Respiratory System (gas Exchange) Flashcards

1
Q

WHat is the pH level of arterial blood?

A

7.4 (7.38-7.42)

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2
Q

What is the pH level of venous blood

A

7.37

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3
Q

What happens during Emphysema?

A

-destruction of alveoli = less surface area for gas exchange

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4
Q

What happens during fibrotic lung disease?

A
  • thickened alveolar membrane slows gas exchange

- loss of lung compliance may decrease alveolar ventilation

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5
Q

What happens during pulmonary edema?

A
  • fluid in interstitial space increases diffusion distance.

- Arterial PCO2 may be normal to higher CO2 solubility in water

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6
Q

What happens during asthma?

A

-increase airway resistance decreases alveolar ventilation

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7
Q

What happens to a body undergoing hypoxia?

Types?

A

Body/ region deprived of O2

1) hypoxia hypoxia: low arterial PO2
- high altitude, alveolar hypoventilation

2) anemic hypoxia: decreased total amount of O2 bound to hemoglobin
- blood loss, anemia, carbon monoxide poisoning

3) ischemic hypoxia: reduced blood flow
- heart failure, shock

4) histotoxic hypoxia: failure of cells to use O2 because cells have been poisoned
- cyanide

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8
Q

How is HbO2 (oxyhemoglobin) measured?

A

Total blood O2 content = dissolved O2 + O2 bound to Hb

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9
Q

What is the total O2 carrying capacity during Oxygen transport in blood without hemoglobin?

A

3 ml O2/L blood

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10
Q

What is the total O2 carrying capacity during Oxygen transport at normal PO2 in blood with hemoglobin?

A

200 ml O2/L blood

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11
Q

What is the amount of oxygen bound to hemoglobin depend on?

A

1) plasma O2
- % saturation of HB

2) amount of hemoglobin
- total number of Hb binding sites

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12
Q

How is % saturation of HbO2 calculated?

A

(Amount of O2 bound/ maximum that could be bound) x 100

Important:resting cell; 40 (3 O2 bound) and alveoli;100(4 O2 bound)

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13
Q

How many binding sites does hemoglobin have?

A

4

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14
Q

How much oxygen in blood is bound to hemoglobin in RBC compared to plasma?

A

98%: bound to hemoglobin

2%: dissolved in plasma

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15
Q

How many oxygens are delivered by 1 hemoglobin?

A

1

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16
Q

What are the dissociation factors between hemoglobin and oxygen (HbO2)?

A
  • pH
  • temperature
  • P CO2
  • 2,3-DPG: increase due to chronic hypoxia
17
Q

How is CO2 transported? (3)

A

1) transported in blood
2) HbCO2 (carbaminohemoglobin)
3) Converted to H2CO3 in RBC

18
Q

What is hypercapnia?

A
  • increase in P CO2 in the blood

- leads to respiratory acidosis

19
Q

What is hypocapnia?

A
  • decrease in P COs in the blood

- leads to respiratory alkalosis