Pulmonary/Respiratory Flashcards
Functions of the lungs
- gas exchange
- regulation of H+ concentration (controls blood + body fluid pH)
- partial or complete removal of neurotransmitters and paracrine agents from the blood stream (endothelial cells of the pulmonary capillaries)
- production and secretion of substances into the blood (i.e. histamine, angiotensin II)
- acts as a sieve that traps and dissolves small blood clots
what are the two circulations of the pulmonary system
- Pulmonary circulation
- bronchial circulation
describe the gas exchange in pulmonary circulation and where it occurs/how blood gets there
- > high compliance (stretch), low resistance(R) system
- > carries deoxygenated blood from the right ventricle to the pulmonary trunk, to the pulmonary arteries and then to the gas exhanging units of the lungs
- > after gas exchange has occured, the re-oxygenated blood will enter into the pulmonary veins and drain into the left atrium and from there to the left ventricle where it is distributed
- > as this oxygenated blood travels through the aorta, some is diverted into the right and left bronchial arteries which is the start of the bronchial circulation
results of alveolar hypoxia
alveolar hypoxia results in pulmonary vasocontriction to shunt blood from poorly ventilated areas of the lungs to better ventilated areas (diverting blood to better-oxygenated lung segments)
describe the gas exchange/blood movement of bronchial circulation
- > originates from branches off the aorta
- > supplies the supporting tissues, connective tissue, septa, large and small bronchi from the trachea to the terminal bronchioles wth oxygenated blood
- > after supplying the supporting tissues, bronchial venous blood drains directly into the pulmonary veins (LH) diluting the oxygenated blood (slightly less O2ed blood mixes with more O2 blood from PV ) that has just passed through the pulmonary capillaries (=physiological shunt)
results of hypoxia in bronchial circulation
vasodilation
Explain how gas exhange works
O2 absorption and CO2 excretion occurs in the gas-exchanging units = alveolus
- > gases diffuse across the membrane of the alveolus and the pulmonary capillaries through a thin fluid layer containing: surfactant, plasma and connective tissue
- > air enters through trachea, down bronchi and connecting bronchioles and eventually to the respiratory bronchioles and alveolar ducts and into the alveoli where gas exchange occurs
where is CO2 produced
CO2 is produced in the cells/tissues during metabolism (i.e. at rest, 200ml can be produced per min)
Explain the three pathways of CO2 in the body
- 10% of CO2 that diffuses from the tissues into the capillaries dissolves in the plasma
- 30% reacts with hemoglobin (Hb) within the RBC’s to become Hb-CO2 (carbaminnohemoglobin)
- 60% is converted into bicarbonate (HCO3) and H within the RBC
how is the CO2 that enters the RBC converted into HCO3 and what happens when it is formed
carbonic anhydrase converts CO2 to carbonic acid (H2CO2) and then converts it to HCO3 and H+
- > once HCO3 is formed, it moves out of the RBC into the plasma in exchange for Cl-
- > the H+ ions bind (most of them) to Hb to become HHb (reduced hemoglobin) which plays a role in preventing acidosis (inc. H in plasma, lower pH)
what occurs if there is a decrease in free H+ in the plasma
this results in increased pH, decreased body acidity (alkalosis)
Explain CO2 movement from the bloodstream to the alveolus
- CO2 dissolved in plasma diffuses into alveoli (accross concentration gradient)
- as CO2 leaves the blood, CO2 concentrations in the blood decrease
- > this triggers more CO2 to be released from hemoglobin and diffuse into the blood
- > H becomes more available as HHb also releases H, this H will be donated to plasma HCO3 forming H2CO3 and eventually H2O + CO2
- > CO2 formed from this method will diffuse into the alveoli for gas exchange
Explain O2 movement from alveoli to bloodstream
- > high concentrations of O2 in the alveoli and low concentrations in the blood allows the O2 to diffuse out of the alveoli and into the bloodstream (across the conc. grad)
- > oxygen molecules bind to the iron-containing heme groups in hemoglobin (there are 4 heme groups in each HB molecule so 4x oxygen mol)
percentage of O2 that is insoluble in blood vs percent of O2 carried off by Hb
insoluble
1.5%
carried by Hb
98.5%
hemoglobin saturation
percentage of hemoglobin binding sites in the bloodstream occupied by oxygen.
(amount of O2 on Hb)/(maximum possible amount) x 100