PHYSIOLOGY: Carriag Of Bloog Gases Flashcards

1
Q

Hawk goo in consist of ?

A

A pair of α-like chains and a pair of β-like chains

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2
Q

Haemoglobin can bind to how many O2 molecules?

A

4

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3
Q

When oxygen is bound to haemoglobin it is called?

A

oxyhaemoglobin

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4
Q

If 2 molecules of oxygen are bound to one Hb molecule, it is?

A

50% saturated

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5
Q

When blood PCO2 is high, the affinity of Hb for oxygen falls, the curve shifts?

A

To the right and more oxygen is released

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6
Q

When pH is reduced (high concentration of hydrogen ion), the affinity of Hb for oxygen ?

A

Reduces

More O2 released (lower SaO2)

Curve shifts to the right

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7
Q

Increasing temperature ?

A

Reduces Sa02- affinity to 02

Curve shifts to the right

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8
Q

Decreasing temperature?

A

Curve shift to the left

Higher Sa02

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9
Q

Effect of 2,3 DPG on affinity of haemoglobin

A

Curve shift to the right

Promotes release of O2

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10
Q

Foetal Hb affinity for oxygen

A

Higher affinity for O2 than maternal HbA

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11
Q

Myoglobin has a …… to O2 than haemoglobin

A

GREATER affinity

Accepts O2 from haemoglobin when PO2 in blood is low and release O2 in muscle

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12
Q

The myoglobin binding curve lacks the sigmoidal shape of the haemoglobin binding curve

Why?

A

Because of the single O2 binding site in each molecule

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13
Q

CO2 transport in blood

A

A small amount of CO2 dissolves in plasma
●Most carbon dioxide diffuses into red blood cells
●Some carbon dioxide attaches to Hb, displacing oxygen (note O2 affinity)
●Most carbon dioxide reacts with water catalysed by carbonic anhydrase to produce bicarbonate and hydrogen ion
●Bicarbonate diffuses out of the red blood cell and is replaced by chloride ions (chloride shift)
●In the lungs the process is reversed

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14
Q

Why must hydrogen ion concentration be kept constant?

A

Changes in pH affect:
●The affinity of Hb for oxygen
●The rate of enzyme reactions (optimal within a very narrow range)
●The ionisation states of many substances, disrupting their structure e.g. DNA

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15
Q

Metabolic processes affect …………, and respiratory processes affect ……

A

Bicarbonate concentration

PCO2

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16
Q

metabolic alkalosis results in ?

A

hypoventilation and increased PCO2.

17
Q

metabolic acidosis, the acidaemia stimulates

A

an increase in minute ventilation and subsequent decrease in PCO2

18
Q

In a primary respiratory acidosis, the kidneys

A

increase bicarbonate synthesis, excrete more organic acids, and reclaim more bicarbonate from the proximal tubule.