Gas Exchange & Transport Flashcards

1
Q

Where does the gas exchange happen?

A

Alveoli in the lungs!!

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2
Q

Increased thickness= _________ diffusion!!!

A

DECREASED.

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3
Q

The thicker the membrane the ________ it is for gas exchange to take place!

A

HARDER.

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4
Q

What could cause the respiratory membrane to thicken?

A

Pulmonary EDEMA and fluid.

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5
Q

Do the gases move in ONE direction through the respiratory membrane?

A

NO. They move in BOTH.

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6
Q

What does the two way exchange of gases do?

A

Converts deoxygenated blood to OXYGENATED blood

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7
Q

Things move from _____ to _____ concentration !!!

A

HIGH to LOW

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8
Q

What are the four factors that the amount of O2 diffused depends on??

A

1- Alevolar pressure gradient (higher/lower pressure)
2- The total functional surface of the resp. membrane (how thin it is)
3. The respiratory minute volume
4. Alveolar Ventilation

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9
Q

What are the four factors that the amount of O2 diffused depends on??

A

1- Alevolar pressure gradient (higher/lower pressure)
2- The total functional surface of the resp. membrane (how thin it is)
3. The respiratory minute volume
4. Alveolar Ventilation

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10
Q

How do we calculate the respiratory minute volume?

A

RR/min X volume of air inspired

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11
Q

General Rule:
Anything that ______ the alveolar PCO2 tends to _____ the alveolar blood oxygen pressure gradient which results in a _______ amount of O2 entering the blood

A

DECREASE, DECREASE, DECREASE

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12
Q

What is application 1 of the general rule?

A

O2 pressure gradient, alveolar PO2 decreases as altitude increases, thus less O2 enters the blood at high altitudes

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13
Q

What is application 2 of the general rule?

A

Functional surface area, anything that decreases the functional surface area of the respiratory membrane tends to decrease oxygen diffusion into the blood

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14
Q

What is application 3 of the general rule?

A

Respiratory minute volume, anything that decreases RR tends to decrease blood oxygenation

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15
Q

Blood transports O2 and CO2 either as _______ or _______ with other chemicals.

A

SOLUTES or COMBINED

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16
Q

When entering the blood, both O2 and CO2 dissolve in the _______

A

plasma

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17
Q

What is hemoglobin?

A

reddish protein found in red blood cells

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18
Q

What does O2 have an affinity for?

A

Iron atoms
- allowing the iron to act as a oxygen sponge that chemically absorbs O2 molecules from the surrounding solution

19
Q

What does CO2 have an affinity for?

A

Alpha and beta amino acid chains, allowing HB to sponge to the CO2 and carry it as well

20
Q

When hemoglobin combines with O2, what does it form?

A

Oxyhemoglobin

21
Q

Each gram of HB can unite with ____ml of O2.

A

1.34ml

22
Q

The exact amount of _____ in the blood depends largely on the amount of ________ present.

A

O2 & HEMOGLOBIN

23
Q

The higher the hemoglobin % naturally higher what?

A

O2 carrying capacity of the blood is.

24
Q

What does PO2 stand for?

A

Partial pressure of oxygen (reflects the amount of oxygen gas dissolved in the blood)

25
Q

The HIGHER the PO2 in the blood….. what happens to the rate of O2 being bound to HB? (accelerate or deacclerate?)

A

It ACCELERATES the rate of O2 being bound

26
Q

The LOWER the PO2 in the blood….. what happens to the rate of O2 being bound to HB?

A

LOWERS the rate O2 is being bound

27
Q

What does the O2 dissociation curve represent?

A

it describes the relationship between the PO2 (x axis) and the O2 saturation ( y axis)

28
Q

As more O2 binds, the HB O2 affinity INCREASES. True or false?

A

TRUE!!

29
Q

What does affinity mean?

A

the degree to which a substance tends to combine with another

30
Q

When there is a shift to the RIGHT, HB has a __________ affinity for O2.

A

DECREASED, does NOT want it.

31
Q

Which way does the curve shift when it is easier for the HB to RELEASE the O2 molecules?

A

RIGHT!!!

32
Q

The curve usually shifts to the right during the times that O2 is needed the _________ !!

A

MOST

33
Q

When are some examples of when our body needs O2 the most? (also think of the pneumonic CADET)

A

Exercise, stress, shock
Co2 Acid Dpg Excerise Temp

34
Q

When we are hypoxic, is more or less O2 released into the tissues?

A

MORE O2

35
Q

When the curve shifts LEFT, HB has an _________ affinity for O2.

A

INCREASED

36
Q

What are some reasons the curve will shift left?

A

carbon monoxide poisoning
hypothermia
cancers of the head and neck
smoking and alcohol

37
Q

Where are carbomino compounds secreted?

A

in water or kidneys

38
Q

What is the majority form of CO2 in the blood carried as?

A

bicarbonate ions (HCO3-)

39
Q

The more CO2 that is present = _______ levels of carbonic acid !!

A

HIGHER

40
Q

What will happen to the SPO2 of our CARBON MONOXIDE poisoning patients?

A

Would be NORMAL or HIGH because CO replaces oxygen

41
Q

Does CO have a greater affinity to HB then O2 does?

A

YES. 250x greater affinity.

42
Q

The Bohr effect means:
________ PCO2 >
__________ the affinity between HB & O2 >
causes a ________ shift on the O2HB curve !!

A

increased

decreases

RIGHT

43
Q

The Haldane effect is when the O2 in the blood displaces CO2 from the HB and increases the removal of CO2. True or false??

A

TRUE!!!!!!!

44
Q

Haldene effect: Oxygenated blood as a reduced affinity for _______ this this effect focuses on the hemoglobins ability to carry INCREASED amounts of ________ in deoxygenated states.

A

CO2