gas transport Flashcards

dissociation curves: explain respiratory gas dissociation curves and how these are affected by physiological and environmental changes

1
Q

why aren’t O2 dissociation curves linear

A

ensures that high saturation occurs in lungs but that in systemic circuit a lot of oxygen can be unloaded when really needed (during exercise much greater scope for tissues taking O2 out of what is arriving)

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2
Q

at rest what % of oxgen is removed in systemic circulation

A

25%

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3
Q

what is P50

A

partial pressure of oxygen when HbO2 is 50%

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4
Q

what type of affinity does left shift indicate

A

high affinity

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5
Q

4 things that can increase O2 affinity and cause left shift

A

hypothermia, alkalosis, hypocapnia, decreased 2,3-DPG

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6
Q

4 things that can decrease O2 affinity and cause right shift

A

hyperthermia, acidosis (Bohr effect), hypercapnia, increased 2,3-DPG

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7
Q

what 4 things affect P50

A

temperature, pH, CO2, 2,3-DPG

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8
Q

what does an upwards shift indicate

A

polycythaemia (increased oxygen carrying capacity)

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9
Q

what does a downwards shift indicate

A

anaemia (impaired oxygen carrying capacity)

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10
Q

what does a down and leftwards shift indicate (CO poisoning)

A

decreased capacity and increased affinity resulting from increased HbCO (carboxyhaemoglobin) caused by CO poisoning, which when bound caused oxygen to bind more strongly

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11
Q

x and y axis of oxygen dissociation curve

A

x: PaO2 (kPa), y: HbO2 saturation (%)

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12
Q

what do amino acid Hb chains with negative charges act as

A

proton acceptors

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13
Q

describe CO2 dissociation curve

A

practically linear, with slightly higher concentration in venous blood than arteries; the more oxygenated the Hb, the less CO2 accepted

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14
Q

what does the shape of the CO2 dissociation curve indicated about significance of dissolved CO2

A

not as significant as not sigmoid shaped curve

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15
Q

what happens to oxygen dissociation curve in older age

A

shifts right

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