L17 - Respiration 4 Flashcards

1
Q

What is the hemoglobin saturation at a partial pressure of 100 mm Hg in the lungs?

A

around 98% saturation

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2
Q

What is the hemoglobin saturation at a partial pressure of 40 mm Hg in the lungs?

A

around 75% saturation

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3
Q

How much lower is hemoglobin saturation in peripheral tissues during exercise? Why is hemoglobin saturation lower?

A

significantly lower
around 40-50% saturation
because more oxygen is being utilised by the tissues resulting in a lower pO2

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4
Q

What are common factors that change hemoglobin’s affinity for O2?

A

pH, temperature and partial pressure of CO2

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5
Q

How does pH affect hemoglobin affinity?

A

increase in pH results in curve shifting to the left = tighter O2 binding and vice versa

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6
Q

How does temperature affect hemoglobin affinity?

A

increase in temperature results in curve shifting to the right = weaker O2 binding and vice versa

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7
Q

How does partial pressure of CO2 affect hemoglobin affinity?

A

increase in partial pressure of CO2 results in curve shifting to the right = weaker O2 binding and vice versa

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8
Q

Why does hemoglobin dissociation curve shift back to original position in the lungs?

A

homeostasis is maintained in the lungs and all values for pH, pCO2 and temp should be at their normal physiological levels

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9
Q

How is 2,3-DPG made?

A

intermediate of the glycolysis pathway (anaerobic metabolism)

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10
Q

What happens when there is low O2?

A

increase in 2,3-DPG

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11
Q

What are the three main ways in which CO2 is transported in the body?

A

dissolved CO2 in blood = 7%
bound to Hb = 23%
HCO3- in plasma = 70%

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12
Q

Under normal resting conditions at sea level, which of the following would control ventilation? (plasma O2 levels / plasma CO2 levels / plasma O2 + CO2 levels)

A

plasma CO2 levels

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13
Q

How is plasma pCO2 regulated?

A

increase in plasma CO2 in CSF and arteries -> stimulation of central and peripheral chemoreceptors which trigger an increase in ventilation = decrease in plasma CO2 -> negative feedback

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14
Q

What do central chemoreceptors do? Where are they located?

A

monitor CO2 in CSF

in the medulla

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15
Q

What do peripheral chemoreceptors do? Where are they located?

A

sense changes in pO2, pH and pCO2

located in carotid and aortic arteries

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16
Q

Are peripheral chemoreceptors as sensitive as central chemoreceptors?

A

no

17
Q

How does altitude affect atmospheric pressure and proportion of gas molecules?

A

atmospheric pressure decreases

proportion of gas molecules remains the same

18
Q

At high altitude what will happen to plasma pO2 levels, plasma CO2 levels and ventilation rate?

A

plasma pO2 levels would decrease, plasma CO2 levels would decrease and ventilation would increase

19
Q

At high altitude, plasma pH woud (increase / decrease / not change)

A

increase

20
Q

Why does plasma pO2 decrease at high altitude?

A

due to increase in pO2 in air and alveoli

hypoxia at tissues

21
Q

Why does ventilation increase at high altitude?

A

due to decrease in plasma pO2 to below 60 mm Hg

22
Q

Why does pCO2 decrease at high altitude?

A

due to increase in ventilation

23
Q

Why does plasma pH increase at high altitude?

A

due to decrease in pCO2

24
Q

What are factors that contribute to acclimatization to high altitude?

A

red blood cell production increases
number of capillaries within tissues increases
nitric oxide increases
cells use O2 more efficiently via an increase in mitochondrial enzymes

25
Q

What are factors which limit exercise?

A

muscles need to obtain and use large amount of oxygen
cardiovascular system may reach its maximum
pulmonary system not limiting (unless highly trained)

26
Q

Why do muscles which need to obtain and use large amount of oxygen limit exercise?

A

may be limited by oxygen availability via local blood flow and number of mitochondria