Respiratory [Gas Transport] Flashcards

1
Q

Two methods for carrying O2 in blood

A

Binding with Hb

Dissolving in plasma

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2
Q

Hb contains a ______ and 4 _____ groups. Each group binds with an O2 using a ____ in a _____ fashion. The equation is ______.

A

Polypeptide chain (globin)
Ferrous iron groups (haem)
Salt bridge
Cooperative

Hb + O2 = HbO2

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3
Q

The oxygen dissociation curve is the _____ vs ______.

A

% saturation of O2

Partial pressure of O2

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4
Q

The oxygen dissociation curve shows that the PO2 in tissues is about ____ and ____ in lungs. O2 is unloaded in veins/arteries and loaded in veins/arteries. O2 loses its ____ at tissues because of the high/low pH

A
40
100
Veins
Arteries 
Affinity
Low
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5
Q

I = partial pressure of O2 when ____ is ____. The _____ of O2 is independent/dependent on amount of Hb present.

A

Blood is 50% saturated
% saturation
Independent

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6
Q

The curve for blood O2 content is ____ vs ____.

A

O2 content mL/L

PO2

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7
Q

Anaemia has reduced _____ by ____%. The ____ is 100% but the ____ is loser.

A

Hb
50%
Saturation
Content

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8
Q

What is a physiological advantage of the O2 dissociation curve? Think of the steep part at the start.

A

Tissue where PaO2 is low, Hb releases heaps of O2 for only a small drop in capillary PO2.

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9
Q

4 Factors affecting O2 dissociation curve that cause a Bohr shift

A

pH decrease. More O2 released: HbO2 + H+ = HHb + O2.

Co2 high, increase H+ and binds w Hb to displace O2

Temperature

DPG high

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10
Q

CO2 is transported in 3 ways. Give the ways without the eqns.
The first 2 occur in ___ and the last in ___.

A
  1. Dissolved in solution
  2. Combines with Nh2 proteins to form carbamino
  3. Carried in HcO3 form

Plasma
RBC

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11
Q

Co2 is transported in 3 ways. Give the equations for:

  1. Dissolved in solution
  2. Combines with Nh2 proteins to form carbamino
  3. Carried in HcO3 form
A
  1. CO2 + H2O = H2CO3 = H+ + HCO3-
  2. R-NH2 + CO2 = R-NHCOO + H+
    H+ are buffered by proteins
  3. CO2 + H2O = H2CO3 = H+ + HCO3
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12
Q

Name the enzyme that speeds up this reaction and where it occurs

CO2 + H2O = HCO3 = H+ + HCo3

A

Carbonic anhydrase

In RBC

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13
Q

H+ are buffered by ___ to form ___

A

Hb

HHb

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14
Q

The Co2 dissociation curve is ___ vs ____. And shows 1/2/3 curves increasing exponentially. The top one is arterial/venous because more CO2 is taken bc ____. The shift to the right is called the ____.

A
CO2 mL/L
PCO2
2
Venous
HB has more affinity for CO2 than HbO2 in arterial.
Haldane effect
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15
Q

The ____ curve can’t be saturated reflecting its dependence on ____ ____ and ___.

A

CO2 dissociation curve
PCO2
High CO2 solubility
Methods of transport

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16
Q

Peripheral chemoreceptors location (___ and ____. Connected to brain stem via ____

A

Aortic arch (aortic bodies) and carotid artery bifurcation (carotid bodies). Connected to brain stem via vagal and glossapharyngeal nerves.

17
Q

Peripheral chemoreceptors stimulants

A

Hypoxia
Protons
Carbon dioxide

18
Q

Reflex response of periphery chemoreceptors. Fast/slow

A

Increase rate and depth of breathing by acting on brain stem respiratory network.
Fast.

19
Q

Location of central chemoreceptors

A

Neurons and/or astrocytes beneath surface of ventral medulla.

20
Q

Stimulants of central chemoreceptors. Fast/slow

A

H+ from when CO2 diffuses across BBB and dissolved in CSF.

Slow

21
Q

Why is central chemoreceptors slow?

A

Wait for CO2 to dissolve and low levels of enzyme carbonic anhydrase in CSF

22
Q

Reflex response of central chemoreceptors

A

Increase minute volume by acting on brain stem respiratory network. Increase in PCO2 (hypercanja) increases this in a dog-leg effect.

23
Q

___% of the dog leg effect is from chemoreceptors.

Chemoreceptors are essential because if they fail you get a disease called ____ which can kill you in your ___.

A

80.
Ondine’s curse (congenital hypoventilatory syndrome).
Sleep

24
Q

What is the order from highest to lowest of the 4 ways CO2 can be transported in blood?

A
  1. As HCO3- ions
  2. Combined to NH2 groups of plasma proteins such as Hb
  3. Dissolved in solution
  4. As H2CO3 and CO3- ions (minor)
25
Q

CO2 binds to ____ on Hb

A

Globin groups

26
Q

PO2 ____ must be higher than pO2 ____ for oxygen to diffuse into blood. P increases for exercise.

A

Alveolar

Blood

27
Q

Dog leg graph

A

Ventilation y

PCO2 x axis