Respiration - Gas Transport Flashcards

1
Q

Describe the pulmonary circuit

A

O2 enters the blood, CO2 leaves

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2
Q

What is the systemic circuit

A

O2 leaves the blood, CO2 enters the blood

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3
Q

Describe the gas concentration gradient in the pulmonary capillary

A

PO2 100(alveolar air) > 40 (venous blood)
PCO2 40 (alveolar air) < 47 (venous blood)

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4
Q

What are the anatomical and physiological properties to facilitate gas diffusion

A

1) large surface area for gas exchange
2) large partial pressure gradients
3) gases with advantageous diffusion properties
4) specialised mechanisms for transporting O2 and CO2 between lungs and tissues

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5
Q

What is partial pressure

A

Concentration of a particular gas within a mixture of gases

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6
Q

What ways are oxygen transported

A

1) dissolved
2) bound to haemoglobin (Hb)

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7
Q

Describe dissolved oxygen

A

Only a small percentage of O2 in blood is dissolved in the dissolved form, the amount is proportional to its partial pressure, for each mmHg PO2 there is 0.003ml O2/100ml of blood

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8
Q

How much oxygen is dissolved on average in atrial blood

A

Arterial blood (PaO2) = 100mmHg, contains 0.3ml O2/100ml blood

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9
Q

Is dissolved oxygen in the blood enough to meet the body’s oxygen requirements

A

No

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10
Q

What is the average cardiac output at rest

A

5L/min

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11
Q

What are the oxygen requirements at rest

A

250ml O2/min

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12
Q

What is the oxygen requirements during strenuous exercise

A

3000ml O2/min

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13
Q

What molecule transports oxygen

A

Haemoglobbin

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14
Q

Describe the structure of haemoglobbin

A

Four haem groups joined to a globin protein (2 alpha chains, 2 beta chains)

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15
Q

Where does oxygen bind on haemoglobbin

A

To the iron molecules in the haem groups, one haemoglobbin can transport 4 oxygen molecules

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16
Q

What many haemoglobbin molecules per red blood cell on average

A

280 million Hb molecules/red blood cell

17
Q

Describe how haemoglobin works so efficiently

A

Binding and dissociation of O2 with Hb occurs in milliseconds to facilitate transport which is necessary because red blood cells are in capillaries for one second only

18
Q

What two things can impact the binding of oxygen to haemoglobin

A
  • temperature
  • pH
19
Q

Is oxygen binding to Hb reversible

A

Yes

20
Q

What is the average partial pressure of oxygen PO2 in the blood

A

The partial pressure of oxygen in the blood is 100mmHg

21
Q

Describe what happens to oxygen and Hb saturation when partial pressure drops

A

You can withstand a drop from about 100 to 60 in partial pressure without the haemoglobin mechanism being majorly affected

22
Q

What happens when the partial pressure of oxygen drops below 60

A

The partial pressure of oxygen in the blood is quite low, which means there isn’t enough oxygen being transported around the body, not all the Hb molecules are saturated

23
Q

What is the oxygen carrying capacity of haemoglobin

A

211mls O2/1L of blood

Better than oxygen being dissolved in the blood

24
Q

What does oxygen saturation refer to

A

Refers to the amount of O2 bound to Hb relative to maximal amount that can bind

25
Q

How is oxygen saturation measured

A

Using a pulse oximeter, this measures the ratio of absorption of red and infrared light by oxyHb and deoxyHb

Basically measures how much oxygen is bound to Hb

26
Q

What is the normal amount of CO2 expired per minute

A

200ml CO2 / min produced

27
Q

What is the Normal respiratory exchange ratio

A

80 molecules CO2 expired for every 100 molecules O2 entering

0.8 in normal adults

28
Q

How is CO2 carried around the blood

A

1) 7% will remain dissolved in the blood plasma
2) 23% bound to haemoglobin (Hb)
3) 70% converted to bicarbonate

29
Q

What happens to the majority of carbon dioxide in the blood

A

Converted to bicarbonate, which can alter the pH of the blood

30
Q

Bicarbonate is converted into water and carbon dioxide by what

A

Pulmonary capillaries

31
Q

Bicarbonate is converted into H+ and HCO3- by what

A

Systemic capillaries

32
Q

Why is the majority of CO2 in the blood converted into bicarbonate

A

To maintain the acid base of the blood

33
Q

Henderson hasslebach equation for respiration

A

Pk = log (HCO3)/Pco2*sol