Matching ventillation to perfusion requirements Flashcards
What is Henry’s law?
The law that states that gasis in contact with liquid will dissolve in the liquid in proportion to its partial pressure.
At equilibrium partial pressures in alveoli and capillaries will be equal.
Alveoli - Capillary (A - a gradient) gradient determines the direction of diffusion.
What makes O2 and CO2 good for gas exchange?
They are easily able to cross cell membranes and are soluble in aqueous solution
What is partial pressure?
Percentage pressure caused by a certain gas
What is the total pressure of air at sea level?
760mmHg (partial pressures of different gases are a proportion of this number)
What do gases depend on in addition to partial pressure to determine how much they dissolve in a liquid?
Solubility (which is why very little N2 dissolves in water)
What is more soluble in water? CO2 or O2?
CO2 is 20 times more soluble in water than O2. Very little N2 dissolves in water.
What happens to oxygen partial pressure when air enters the alveoli?
It drops due to presence of residual air in the alveoli that is rich in CO2. (drops from 150 - 100 mmHg)
What determines the time it takes for O2 and CO2 to reach equilibrium in the alveoli?
Fick’s law of diffusion describes the parameters that are important for the lungs:
Distance
Solubility (CO2>O2)
Surface Area
Concentration gradient
How long do RBCs spend in pulmonary capillaries?
0.8 seconds at rest
Less time if exercising
How long do RBCs need to spend in the lungs to reach equilibrium with pressure in normal functioning lungs?
0.25 to reach maximal loading
What happens if distance is increased between air and capillaries?
Equilibration time increases dramatically
Which conditions cause an increase in diffusion distance?
Pneumonia
How can partial pressure of oxygen be decreased?
Going to higher elevations
What does exercise do to equilibration time?
It decreases time due to faster movement of blood through the pulmonary capillaries
What can limit pulmonary gas exchange?
Low inspired oxygen (PiO2)
Hypoventilation (high ventilation rate and low lung volume can cause this)
Diffusion limitations (Can be caused by anything disturbing the alveolar - arterial PO2 difference)
Ventilation - Perfusion mismatching (Right to left shunts can cause this)