Pulmonary Blood Flow Gas Exchange And Transport 2 Flashcards
How is O2 transported from the lungs to tissues and why
In blood
For use in energy production
What happens to the waste products (CO2) of the energy production process
Transported from tissues to lungs in blood for removal
How much O2 is dissolved per litre of plasma
3ml
What does Hb in RBC do in regards to O2
Increases O2 carrying capactiy to 200ml/L
How is the bulk of CO2 transported
Tn various forms in solution in plasma
What is the arterial partial pressure of O2
The amount of O2 in solution and is determined by O2 solubility and the partial pressure of O2 in the gaseous phase that is driving O2 into solution
What are the values assigned to the partial pressure of a gas in solution equal to
The partial pressure in the gaseous phase that is driving that gas into solution
What is the value of PaO2
100 mmHg
Sometimes called oxygen tension
What is PO2 in solution equal to
Po2 in gaseous phase that results in that oxygen concentration in the liquid phase
Why do gases not travel in the gaseous phase in plasma
Bubbles would be present in the blood causing a fatal air embolism
What is the O2 demand of resting tissues
250ml/min
How do you calculate O2 delivery to tissues
Arterial O2 content x Cardiac output
How much arterial O2 is extracted by peripheral tissues at rest
25%
How much oxygen does every litre of systemic arterial blood contain
About 200ml with over 98% of it being bound to Hb and the rest being dissolved in plasma
How many molecules of oxygen does Hb bind
Co-operatively binds 4 molecules of oxygen
1.34ml O2 binding to each gram of Hb
What forms of Hb are found in RBC
HbA
HbA2 (where the δ chains replace β)
HbF (where γ chains replace β)
Glycosylated Hb (HbA1a, HbA1b, HbA1c)
How much HbA is found in RBC
92%
What is type of Hb makes up the remaining 8% of RBC
HbA2
HbF
Glycosylated Hb
What is the major determinant of the degree to which haemoglobin is saturated with oxygen
Partial pressure of oxygen in arterial blood
How much contact time is required with the alveoli for saturation to be complete
0.25s
What is the partial pressure of O2 in plasma fundamental to
In determining how much O2 binds to Hb
How much of Hb is saturated with O2 at the normal systemic arterial Po2 of 100 mmHg
100%
How much of Hb is saturated with O2 at the Po2 of 60 mmHg
90%
What can occur when Po2 is moderately reduced
A relatively normal uptake of oxygen by the blood
How much of a reserve capacity is present at normal venous PO2
75%
What has a higher affinity for O2 than HbA
Myoglobin
HbF (Foetal Hb)
Why is it important that HbF and myoglobin have a higher affinity than HbA
So they can extract O2 from maternal/arterial blood
What is anaemia
Any condition where the oxygen carrying capacity of the blood is compromised
Give examples of some types of anaemia or the causes of anaemia
Iron deficiency
Haemorrhage
Vitamin B12 deficiency
What can change the affinity of Hb for O2
The response to certain chemical factors
What happens to Hb affinity for oxygen when pH decreases
Hb affinity for O2 decreases
What happens to Hb affinity for oxygen when pH increases
Hb affinity for O2 increases
What happens to Hb affinity for oxygen when PCO2 decreases
Hb affinity for O2 increases
What happens to Hb affinity for oxygen when PCO2 increases
Hb affinity for O2 decreases
What happens to Hb affinity for oxygen when temperature increases
Hb affinity for O2 decreases
What happens to Hb affinity for oxygen when temperature decreases
Hb affinity for O2 increases
What happens to Hb affinity when it binds to 2,3-diphosphoglycerate
Hb affinity for O2 decreases
What is 2,3-diphosphoglycerate synthesised by
Erythocytes
In what situations does 2,3-diphosphoglycerate increase
Situations that are associated with inadequate oxygen supply (e.g. heart or lung disease, living at high altitude)
What does 2,3-diphosphoglycerate help maintain
Oxygen release in the tissues
Describe the structure of Hb
4 polypeptide chains (2 alpha, 2 beta) which are each associated with an iron containing haeme group
What does it mean when the affinity of Hb for O2 increases
It is more difficult to unload O2 and helps in collecting O2 in pulmonary circulation
What type of conditions are PCO2, pH and tempreture
Conditions which all exist locally in actively metabolising tissues and will facilitate the dissociation of O2 from Hb
How can carbon monoxide (CO) be formed
From the incomplete combustion of carbon fuel (e.g. car exhaust fumes, faulty heating appliances, lawn mowers)
What does CO bind to and form
Haemoglobin to form carboxyhaemoglobin
What is the affinty of CO compared to O2
250 times greater than O2
Why is CO a problem once it has dissolved in circulation
It will bind readily and dissociate very slowly
What is the PCO of CO
0.4 mmHg
What are the symptoms of CO posioning
Hypoxia and anaemia
Nausea and headaches
Cherry red skin and mucous membranes
Potential brain damage and death
What happens to the respiratory rate in CO poisoning and why
It is unaffected due to normal arterial PCO2
What is the treatment for CO poisoning
100% oxygen to increase PaO2