O2 and CO2 unloading Flashcards

1
Q

Does Hb unload the same amount of O2 to all tissues?

A

No. Hb doesn’t unload the same amount of O2 to all tissues- some need more O2, eg if exercising, some less, eg at rest.

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2
Q

What 4 factors adjust the rate of O2 unloading into tissues?

A

Ambient PO2 (in tissue)
Temperature
Bohr Effect
BPG

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3
Q

How does the ambient PO2 of tissue impact the unloading rate of O2?

A

Since an active tissue consumes O2 rapidly, the PO2 remains low. At low PO2 HbO2 releases more O2

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4
Q

How does thetemperatuire of tissue impact the O2 unloading rate?

A

Active tissue are warmer than less active tissues

Warmer tissues promote O2 unloading (extract more O2 from blood passing by)

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5
Q

What is the Bohr effect?

A

↑ PCO2 and/or ↑H+ concentration (↓pH) weaken the HbO2 bond- so more O2 unloading

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6
Q

How does the Bohr effect work?

A

Active tissues make more CO2. We shift the equation to the right, so it raises the H+ concentration and ↓blood pH
H+ weakens the bond between Hb and O2 and therefore promotes O2 unloading.

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7
Q

The effect of pH on Hb saturation is the _____effect

A

Bohr

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8
Q

RBCs must get their energy needs through anaerobic pathways, and one of the intermediate steps in this pathway is _____.

A

BPG

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9
Q

What happens with an increase of BPG in the RBC?

A

The higher the concentration of BPG in the RBC the greater the release of O2 from Hb

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10
Q

What 4 things increase the BPG concentration?

A

Thyroid hormones
Growth hormone
Epinephrine
Testosterone

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11
Q

What is the Haldane effect?

A

Low HbO2 enables the blood to transport more CO2

O2 is going out to tissues and is replaced with CO2

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12
Q

What 2 mechamisms cause CO2 unloading?

A

1- HbO2 does not bind CO2 as well as HHb does
2- HHb binds more H+ ions than HbO2 does, and by removing H+ ions from solution, HHb shifts the equation to the right (removing CO2)
CO2 → H2O → H2CO3 → HCO3- + H+

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13
Q

A high _______ rate keeps oxyhemoglobin levels relatively low, and thus allowing more CO2 to be transported by the above two mechanisms

A

metabolic

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14
Q

As more CO2 enters the systemic bloodstream it causes the O2 to disassociate from Hb, this is the ____ effect . Which in turn, allows more CO2 to combine with the Hb, which is the ______ effect.

A

Bohr

Haldane

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15
Q

Gas exchange not only requires good ______ of the alveolus, but also good ______ of its lung capillaries.

A

ventilation

perfusion

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16
Q

What is perfusion coupling?

A

The ability to match ventilation and perfusion to each other is critical
Airflow matches bloodflow

17
Q

Arterioles respond to ____; Bronchioles respond to _____. (gasses)

18
Q

If part of a lung is blocked by mucus, tumor, what happens to the blood flow?

A

It will be redirected.

Because if it’s poorly ventilated there is little point of sending blood there

19
Q

Poor alveolar ventilation results in low ___and high ____ levels in the alveoli. (gasses)

20
Q

If ↑ PO2 then blood vessels will _______ to bring more blood to O2

A

vasodilate

21
Q

Rising PCO2 causes local ________, to eliminate excess CO2

A

bronchodilation

22
Q

If airflow through bronchioles is lower than normal, then there is rising _____ level.

23
Q

COPD tends to reduce pulmonary ________ and _____ capacity

A

compliance

vital

24
Q

Any disease in which there is long-term obstruction of airflow and substantial reduction in pulmonary ventilation is called ….

25
What are the two major COPDs?
Emphysema | Chronic bronchitis
26
What are the normal causes of COPD?
They are almost always caused by cigarette smoking, but occasionally from air pollution or occupational exposure to airborne irritants
27
What happens with emphysema?
Destruction of alveolar walls (type I cells)
28
What happens with chronic bronchitis?
The cilia are immobilized and reduced in number At the same time, goblet cells enlarge and produce excess mucus in bronchial mucosa This thick mucus provides a growth medium for bacterial