Lecture 35 - Respiratory System: Gas Transport and Exchange Flashcards

1
Q

What is partial pressure (P)?

A

Pressure exerted by a single gas within a mixture of gas

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2
Q

T/F? The partial pressures of oxygen, carbon dioxide, and water are similar at the alveoli and outside air

A

False - The partial pressures of oxygen, carbon dioxide, and water are different at the alveoli than in the outside air

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3
Q

What can contribute to the difference in partial pressures in the alveoli vs. the outside air?

A

Alveolar air has mixed newly inhaled air with the used air that could not be fully exhaled because of anatomical dead space

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4
Q

Explain Henry’s Law in terms of dissolved gas and partial pressure

A

The amount of dissolved gas in a solution is proportional to partial pressure of that gas in the air

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5
Q

What is being diffused in external respiration and across what?

A

It involves diffusion of gases between blood and air across the alveolar and capillary walls

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6
Q

What are the PO2 and PCO2 levels in external respiration?

A

Blood arriving at pulmonary capillaries is deoxygenated (low PO2) and relatively high in PCO2

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7
Q

Describe the O2 and CO2 exchange between the pulmonary capillary and alveolus in external respiration

A

The thin wall created by alveolar type I cells and pulmonary endothelial cells allow for O2 to diffuse into blood, and CO2 to diffuse into the alveolar cavity

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8
Q

What is being diffused in internal respiration and across what?

A

It involved diffusion of gases between blood and ISF across capillary walls

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9
Q

What are the PO2 and PCO2 levels in internal respiration?

A

Blood arriving at systemic capillaries is oxygenated (high PO2) and relatively low in PCO2

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10
Q

Describe the O2 and CO2 exchange between the systemic capillary and peripheral tissue in internal respiration

A

Oxygen diffuses down its concentration gradient into tissue, while the pressure gradient favours the uptake of CO2 in blood

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11
Q

What are the 3 factors that rate of diffusion is affected by?

A
  1. Pressure gradient
  2. Surface area
  3. Thickness of the barrier
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12
Q

Explain Fick’s Law in terms of how it enhances rate of diffusion

A

Diffusion of a gas at a given temperature is enhanced by a large surface area, and a steep partial pressure gradient. It’s reduced by a thick barrier

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13
Q

At a resting state, is blood gas composition at equilibrium before it exits the capillary bed? Why?

A

Yes - by the time blood reaches the venules, blood PO2 and PCO2 have both been able to equilibrate with the surrounding tissue (alveolar or peripheral tissue). If pressure gradients change (ex. due to exercise), this may not be the case anymore)

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14
Q

How can respiratory reflexes increase the rate of gas exchange at the alveoli regarding pressure gradients?

A

By refreshing the pressure gradients - increasing respiratory rate will increase the exchange of air between the outside and the alveoli, refreshing the partial pressure gradients

Therefore, rate of diffusion is the greatest when the difference in partial pressure is greatest

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15
Q

How can respiratory reflexes increase the rate of gas exchange at the alveoli regarding surface area?

A

Increasing functional alveolar surface area - increasing tidal volume will further inflate the alveoli, increasing surface area for diffusion (and potentially slightly decreasing barrier thickness)

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16
Q

How do gases reach tissues?

A

They must be transported through blood

17
Q

Explain how hemoglobin becomes saturated with O2

A

Hemoglobin subunits participate in cooperative binding of O2, meaning if one of the four subunits has bound O2, the others become more likely to bind to O2 too.

This keeps oxygen saturation (therefore, oxygen reserves) relatively high at rest, even in systemic venous blood

18
Q

What is the purpose of saturation curves?

A

It measures the percentage of heme units which are bound to oxygen at different PO2

19
Q

What occurs when tissues are aerobically active (dec. PO2)

A

Hemoglobin automatically offloads more oxygen. Change in pressure gradient promotes extra offloading of oxygen by hemoglobin, meaning substantial extra oxygen can be delivered even without an increase in blood flow

Ex. exercising

20
Q

What occurs when tissues become acidic (dec. pH)?

A

Hemoglobin saturation curves shift, favouring oxygen offload.

Intense exercise can create extra CO2 and may create metabolic acids. Dec. in pH leads to a right shift in the hemoglobin saturation curve, favouring oxygen offload to active tissues even at higher PO2

Relationship is known as Bohr Effect

21
Q

What occurs when tissues increase in temperature?

A

Hemoglobin saturation curves shift, favouring oxygen offload

Byproduct of ATP production is increased heat. Higher temp. favour oxygen offload, enhancing oxygen delivery to active tissues

22
Q

How is CO2 transport managed?

A

CO2 transport is managed by RBCs in blood, similar to O2

Also, about 7% of the CO2 produced by peripheral tissue is dissolved in plasma

23
Q

Can CO2 be bound to hemoglobin? What occurs if it isn’t bound?

A

Yes, CO2 can be bound to hemoglobin

CO2 that aren’t bound are converted to H2CO3 (carbonic acid) by carbonic anhydrase

Both reactions are freely reversible

24
Q

Explain how a buffer system is formed through hemoglobin

A

H2CO3 is a weak acid that partially dissociates to HCO3 and H+ ions. Hemoglobin can bind a significant fraction of the H+ ions, which buffers the solution against changes in pH and favours O2 offload (and therefore CO2 uptake) by hemoglobin

25
Q

What are the 3 ways carbon dioxide is transported into the bloodstream and removed from blood at the alveoli?

A
  1. Dissolved in solution
  2. Bound to hemoglobin
  3. Converted to carbonic acid and bicarbonate/H+

These mechanisms are easily reversed at the alveoli with a partial pressure gradient that favours CO2 movement into air