Lecture 24: Blood Gas Transport Flashcards

1
Q

What is the initial pressure difference that causes oxygen to diffuse into the pulmonary capillary

A

104-40= 64 mm Hg

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2
Q

What factors determine tissue PO2?

A

rate of oxygen transport to the tissues

rate of oxygen consumption by the tissues

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3
Q

What is normal intracellular PO2?

A

mean of 23 mm Hg

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4
Q

What is normal intracellular PCO2?

A

46 mm Hg

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5
Q

in order to release 5 ml of oxygen/dl of blood, what must happen?

A

PO2 must fall to about 40 mm Hg

Tissue PO2 cannot rise above this levle

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6
Q

When PO2 is high (pulmonary capillaries), oxygen _____ hemoglobin

A

binds

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7
Q

When PO2 is low (tissue capillaries), oxygen is _______ hemoglobin

A

released from

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8
Q

What happens when you increase in blood and H+ ions?

A

shifts oxygen hemoglobin curve to right
enhances release of oxygen from the blood in tissues
enhances oxygenation of blood in lungs

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9
Q

What happens when there is a decrease in blood and H+ ions?

A

shifts oxygen hemoglobin curve to left

occurs in lungs

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10
Q

How is carbon dioxide transported?

A

small amount dissolved in blood
about 70% is transported as carbonic acid
remainder is transported as carbamino hemoglobin

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11
Q

What is the Bohr effect?

A

• Increase in blood carbon dioxide causes oxygen to be displaced from
hemoglobin.
• Shifts oxygen-hemoglobin dissociation curve to right

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12
Q

What is the Haldane effect?

A

• Binding of oxygen with hemoglobin displaces carbon dioxide from blood:
• Binding of oxygen causes hemoglobin to become a stronger acid.
• More acidic hemoglobin has less of a tendency to bind with carbon
dioxide.
• Increased acidity of hemoglobin causes it to release hydrogen ions.

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13
Q

Carbon monoxide displaces oxygen on the ______ molecule

A

hemoglobin

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14
Q

How much stronger does carbon monoxide bind than oxygen?

A

250x

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15
Q

In carbon monoxide poisoning, oxygen content of blood is reduced, but PO2 may be normal, thus the blood may be ______

A

bright red

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16
Q

At an _____ of pH the oxygen hemoglobin curve shifts to the right

A

decrease

17
Q

At an _____ of pH the oxygen hemoglobin curve shifts to the left

A

increase

18
Q

What else causes the oxygen hemoglobin curve to shift to the right (to decrease pH)

A

increased hydrogen ions
increased CO2
increased temperature
increased BPG