respiratory 3 Flashcards

1
Q

O2 and CO2 gas exchange occurs solely by

A

diffusion

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2
Q

henry’s law

A

when a mixture of gases is in contact wth a liquid, each gas will dissolve in the liquid in proportion to its partial pressure
at equlibrium - partial pressures in alveoli and capillaries will be equal

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3
Q

diffusion rate depends on

A
  • surface area
  • concentration (P) gradient
  • thickness of the membrane
  • diffusion constant (solubility, molecular weight)
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4
Q

exercise decreases

A

time available for diffusion

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5
Q

limitations to pulmonary gas exchange

A
  1. low inspired oxygen
  2. hypoventilation
  3. diffusion limitations
  4. ventilation-perfusion mismatching
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6
Q

ventilation perfusion coupling

A

lungs and blood flow to the lungs trying to match each other
V/Q ration

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7
Q

VENTILATION

A

THE AIR REACHING THE ALVEOLI

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8
Q

perfusion

A

the blood reaching the alveoli

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9
Q

impaired ventilation

A

shunt

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10
Q

impaired perfusion

A

dead space

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11
Q

when theres not enough ventilation

A

the bronchioles dilate and the pulmonary arterioles constrict

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12
Q

when theres not enough perfusion

A

the pulmonary arterioles dilate and the bronchioles constrict

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13
Q

shunts

A

venous blood going through the lungs without being oxygenated
0 ventilation perfusion ratio

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14
Q

dead space

A

ventilated alveoli don’t receive blood

infinite ventilation perfusion ratio

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15
Q

regional differences in perfusion pressure

A

perfusion pressure is greater lower down in the lungs

bottom is over perfused and the top is under perfused

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16
Q

if you have a cancer at the bottom of your lungs

A

you’ll be under perfused overall because the bottom is over perfused

17
Q

high V/Q

A

usually pulmonary embolism

18
Q

low V/Q

A

chronic bronchitis, asthma, pulmonary oedema

19
Q

blood pO2

A

100mmHg at lungs and 40mmHg after circulating

20
Q

carbamino

A

CO2 combines with terminal amino groups of proteins (haemoglobin)
CO2 and O2 bind seperate parts of haemoglobin

21
Q

bicarbonate

A

most CO2 in blood is carried as bicarbonate

22
Q

3 ways CO2 is transported

A
  • dissolved in blood
  • carbamino
  • bicarbonate
23
Q

most CO2 is transported as

A

bicarbonate

24
Q

carbonic anhydrase

A

converts carbon dioxide to bicarbonate

25
Q

what type of carbon dioxide gets exchanged the most

A

carbamino

26
Q

Bohr effect

A

CO2 loading causes O2 offloading

27
Q

Haldane effect

A

O2 loading causes CO2 off loading