gas exchange and transport Flashcards

1
Q

what is total gas pressure

A

the sum of all partial pressures
Ptotal = P1 + P2 + P3 + … Pn

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2
Q

what does partial pressure depend on

A

Fractional concentration of the gas
Total pressure of gas mixture

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3
Q

what percentage of the air is nitrogen

A

79%

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4
Q

what percentage of the air is oxygen

A

21%

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5
Q

how do you calculate partial pressure

A

Pgas = % gas x Ptotal
e.g.
P air = 760 mm Hg = PN2 + PO2
– PN2 = 0.79 x 760 mm Hg = 600 mm Hg
– PO2 = 0.21 x 760 mm Hg = 160 mm Hg

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6
Q

what does fick’s law calculate

A

rate of diffusion

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7
Q

what do the letters stand for in fick’s law

A

A - surface area
T - thickness
AP - pressure difference
D - diffusion constant
S - gas solubility
MW - melecular weight

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8
Q

at rest how long does blood spend in a capillary

A

0.75 secs

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9
Q

what is pulmonary oedema

A

fluid accumulation in alveoli or interstitial space

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10
Q

what are the effects of pulmonary oedema

A

impairs diffusion
increased work breathing
leakage in unprotected capillaries

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11
Q

what are the causes of pulmonary oedema

A

Increased capillary pressure
– Via left heart failure
Reduced atmospheric pressure

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12
Q

what is treatment for pulmoary oedema

A

Administering oxygen and diuretics

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13
Q

how is oxygen transported

A

dissolved in plasma or bound to haemoglobin

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14
Q

what is the function of haemoglobin

A

to provide greater oxygen carrying capacity

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15
Q

how much oxygen does haemoglobin transport

A

98.5%

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16
Q

what is the structure of haemoglobin

A

Tetrameric globular protein

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17
Q

how much haemoglobin is in a person

A

150 g.litre-1 in men
* 130 g.litre-1 in women (13 g.dl-1

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18
Q

how many haemoglobin groups are there

A

4 (each contain 1 Fe2+ ion)

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19
Q

what is the Haemoglobin-Oxygen Dissociation Curve

A

describes how oxygen binds to hemoglobin in red blood cells and how easily it is released into tissues.

20
Q

what does the Haemoglobin-Oxygen Dissociation Curveshow

A

S shape shows that as one oxygen molecule binds, haemoglobin’s affinity for oxygen increases, making it easier for additional oxygen to bind.

21
Q

what does the x and y axis on the Haemoglobin-Oxygen Dissociation Curve represent

A

X-Axis (Pₒ₂ of blood, mm Hg): Represents the partial pressure of oxygen in the blood.

Y-Axis (% Hemoglobin Saturation): Indicates the percentage of hemoglobin molecules bound to oxygen.

22
Q

what is the average resting pressure of oxygen and saturation at Systemic Capillaries

A

40 mm Hg Pₒ₂, ~75% saturation

Oxygen is released into tissues during rest.

23
Q

what is the average resting pressure of oxygen and saturation at Pulmonary Capillaries

A

100 mm Hg Pₒ₂, ~97% saturation

Oxygen binds to hemoglobin in the lungs.

24
Q

what factors cause a right shift (Reduced O₂ Affinity) in the Haemoglobin-Oxygen Dissociation Curve

A

Increased CO₂ (Bohr effect)
Lower pH (more acidic)
Higher temperature

25
Q

what factors cause a left shift (Increased O₂ Affinity) in the Haemoglobin-Oxygen Dissociation Curve

A

Decreased CO₂
Higher pH (more alkaline)
Lower temperature

26
Q

how is carbon dioxide transported

A

dissolved in plasma- 10%
bound to haemoglobin - 30%
As bicarbonate ions (in plasma) - 60%

27
Q

what is hypoxia

A

insufficient cellular O2

28
Q

name the types of hypoxia

A

Hypoxic Hypoxia (Low Oxygen in Blood)
Anemic Hypoxia (Low Hemoglobin or Oxygen-Carrying Capacity)
Histotoxic Hypoxia (Cells Can’t Use Oxygen)
Circulatory hypoxia (low supply of oxygenated blood)

29
Q

what are Abnormal PaCO2 conditions

A

Hypercapnia
* Excess PaCO2

Hypocapnia
* Below normal PaCO2

30
Q

where are respiratory control centres

A

in brainstem

31
Q

what is in the pons respiratory centre

A

pneumotaxic center
apneustic center

32
Q

what is in the medullary respiratory center

A

dorsal and ventral respiratory groups

33
Q

what respiratory control centers are in the brainstem

A

pons respiratory center
medullary respiratory center
pre-Botzinger complex

34
Q

what are the steps of Respiratory Control During Quiet Breathing

A
  1. chemoreceptors, pons and cortex
  2. central pattern generator (medulla)
  3. inspiratory neurons in dorsal and ventral respiratory group
  4. breathing rhythm
35
Q

what are Pulmonary stretch receptors (Hering-breuer reflex) responsible for

A

Inflation and deflation

36
Q

what are chemoreceptors responsible for

A

oxygen and carbon dioxide pressure changes

37
Q

where are peripheral chemoreceptors found

A

carotid bodies and aortic bodies

38
Q

what is the function of peripheral chemoreceptors

A

responds to low arterial oxygen pressure
responds to high arterial carbon dioxide pressure
aortic bodies respond ro low total arterial oxygen content

39
Q

where are central chemoreceptors

40
Q

what is the function of central chemoreceptors

A

provide 80% respiratory drive
detect changes in CO₂ (carbon dioxide) and pH in cerebrospinal fluid (CSF

41
Q

when does arterial O2 effect ventilation

A

when PO2 < 60 mm Hg

42
Q

describe carbon transport in haemoglobin

A

CO₂ binds to the globin (protein) portion of hemoglobin (Hb) to form carbaminohemoglobin (HbCO₂).
This binding is reversible, allowing CO₂ to be released in the lungs for exhalation

43
Q

how does the presence of oxygen effect carbon transport

A

When oxygen levels are high (like in the lungs), O₂ binds to hemoglobin, reducing hemoglobin’s affinity for CO₂. This promotes CO₂ release into the lungs, where it is exhaled.

44
Q

describe carbon transport through bicarbonate ions

A

Inside red blood cells (RBCs), CO₂ reacts with water (H₂O) under the action of the enzyme carbonic anhydrase, forming carbonic acid (H₂CO₃)

Carbonic acid then dissociates into bicarbonate ions (HCO₃⁻) and hydrogen ions (H⁺)

Bicarbonate ions leave RBCs and enter plasma in exchange for chloride ions (Cl⁻) to maintain electrical neutrality.

45
Q

describe carbon transport in plasma

A

CO₂ is directly dissolved in plasma due to its relatively high solubility in water compared to oxygen.

This dissolved CO₂ is readily available for diffusion into the lungs for exhalation.