Physiology 4 - O2 transport Flashcards

1
Q

how is O2 picked up in the lungs?

where is it transported to and for what use?

A

O2 is picked up in the lungs BY the BLOOD.

It is transported to the TISSUES for CELLULAR USE.

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2
Q

where is CO2 produced?
how is it transported?
where is it transported to and why?

A

CO2 is produced in the tissues.
transported by the blood.
transported to the lungs fo removal from the body.

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3
Q

what does Henry’s Law state?

A

the amount of a gas dissolved in a liquid (e.g. blood) at a constant temperature is
proportional to the partial pressure of the gas in equilibrium with the liquid.

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4
Q

for each mmHg of PaO2, how many ml of O2 are dissolved per litre of blood.

A

3ml of O2 per litre of blood at PO2 of 13.3kPa

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5
Q

if the cardiac output is at its normal of 5L/min, what would the oxygen delivery to tissues be?

A

15ml/min of oxygen delivery

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6
Q

what is the resting tissue oxygen consumption requirement at rest?

A

250ml/min is the requirement

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7
Q

give 2 ways in which O2 can be transported in the blood?

A

1) as free dissolved oxygen (PaO2) inn the blood plasma

2) as oxyhemoglobin in red blood cells (O2 bound to haemoglobin in red blood cells)

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8
Q

how many molecules of oxygen can each haemoglobin molecule carry?

A

each haemoglobin caries 4 OXYGEN MOLECULES.

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9
Q

is the binding of oxygen to haemoglobin reversible or irreversible?

A

REVERSIBLE

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10
Q

how many sub-units does haemoglobin have?

A

it contains 4 sub-units

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11
Q

what do each of these sub-units contain?

A

a NON-PROTEIN HAEM GROUP

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12
Q

what happens when oxygen binds to the haemoglobin sub-units?

A

it causes a CONFORMATIONAL CHANGE in the protein, altering the relationship with other protein sub-units & therefore the affinity of the haemoglobin molecule for oxygen

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13
Q

whats the name given to the process where the binding of oxygen alters the affinity of haemoglobin for oxygen?

A

co-operativity

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14
Q

when is haemoglobin considered fully saturated?

A

when haemoglobin is carrying its maximum O2 load

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15
Q

what is the primary factor which determines the percent saturation of haemoglobin with O2?

A

PO2

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16
Q

after oxygen has bound to haemoglobin and it has reached the tissues.
In what 4 conditions are optimum to cause the release of oxygen from haemoglobin? i.e. what factors will shift the oxygen-haemoglobin curve to the right?

A

1) low PaO2 or high PaCO2
2) low pH
3) high temperature
4) high levels of 2-3 Diphosphoglycerate (DPG) in red blood cells

17
Q

what is the written formula for oxygen delivery index?

A

DO2I

18
Q

what is the equation for calculating the oxygen delivery index (DO2I)?
and what do each of the components mean?

A

DO2I = CaO2 x CI

CaO2 = oxygen content of arterial blood 
CI = cardiac index (relates cardiac output to body surface area)
19
Q

what is the equation to calculate the oxygen content to arterial blood (CaO2)?
and what do each of the components mean?

A

CaO2 = 1.34 x [Hb] x SaO2

1.34 = one gram of haemoglobin can carry 1.34ml of O2 when fully saturated

[Hb] = haemoglobin concentration

SaO2 = % Hb saturated with O2

20
Q

what 4 factors can impair oxygen delivery to tissues?

A

1) respiratory disease
= decreased PO2, hence decreased Hb saturation with O2 & O2 content of blood

2) heart failure

3) anaemia
- decreased Hb concentration, decreased O2 content of blood

4) decreased partial pressure of inspired oxygen

21
Q

what is the name of the curve to describe oxygen binding to haemoglobin?

A

SIGMOIDAL curve.
= binding of one O2 to haemoglobin increases the affinity of haemoglobin for O2 UNTIL all the haemoglobin molecules are fully saturated.
Then the curve flattens.

22
Q

what does the flat upper portion and steep lower portion of the sigmoidal curve mean?

A

flat upper = a moderate fall in alveolar PO2 will not much affect oxygen loading

steep lower = peripheral tissues get a lot of oxygen for a small drop in capillary PO2

23
Q

what effect does the Bohr effect have on the oxygen-haemoglobin curve?

A

it shifts the curve to the right

24
Q

why does the Bohr effect shift the curve to the right?

A

it increase the concentration of CO2, deceasing the pH, resulting in a lower affinity of haemoglobin for O2

25
Q

describe the molecules contained within adult haemoglobin & foetal haemoglobin.

A

ADULT haemoglobin
- 2 alpha & 2 beta proteins

FOETAL haemoglobin
- 2 alpha & 2 gamma sub-units

26
Q

does foetal haemoglobin interact more or less with 2,3-biphosphoglycerat and why?

A
  • interacts LESS
  • because, foetal haemoglobin has HIGHER AFFINITY FOR O2 compared to adult haemoglobin
  • allows O2 to transfer from mother to foetus even is the PO2 is low
27
Q

in what 2 muscles is myoglobin present?

A

skeletal & cardiac muscles

28
Q

how many haem groups does each myoglobin molecule have?

A

1 haem group

29
Q

describe the oxygen-haemoglobin curve for myoglobin.

A

HYPERBOLIC

30
Q

in what conditions does myoglobin provide a short term storage for O2?

A

anaerobic conditions

31
Q

in what muscle state would you expect to find myoglobin?

A

damaged muscle