PBL 4: Jim Christopolous -Oxygen Flashcards
Describe the flow of air into the lungs from Nasal/Oral cavity to Alveoli
Nasal/Oral Cavity → Pharynx → Larynx → Trachea → L/R Main Bronchus → Lobar Bronchi → Segmental Bronchi → Bronchioles → several divisions → Terminal Bronchioles → Respiratory Bronchioles → Alveolar Ducts → Alveolar Sacs → Alveoli
Type I Alveolar Cells
Simple Squamous Epithelia
Gas Exchange
Type II Alveolar Cells
Cuboidal Epithelia
Secrete Surfactant
How does gas exchange occur?
Simple passive diffusion down partial pressure gradients
What are the partial pressure gradients for PO2 and PCO2 throughout the body.
What 4 factors affect alveolar gas exchange?
- Partial pressure difference (High altitude)
- Thickness of membrane (Pulmonary Edema, fibrosis, pneumonia)
- Surface area (breath more deepy, emphysema)
- Ventilation-perfusion ratio
How is oxygen transported in the blood?
- 5% Dissolved in plasma
- 5% bound to Hb
How is CO2 transported in the blood?
7% dissolved in the plasma
23% as HbCO2
80% as HCO2-
What partial pressure differences drive the transportation of oxygen from blood to cells
Arterial Blood PO2 (100 mmHg)→ Interstitial Fluid (40mmHg) → Cells (23 mmHg)
Venous blood PO2
40mmHg
What are the partial pressure differences that drive the transportation of CO2 from the tissues to the blood
Cell (47mmHg)→ Intertitial Fluid (46mmHg) → Arterial blood (40mHg)
Venous blood PCO2
46mmHg
What % of Hb is saturated with oxygen in the arterial blood and venous blood
Arterial Blood: ~96%
Venous blood: ~64%
How does CO poisoning affect the Oxygen-haemoglobin dissociation curve?
- Increases Hb affinity for Oxygen (shifts curve to the left)
- Decreases oxygen delivery for a given PO2
What factors cause a right shift in the Oxygen-Haemoglobin dissociation curve?
Right shift = reduced Hb affinity for O
CADET, face right!
Carbon Dioxide
Acid
DPG
Excercise
Temperature
+ Any physiologicla state where tissues need more oxygen