Principles of gas exchange Flashcards

1
Q

Rate of diffusion is proportional to…

A

surface area x change in pressure

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2
Q

What is the pressure gradient in terms of gas exchange?

A

Diference in the partial pressures of the respective gases in the alveolus and the blood.

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3
Q

What is the universal gas equation?

A

pressure x volume = number of moles x R x temperature

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4
Q

What characteristic of the basal lamina of alveoli and capillaries facilitates gas exchange?

A

Alveoli and capillaries share a basal lamina

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5
Q

What is Dalton’s law?

A

partial pressure of a gas in a gas mixture = total pressure x fractional concentration of the gas

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6
Q

What is the partial pressure of oxygen at sea level?

A

21.3 kPa

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7
Q

Is the partial pressure of oxygen in the alveoli higher or lower than that in room air? Why?

A

Lower (13.7 kPa) because inspired air is humidified in the upper airway (the water ‘dilutes’ the O2), in the alveoli oxygen is taken up and CO2 added (again, ‘dilutes’ the O2), and the body consumes about 1.25 x more O2 molecules than it produces CO2

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8
Q

What is the partial pressure of water vapour?

A

6.3 kPa

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9
Q

What is the alveolar partial presure of CO2

A

5 kPa

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10
Q

Can dissolved molecules exert partial pressure?

A

No

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11
Q

Partial pressure of a gas in solution is _______to its solubility.

A

inversely proportional

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12
Q

What is the difference in solubility in water between oxygen and carbon dioxide?

A

CO2 is about 24x more soluble in water

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13
Q

Theoretically is CO2 or O2 transfer more efficient?

A

CO2 much more efficient

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14
Q

How would oxygen diffusing capacity be measured?

A

Alveolar PO2 - mean pulmonary capillary PO2

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15
Q

How is oxygen diffusing capcity measured in practice?

A

Using carbon monoxide diffusing capacity:

Alveolar PCO

Mean pulmonary capillary PCO is effectively 0 b/c v high affinity of CO for Hb.

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16
Q

What is atelectasis?

A

Collpase of small airways

17
Q

What is alveolar fibrosis?

A

Thickening of alveolar wall

18
Q

What is alveolar consolidation

A

Liquid in alveoli instead of gas. In pneumonia inflammatory products are deposited in the alveoli.

19
Q

What condition induces production of frothy secretions?

A

Pulmonary oedema

20
Q

What condition involves alveolar-capillary destruction?

A

Emphysema