Physio Exam 4 Set 4 Flashcards
Fe2+ binds O2 !! not Fe3+
4 Subunit with 4 Oxygen doublets
- 8 oxygens total
Normal
Increase Cardiac Output 3X
Perfusion limited
Increase Cardiac Output 10X
Edema + Increase in CO 3X
Edema
Diffusion limited
Ficks Law
Decrease In driving force, decreases the flow rate !
Ficks Law
Decrease In driving force, decreases the flow rate !
Perfusion limited
NO2 and O2 and CO2 (exchange)
Diffusion Limited
Carbon Mono, O2 TRANSPORT
O2 Transport (DIFFUSION LIMITED)
- abnormally decreased capillary transit (strenuous exercise)
- Decreased surface area
-Decreased diffusion constant - Increased diffusion distance
(hypoxemia PaO2<80mm Hg) - CO diffusion limited (low diffusion)
Decrease CO 0.2X
Still perfusion limited
Adult Hemoglobin
Alpha/ beta subunits
Fetal Hemoglobin
Alpha Gamma subunits
LEFT SHIFT HEMOGLOBIN
Myoglobin and Fetal Hemoglobin
- Enhanced binding capacity, Higher affinity for oxygen
Right Shift Hemoglobin
Decreases affinity
Decreased P50 (INCREASED AFFINITY)
Decreased : Temp, PCO2, 2,3-DPG ,
Increased pH
Increased P50 (decreased affinity)
Increased: Temp, PCO2, 2,3-DPG
Decreased: pH