Gas Exchange Flashcards

1
Q

what is the arterial and alveolar partial pressure of CO2?

A

40

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2
Q

name the three factors that drive diffusion of gases

A

SA
permeability
gradient

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3
Q

what is the venous CO2 pressure?

A

46

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4
Q

what is the venous O2 pressure?

A

40

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5
Q

at a capillary, how quickly does gas exchange occur? how much time does it take for the blood to get from one end to the other in normal conditions?

A

about 0.25 seconds for exchange and takes 0.75 seconds to get from one end to the other

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6
Q

if it only takes 0.25 for gas exchange but blood is in capillary for 0.75 seconds, what is the other time for?

A

it is reserved for if blood is flowing faster like during exercise

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7
Q

does O2 bound to Hb exert partial pressure?

A

NO

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8
Q

despite having a lower gradient than O2, CO2 still diffuses quickly across the lungs..why?

A

lungs are very permeable to it

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9
Q

what does it mean for there to be perfusion limitation?

A

it means that the solute is permeates easily through the membrane and reaches high pressures quickly and is therefore not able to perfuse anymore after like 0.2 seconds at the alveoli

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10
Q

what molecule is perfusion limited?

A

N2O

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11
Q

what molecule is diffusion limited?

A

CO

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12
Q

what does it mean to be diffusion limited?

A

the molecule that is coming into the blood gets sucked up quickly by Hb and a gradient continues to exist and is therefore limited by the time of diffusion it experiences

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13
Q

are O2 and CO2 perfusion or diffusion limited?

A

perfusion limited

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14
Q

what molecule can we use to test the blood gas barrier diffusing capacity?

A

CO

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15
Q

what three things can cause misleading results on blood gas barrier tests?

A

anemia
carboxy-hb
oxyhemoglobin

pretty much anything that takes Hb away from the CO to bind to and lead it to hit perfusion limitation

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16
Q

what percent of blood oxygen is bound to Hb?

A

98%

17
Q

what two common lung problems will cause changes in the diffusing capacity of the blood gas barrier?

A

fibrosis and pulmonary edema

18
Q

what is the bohr effect? what way does it shift the oxyhemoglobing curve?

A

when CO2 and H+ decrease Hb affinity for O2…shifts the curve to the right and encourages unloading of O2 at the tissues

19
Q

what are the three ways CO2 is carried in the blood?

A

free
carbamino Hb
mainly as bicarbonate though

20
Q

what molecule is in charge of pushing bicarbonate out of blood cells and into the plasma?

A

a chloride exchanger

21
Q

what enzyme turns H20 and CO2 into carbonic acid?

A

carbonic anhydrase

22
Q

what is the haldane effect?

A

pretty much just that unloading of oxygen from hemoglobin allows it to be able to carry some CO2 and be sensitive to H+changes