Gas Exchange and Transport Flashcards
PO2 and PCO2 in alveoli and arterial blood just after gas exchange
Same partial pressures
Venous blood arriving at the alveoli has around what PO2 & PCO2?
Low PO2 (~ 40 mm Hg) and higher PCO2 (~ 46 mm Hg)
Factors that influence alveolar gas exchange
- The amount of oxygen that reaches the alveoli
- The ability for gas to diffuse between the alveoli and blood
- Adequate perfusion of the alveoli (are there enough functional capillaries around the alveoli)
Factors that that influence the amount oxygen that reaches the alveoli
- Composition of inspired air
- alveolar ventilation (rate and depth of breathing, airway resistance, lung stretchiness)
Factors that influence the ability for gas to diffuse between alveoli and blood
- surface area
- diffusion distance (affected by barrier thickness, amount of fluid through which gasses must diffuse)
Emphysema
Destruction of alveoli —> less SA for gas exchange
Fibrotic lung disease
Thickened alveoli membrane —> slower gas exchange
Lung becomes less stretchy —> decreased ventilation
Pulmonary edema
Increase in fluid between alveoli and epithelial cells of capillary which increases distance for gas diffusion
Leads to increased arterial PCO2 b/c CO2 is more soluble in water than O2
Asthma
Increased airway resistance due to bronchoconstriction decreases amount of oxygen that arrives at the alveoli
Hypoxic hypoxia
Low arterial partial pressure of oxygen
Causes:
High altitude, hypoventilation, abnormal alveolar perfusion
Anemic hypoxia
Decreased total amount of oxygen bound to hemoglobin
Causes:
Blood loss, anemia, carbon monoxide poisoning
Ischemic hypoxia
Reduced blood flow
Causes:
Heart failure, shock, thrombosis
Histotoxic hypoxia
Failure of cells to use oxygen because cells have been poisoned
Causes:
Cyanide and other metabolic poisons (flea dip!)
How does oxygen get loaded onto Hb?
Diffuses across alveolar membrane into plasma where it briefly dissolves. Diffuses across RBC membrane where it is loaded onto Hb.
Oxygen carrying capacity
The amount of oxygen bound to Hb
What influences oxygen carrying capacity?
- amount of oxygen dissolved in plasma (determines % saturation of Hb)
- amount of hemoglobin (which determines the number of Hb binding sites)
Total number of Hb binding sites is calculated from…?
Hb content per RBC x # of RBCs
How many heme groups are on each Hb?
An Hb has four subunits and each subunit has one heme group so thats four binding sites per Hb
How many coordination sites does iron have?
6
4 nitrogen
1 histidine side chain
1 for molecular oxygen
How would removal of histidine side chains affect oxygen heme binding?
Inhibit