resp phys 2 Flashcards

1
Q

what is atmospheric pressure

A

101 Kpa or 760 mmHg

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2
Q

what is the partial pressure of nitrogen

A

593

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3
Q

what is the partial pressure of oxygen

A

159

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4
Q

what is the partial pressure of CO2

A

0.29

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5
Q

what is Henry’s Law

A

when a mixture of gasses is in contact with a liquid each will dissolve in proportion with its partial pressure

but the absolute amount of gas dissolved depends on its solubility. only applies to dissolved gas

the total amount of gas is that dissolved plus that chemically bound

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6
Q

what is the water vapour pressure in alveoli

A

48 mmHg

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7
Q

what is the O2 pressure in alveoli

A

104 mmHg

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8
Q

how will oedema affect diffusion

A

increases wall thickness

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9
Q

what is 2-3 bisphosphoglycerate

A

produced in metabolism

decreases the affinity of haemoglobin for oxygen

also temperature H+ CO2

modifies the 3d structure of Hb

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10
Q

how do you calculate the amount of O2 carried in the blood

A

total = conc HB x capacity of Hb x percentage saturation +amount dissolved in the plasma

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11
Q

what % of CO2 is carried in the plasma

A

7-10

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12
Q

what % of CO2 is bound to Hb

A

10-20 %

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13
Q

what is the Haldane effect

A

deoxygenation of Hb increases it affinity for CO2 and vice versa in the lungs

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14
Q

what enzyme forms carbonic acid

A

carbonic anhydrase

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15
Q

what is the Henderson hasslebach eqn

A

calculates the ph of blood

ph = pk + log (bicarbonate / co2)

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16
Q

where does most gas go in a normal lung

A

base

because the base changes volume more than the apex - more compliance
partly due to gravity

17
Q

what do the bronchial arteries supply

A

lung parenchyma, airways smooth muscles, pulmonary arteries and veins and pleura

also warms inspired air

18
Q

what is transmural pressure

A

balance between alveolar pressure and blood pressure

19
Q

what is the normal distribution of blood flow

A

apex- low
base- high

blood pressure must be greater than alveolar pressure in order for blood to flow
if capillaries are closed then dead space

20
Q

what happens in zone 1

A

cappilaries are closed

21
Q

what happens in zone 2

A

cappileries are open in systole but not in diastole

22
Q

what happens in zone 3

A

alveolar pressure is lower than arterial and venous pressure

23
Q

what is the V/q at the base

A

0.6

more perfusion than ventilation

24
Q

what is the v/q in the middle

A

1

25
Q

what is the v/q at the apex

A

3 (more ventilation than perfusion)

26
Q

what is hypoxic vasoconstriction

A

blood is diverted away from poorly ventilated areas

27
Q

when does sputum production tend to be worse with COPD

A

morning

28
Q

what is wheeze a sign of

A

obstruction

29
Q

what defines obstructive airway disease

A

fev1/fvc

30
Q

what is pKa

A

the ph at which 50% is unionised

31
Q

what do metabolic acid base disturbances affect

A

the amount of protons and bicarbonate

32
Q

what do respiratory disturbances affect

A

amount of CO2

33
Q

what cells are toll like receptors found on

A

dendritic cells

also express pattern recognition receptors