Respiration and Breathing 3 Flashcards

1
Q

What does gravity influence

A

Ventilation and perfusion

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2
Q

Why is local matching of ventilation and perfusion important

A

To optimise gas exchange in lungs

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3
Q

Why is there better airflow at the base of the lungs

A

Due to pressure gradients

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4
Q

What is perfusion

A

Blood supply

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5
Q

What happens when there is no ventilation and good perfusion

A

Blood passing through the lung without coming into contact with alveolar air (right to left shunt)

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6
Q

What happens when there is good ventilation but no perfusion

A

Anatomically an increase in dead space or ventilated alveoli are not perfused

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7
Q

What mechanisms are in place to prevent alveolar ventilation rate matching perfusion rate

A

Achieved by modulation of blood flow.

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8
Q

What happens during hypoxia

A

When there is low PO2 vasoconstriction occurs. Blood is directed away from poorly ventilated areas. The response is very non-linear.

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9
Q

What happens during ventilation

A

The delivery of oxygen and removal of carbon dioxide.

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10
Q

Describe what happens to blood before perfusion

A

Blood from ventricle. Has high levels of CO2 and low levels of O2

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11
Q

How are alveoli adapted for gas exchange

A

Fluid lining of pulmonary surfactant which reduces pressure. Surrounded by a single cell capillary. Have a very small interstitial space (0.5 um)

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12
Q

What is transfer of oxygen influenced by

A

Diffusion across red blood cell membrane. Combination with haemoglobin.

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13
Q

What does combination of oxygen with haemoglobin do

A

Increases affinity and increases O2 capacity of blood.

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14
Q

Why is haemoglobin vital

A

Removes O2 so maintains conc gradient

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15
Q

What is the equation for oxygen and haemobglobin

A

O2 + Hb -> HbO2

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16
Q

Describe the Haemoglobin-O2 dissociation curve

A

% haemoglobin saturation (0-100)

PO2 of blood (mm Hg)

ml O2 per 100ml in blood (0-20)

17
Q

Describe haemoglobin binding with oxygen

A

4 binding sites. Co-operation between sites so more sites bound easier it is to bind to another O2. Affinity depends on amount of O2 already bound

18
Q

Describe the Bohr Shift

A

In the presence of CO2 there is a change in the haemoglobin bidning of O2. An increase in PCO2 helps haemoglobin to release O2 where metabolsim is taking place

19
Q

Which factors result in the Bohr shift and so the release of O2 from haemoglobin

A

Increase PCO2 (metabolsim). Increase in conc H+ (metabolsim). Increase in temperature (muscles contract). Increase in BPG (hypoxia).

20
Q

What is the PO2 in body tissue

A

Less than or equal to 40 mm Hg

21
Q

What is the PO2 of oxygen in the alveoli

A

100 mm Hg

22
Q

What is the PCO2 in the body

A

Greater than or equal to 46

23
Q

What is the PCO2 in the alveolus

A

40 mm Hg

24
Q

How is carbon dioxide carried in the blood

A

Chemical comination in plasma

CO2 + H2O -> H2CO3 -> H+ + HCO3(-)

25
Q

How much CO2 is carried in the plamsa

A

70%

26
Q

How much CO2 is bound to Hb

A

30%

27
Q

What is the name of the compound formed when CO2 bonds to Hb

A

carbamino compounds