Hb Structure, Function and Gas Transport Flashcards
What determines how much oxygen can be carried in the blood (5)?
What can causethe amount of O2 dissolved in the blood to increase?
With high levels of inhaled oxygen the amount dissolved in the blood can become more significant.
What drives the movement of gases between the alveoli and the blood?
Partial pressures of CO2 and O2 in the respective environments. The gases will move from one environment to the other based on their respective pressure gradients.
When can perfusion limited gas exchange be transformed to diffusion limited?
During heavy exercise (with increase in cardiac output) or with a diffusion barrier the normal perfusion limitation can transform to diffusion limitation.
What are the ways that CO2 can be carried in the blood?
CO2 leaves tissues and enters blood. 5% of it remains dissolved and unchanged in the blood. 95% of it is taken up into the RBC and then 5% of it binds to Hb in the RBC. The remaining 90% of it is converted to H2CO3, which then rapidly decomposes to H+ + HCO3-. The proton can bind to Hb, making it have lower affinity for O2 so it will release more O2 to the tissues. The HCO3- is then pumped out of the RBC by a transporter that uses Cl-.
What does a pulse oximeter measure?
Whether or not hemoglobin has something bound to it. It DOES NOT distinguish between what is bound to hemoglobin. Thus, if a person has things other than oxygen bound to Hb, their pulse ox can appear normal and their arterial blood gas can reveal hypoxemia.
Concentration of a gas in solution depends on its […] in the solution
Partial pressure and solubility
What is the Bohr Effect?
Shift in oxyhemoglobin dissociation curve to left or right
What is the haldane effect?
The less O2 that is bound to Hb, the higher the affinity the Hb molecule has for CO2 and vice versa.
CO2 is able to diffuse across the alveolar/capillary membrane 20x faster than O2. However, these gases take the same amount of time to reach equilibrium with regards to gas exchange across this membrane. Why is this?
Although CO2 diffuses faster, the pressure gradient for O2 is larger so there is a larger driving force for O2 to cross the membrane. As such, they diffuse in about the same amount of time due to different driving factors.
If CO enters the blood, will it expert a partial pressure?
NO - Carbon monoxide has very high affinity for hemoglobin. If CO is introduced into the blood, very little exists in the plasma exerting a partial pressure and virtually all of the CO is bound to the hemoglobin.
How do you determine the partial pressure of a gas?
Each gas contributes to the total pressure in proportion to its concentration. I.e. if the total pressure of the gas is 760mmHg and the gas is 21% oxygen, then oxygen’s partial pressure is (760*0.21) = ~160mmHg
What does the CO2 dissociation curve look like?
What are the various forms that a gas can take in solution?
Dissolved gas
Bound to carrier (hemoglobin)
Chemically modified (CO2 being converted to HCO3-)