Oxygen Transport and Oxyhgb Curve Flashcards
What determines the characteristics of the oxyhemoglobin
(Hbo2) dissociation curve?
The affinity of Hb for O2
What is considered having the greatest impact on the affinity of Hb for O2.
pH
temperature
concentration of 2,3-diphosphoglycerate (2,3-DPG)
Five variables affect O2 delivery:
(1) Hb concentration
(2) Hb affinity for O2 (P50)
(3) percent O2 saturation of Hb (Sao2)
(4) CO
(5) the amount of O2 dissolved in blood (usually not meaningful amounts).
The arterial O2 content (Cao2) is calculated as the:
Ca O2 (Hb 1.39 SaO2 /100) (PaO2 0.0 03)
For example, if Hb is 15 g/dL, Sao2 is 100%, and Pao2 is 100 mm Hg
sum of the O2 bound by Hb and the O2 dissolved in the plasma
CaO2 formula is
CaO2 = (Hb x 1.39 x SaO2/100) + (PaO2 x 0.003)
Oxygen delivery (DO2) to the tissues is the product of
CO and Cao2.