic pressure (fluid pushed out of capillaries) which can be cause by: Left ventricular failure, fluid overload, Increased Capillary Permeability which can be caused by: non cardiac pulmonary deem Decreased Plasma Oncotic Pressure: starvation, hemodilation, proteinuria Lymphatic Insufficiency: Tumour, compression, trauma