Respiratory Physiology - Gas transport in the blood Flashcards

1
Q

What 2 forms does oxygen travel in blood?

A

in solution in plasma and bond to haemoglobin in red blood cells

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2
Q

Of 200ml, what is the split of Oxygen in plasma and RBC?

A

3ml PLASMA

297ml RBC

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3
Q

What percent of CO2 is carried in RBC and plasma?

A

23% RBC

77% PLASMA

very soluble

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4
Q

What is the O2 demand of resting tissue?

A

250ml/min

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5
Q

How much blood can haemoglobin carry per litre of blood?

A

197ml

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6
Q

How much O2 is there in each litre of blood?

A

200ml

197 haemoglobin
3ml plasma

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7
Q

How much oxygen do we deliver to our peripheral tissues per minute?

A

1000ml per min

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8
Q

What percent of oxygen in peripheries is metabolised?

A

25%

massive excess

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9
Q

What is the common form of haemoglobin?

A

A

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10
Q

What does each chain in haemoglobin associate with? and how many oxygens does each heam group associate with?

A

haem group

1 Fe2+

4 chains and associated with 4 molecules of O2

each 4 chains creates a binding site for 1 oxygen

carry 4 in total per RBC

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11
Q

What is the reaction between the association of the iron atom and haem group called?

A

oxygenation reaction

weaker reaction than oxidation

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12
Q

What is the cooperative biding of haemoglobin?

A

as the number of bound oxygen molecules increases in the association reaction, the apparent binding affinity increases

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13
Q

What is the partial pressure of O2 in the alveoli and in arterial circulation?

A

100mmHg

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14
Q

What does haemoglobin help maintain and how?

A

maintain partial pressure gradient of O2 in the alveoli and blood

by sucking the oxygen in until saturation

4 O2 per haemoglobin

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15
Q

What does haemoglobin react with oxygen to form?

A

oxyhaemoglobin

HbO2

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16
Q

How log does it take for the haemoglobin to be fully saturated with Oxygen?

A

0.25 seconds

17
Q

Does the fall in oxygen in plasma effect the oxygen bound to haemoglobin?

A

no, can fall by ~40% and has minimal effect in haemoglobin bound to oxygen

it is still 90% saturated

18
Q

When do plasma levels effect the oxygen bound to haemoglobin?

A

when they fall below 60%

19
Q

What s the normal partial pressure of mercury at resting tissues?

20
Q

Is veous blood deoxygenated?

A

no, still has 75% oxygenated, 25% has gone to tissues.

21
Q

What is venous and arterial partial pressure?

A

100mmHg is arterial

40mmHg is venous

22
Q

What happens to the partial pressure of someone who is anaemic?

A

nothing, PO2 is normal despite total blood O2 content being low

23
Q

Is it possible for red blood cells to be fully saturated in anaemia? and why?

A

YES

As saturation relies on partial pressure ad this is normal in anaemia

24
Q

What happens f you slide the resting cell arterial pressure to a higher partial pressure?

A

change the offloading of oxygen, not as strong gradient to offload

25
What factors can cause the oxyhaemoglobin curve to shift?
pH PCO2 Temp DPG
26
What does a decrease in pH, increase in PCO2 and temp... cause the oxyhaemoglobin curve to shift in what direction? (exercise)
right Bohr effect - promoting oxygen offloading at peripherals
27
What does a decrease in pH, increase in PCO2 and temp... aid in loading or unloading of oxygen at peripherals?
unloading reduces affinity of oxygen and haemaglobin. the oxygen becomes less saturated with oxygen give oxygen to peripherals
28
what happens to haemoglobins affinity for oxygen when... pH increases pCO2 decreases Temp decreases?
curve shift left increase affinity for oxygen
29
What is occurring is pH increases pCO2 decreases Temp decreases?
hypothermia peripheral tissues cannot access oxygen as the affinity of haemoglobin has increased
30
What is DPG?
diphosphoglycerate
31
When do RBC produce more DPG?
HYPOXIA chronic lung or heart disease high altitudes help maintain oxygen release
32
What is the Bohr effect?
describes red blood cells' ability to adapt to changes in the biochemical environment
33
Does carbon monoxide have a higher affinity for haemoglobin than oxygen?
yes very high hard to get off once bound
34
What diseases does CO occur?
hypoxia and anaemia
35
What is the partial pressure gradient of CO2 from peripherals to arterial structures?
peripheral = 46 mmHg arterial = 40 mmHg