L17: Carriage Of Carbon Dioxide Flashcards

1
Q

What are the 3 ways carbon dioxide is carried in the blood

A

Physically dissolved
Bound to proteins in plasma called carbino and RBC
Carried as bicarbonate ion

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2
Q

What is a carbino

A

NHCOO-

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3
Q

What is a bicarbonate

A

HCO3-

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4
Q

What is the greatest way carbon dioxide is carried in the blood

A

Bicarbonate

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5
Q

What is the reaction of carbon dioxide to form bicarbonate ion

A

Co2 + h20 > h2co3 > hco3- + h+

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6
Q

Which enzyme is involved in making bicarbonate ions

A

Carbonic anhydrase

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7
Q

Describe the process of bicarbonate ions leaving the blood to enter the tissue

A

1) bicarbonate ion is produced via carbonic anhydrase when carbon dioxide enters the red blood cells
2) bicarbonate ion concentration increases in the red blood cell and leaves into the plasma down its chemical gradient
3) this leaves an electrical gradient inside the RBC so chloride enters
4) carbon dioxide reacts with amine groups to give carbon amino groups
5) carbino buffers with hydrogen ions and ph is maintained
6) buffering hydrogen ions enables carbon dioxide to move and stops it from reaching equilibrium

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8
Q

Do we have more carbon dioxide or oxygen in the blood

A

Carbon dioxide

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9
Q

Which gas does the Bohr effect take action on

A

Oxygen

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10
Q

Which gas does the haldane effect to action on

A

Carbon dioxide

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11
Q

What is the normal paco2

A

5kpa

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12
Q

What is the venous carbon dioxide

A

6kpa

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13
Q

What does the haldane effect do

A

Allow an additional 40ml/l to be carried as the blood goes from arterial to venous

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14
Q

How is the haldane effect possible

A

Deoxygenated haemoglobin has a higher affinity for carbon dioxide
Deoxygenated haemoglobin binds to hydrogen ions more avidly than oxygenate haemoglobin

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15
Q

What is the normal blood ph

A

7.4

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16
Q

What acts to reduce acid load

A

Blood buffers

17
Q

Which buffer system is involved in the respiratory system

A

Carbon dioxide/ bicarbonate buffer system

18
Q

Which 2 organs work together to maintain blood ph

A

Kidney

Lungs

19
Q

What is the equation for ph

A

Pk’ + log( [hco3-]/[pco2 * 0.23])

20
Q

What is alkolosis

A

A ph greater than 7.4

21
Q

What is acidosis

A

A ph lower than 7.4

22
Q

Why does alkalosis occur

A

You have more bicarbonate
And/Or
You have less carbon dioxide

23
Q

Why does acidosis occur

A

Bicarbonate has decreased
And/or
Carbon dioxide has increased

24
Q

If the ph changes due to pco2 what is this called

A

Respiratory acidosis/alkolosis

25
Q

Is the ph changes but pco2 has not then what is this called

A

Metabolic acidosis/ alkolosis

26
Q

Which organ compensates for respiratory disturbance

A

Kidney

27
Q

Which organ compensates for metabolic disturbance

A

Lungs