Gas Transpot - Karius Flashcards

1
Q

at any PO2 > 60 mmHg, how much is Hb oxygen saturated?

A

85%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does a left shift in the Hb-O2 curve represent?

right shift?

A

INC in affinity of Hb for O2

DEC in affinity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what factors produce left shifts?

A

low CO2

high pH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what factors produce right shifts?

A

high CO2
low pH
INC temperature
INC 2,3 DPG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does a right shift of the curve mean in the body?

A

inc demand for O2 in the Tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the a-v O2 difference?

what does this represent?

A

difference bw arterial O2 and venous O2

how much O2 used by tissue being perfused

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what removes very little O2 from blood?

very high?

A

adipose

skeletal m.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

RQ equation

what is normal?

A

RQ = V(dot) CO2 / V(dot) O2

0.8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what can CO2 combine with?
what does it form?

where does it bind?

A

plasma proteins or Hb
carbamino compounds

amine groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the Haldane shift?

A

presence of O2 on heme DEC affinity of Hb chain for CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is most of the CO2 carried in the body?

A

HCO3 (bicarbonate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the chloride shift?

where is it occurring?

A

1 HCO3- out in the PLASMA and 1 Cl- in

venous blood (therefore it has lower plasma Cl- level)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what enzyme catalyzes the Cl- shift reaction?

A

carbonic anhydrase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the major transporter of O2?

CO2?

A

Heme in Hb

HCO3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the alveolar gas equation?

A

PA O2 = PI O2 - (Pa CO2 / R)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what does PI O2 equal at sea level?

A

(760 - 47) x oxygen saturation %

17
Q

What is the A-a O2 gradient equation?

A

A-a O2 = PAO2 - PaO2

normally

18
Q

what does an INC A-a O2 gradient indicate?

A

diffusion impairment (something wrong in alveoli)

19
Q

What is the solubility of O2 in the plasma(blood)?

A

0.3 ml O2/dl blood/ 100 mmHg

20
Q

What does an A-a O2 gradient about 20 mmHg indicate?

A

diffusion impairment, something wrong with alveoli

21
Q

if the A-a gradient is normal but the PaO2 and PAO2 are both low, what is the problem?

A

patient may be hypoventilating or at altitude