L11 Transport And Exchange Of Gases Flashcards

1
Q

What is the main factor influencing the diffusion of gases between air, blood, and tissues?

A

Partial pressures

The direction of diffusion depends on the difference in partial pressures (P1 - P2) rather than concentration differences.

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2
Q

What is the relationship between partial pressures and diffusion direction?

A

Gases diffuse from regions of high partial pressure to regions of low partial pressure

Equilibrium occurs when partial pressures are equal, stopping diffusion.

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3
Q

What determines the total pressure of a gas mixture?

A

Total pressure = sum of all individual partial pressures

Partial pressure is denoted by an italic P; subscripts indicate measurement locations.

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4
Q

What is the partial pressure of O2 in atmospheric air at 101.3 kPa?

A

21.2 kPa

This is calculated as 101.3 kPa x 0.21.

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5
Q

What happens during diffusion in the lungs regarding O2 and CO2?

A

O2 diffuses into the alveolar fluid; CO2 diffuses from alveolar fluid into the air

Both diffusions occur simultaneously but independently.

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6
Q

What factors limit diffusion of gases?

A
  • Thickness of the diffusion barrier (T)
  • Surface area (A)
  • Solubility of the gas
  • Molecular weight (MW)

The rate of diffusion is influenced by these factors.

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7
Q

What is the rate of diffusion equation?

A

Rate of diffusion = (P1 - P2) x A x solubility x (1 / √Mol. Wt.)

This equation considers the partial pressure difference, area, solubility, and molecular weight.

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8
Q

What is the respiratory quotient (RQ) related to CO2 produced and O2 consumed?

A

0.8

This ratio indicates the relationship between the volume of CO2 produced and O2 consumed.

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9
Q

What percentage of O2 is carried by hemoglobin?

A

98.5%

Only 1.5% of O2 is dissolved in plasma.

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10
Q

What is the role of hemoglobin in O2 transport?

A

Enhances blood’s capacity to carry O2 by 67 times

Hemoglobin binds O2 through its ferrous Fe2+ at the center of each heme group.

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11
Q

What is the O2-Hb dissociation curve’s shape and why?

A

Sigmoidal shape due to ‘co-operative’ binding

Binding of one O2 increases the affinity of the remaining binding sites for O2.

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12
Q

What factors influence the binding of O2 to hemoglobin?

A
  • Partial pressure of O2 (PO2)
  • Partial pressure of CO2 (PCO2)
  • pH
  • Temperature
  • 2,3 diphosphoglycerate (2,3 DPG)

These factors can shift the O2-Hb dissociation curve.

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13
Q

What occurs in the alveoli that affects pH and temperature?

A

Loss of CO2 raises pH; evaporation lowers temperature

These changes lead to a leftward shift in the O2-Hb dissociation curve.

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14
Q

What happens in tissues that affects O2 unloading from hemoglobin?

A

CO2 production lowers pH; metabolism raises temperature

These changes cause a rightward shift, aiding O2 unloading.

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15
Q

What is the significance of 2,3 DPG in O2 transport?

A

Accumulation during high O2 consumption

It influences hemoglobin’s affinity for O2.

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16
Q

What is the typical O2 content in arterial blood at rest?

A

20 ml O2/dl blood, 97% saturation

This reflects the O2-Hb binding capacity.

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17
Q

What is the typical O2 content in mixed venous blood at rest?

A

15 ml O2/dl blood, 75% saturation

This indicates the amount of O2 extracted by tissues.

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18
Q

What happens to O2 levels in the blood returning to the heart via the pulmonary vein?

A

P O2 drops from 13.3 to 12.5 kPa

This is due to mixing with deoxygenated blood from bronchial arteries.

19
Q

What is the effect of anemia on O2 transport?

A

Reduced O2 carrying capacity due to decreased hemoglobin content

Alveolar PO2 may be normal, but tissue PO2 can be low.

20
Q

What is the significance of P1 - P2 in gas diffusion?

A

It is the driving force for both diffusion and uptake by hemoglobin

PO2 is the main determinant of O2 content and saturation.

21
Q

What is the main determinant of O2 content and % saturation of Hb with O2?

22
Q

List the four important measures of O2 transport.

A
  • Reduced O2 carrying capacity
  • Reduced red blood cell count
  • Alveolar P O2 normal, % sat. normal
  • Mild tissue hypoxia (low tissue P O2)
23
Q

What happens if there is not enough Hb?

A

Reduced O2 content and saturation

24
Q

What is the Hb content in normal conditions?

25
What is the Hb content in anaemic conditions?
50% of normal
26
How much O2 do tissues extract from blood at rest?
5 ml O2/dl blood
27
What happens to tissue P O2 at rest in hypoxia?
Drops from 5.3 to 3.6
28
What reduces the capacity for additional O2 extraction during exercise?
Hypoxia
29
If PaO2 < 12.5 kPa and PvO2 < 5.3 kPa, what may be caused?
Reduced O2 content & % saturation
30
What are the three forms of CO2 transport by blood?
* Dissolved in plasma * As bicarbonate in plasma * Bound to Hb as carbamino-Hb
31
What percentage of CO2 is dissolved in plasma?
7-9%
32
What is the majority form of CO2 transport in blood?
As bicarbonate in plasma (70%)
33
What is the CO2 content in venous blood?
52 ml CO2/dl blood
34
What is the CO2 content in normal arterial blood?
48 ml CO2/dl blood
35
What is the Haldane effect?
CO2 content of deoxygenated blood is greater than that of oxygenated blood
36
What is the reaction that converts CO2 to HCO3- in plasma?
CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-
37
What accelerates the reaction of CO2 to HCO3- in erythrocytes?
Carbonic anhydrase (CA)
38
How does the Haldane effect enhance CO2 uptake?
Buffering of H+ by deoxy-Hb
39
What happens to CO2 in the lungs regarding the Haldane effect?
HCO3- is converted back to CO2
40
What is the typical O2 used by tissues at rest?
250 ml/min
41
What is the O2 content and % saturation in mixed venous blood?
O2 content = 15 ml/dl, 75% Sat.
42
What is the O2 content and % saturation in arterial blood?
O2 content = 20 ml/dl, 97% Sat.
43
What is the majority form of CO2 transported by blood?
In the form of HCO3- (70%) or carbamino-Hb (23%)
44
What is the CO2 produced by tissues at rest?
200 ml/min