Oxygen Transport in Blood Flashcards

1
Q

What is Dalton’s Law of partial pressure?

A

Each gas in a mixture of gases exerts a pressure that is proportional to its conc. and independent of other gases present

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2
Q

What can partial pressure exerted by a single gas be calculated as?

A

PO2 = PB.FO2
In air PB = 760mmHg
FO2 = 0.21 (fraction of oxygen in the air)

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3
Q

What is maximum partial pressure of water a function of?

A

Temperature
At 37 degrees = 47mmHg

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4
Q

What is partial pressure of oxygen in a room with humidified air?

A

(760 - 47) X 0.21 = 149.7mmHg

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5
Q

What does total amount of O2 in solution depend on?

A

Solubility of O2 in solution

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6
Q

What is Henry’s Law?

A

Amount of gas dissolved in a solution is directly proportional to partial pressure of the gas in the solution
Conc gas = S.gas

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7
Q

How is O2 transferred?

A

By passive diffusion

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8
Q

What 3 things is the rate of gas transfer proportional to?

A

Tissue surface area
Difference in gas partial pressure between 2 sides
Diffusion constant (solubility)

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9
Q

What is the rate of gas transfer inversely proportional to?

A

Tissue thickness

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10
Q

What are the two ways oxygen can be transported?

A

Dissolved in physical solution - 3%
Bound to Haemoglobin - 97%

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11
Q

What is dissolved O2 a linear function of?

A

PO2 (Henry’s Law)
0.003ml O2/100ml blood for each mmHg PO2

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12
Q

What type of molecule is Heme?

A

Iron-porphyrin compound

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13
Q

Describe structure of Heme?

A

Joined to protein globin
Tetramer with 4 polypeptide chains - 2 alpha and 2 beta
4 haem groups, each bound to alpha or beta

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14
Q

What does each haem group contain?

A

Porphyrin ring and a ferrous atom (Fe++) - bind reversibly with O2

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15
Q

What bonds do deoxyHb globin chains have?

A

Electrostatic bonds in T conformation = low O2 affinity

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16
Q

What does binding of O2 to deoxyHb cause?

A

Breaks bonds - exposes O2 binding sites - relaxed conformation

17
Q

What does R conformation have?

A

High affinity for O2

18
Q

What is unique to Hb F (foetal)?

A

Profound oxygen affinity

19
Q

What is the difference in Hb S (Sickle cell anemia)?

A

Valine instead of glutamic acid in beta chains - low oxygen affinity

20
Q

What is the haemoglobin type for a normal adult?

A

Hb A

21
Q

What 4 things affect the affinity of haemoglobin for oxygen?

A

pH, PCO2, 2,3DPG and temperature

22
Q

What causes the oxygen-dissociation curve to shift left?

A

Decreased temp, 2,3-DPG H+
CO
Drop in saturation

23
Q

What causes the oxygen-dissociation curve to shift to the right?

A

Increased temp, 2,3-DPG and increased H+
Reduced affinity at cellular level

24
Q

What happens when Hb has a greater affinity for CO2?

A

Causes O2 to be released from haemoglobin

25
Q

What does CO cause?

A

Reduces the oxygen carrying capacity of blood

26
Q

Define oxygen capacity.

A

Max. amount of O2 that can be combined with Hb
1.39 ml O2/g Hb - 15g of Hb/100ml in normal blood

27
Q

What is O2 saturation of Hb given by?

A

(O2 combined with Hb/ O2 capacity) X 100

28
Q

What causes anaemia?

A

Reduced Hb - less than 15g/100ml of blood