s4. CO2 in blood Flashcards

1
Q

what range should arterial blood pH be kept in?

A

7.35-7.45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is a buffer

A

compounds which are able to bind or release H+> accept/ donate > to maintain pH in narrow range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the reaction for the bicarbonate buffer system?

A

CO2 + H20 H2CO3 H+ + HCO3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Equation to work out dissolved conc of CO2

A

solubility constant x pCO2

solubility constant= 0.23mmol/L/kPa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the law of mass action?

A

the rate of the reaction depends on the amounts of reactants and products
(reversible reaction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

apply the Henderson-Hasselbalch eq to the /co2-Bicarb buffer system

A

pH= pKa + log ([HCO3-] /[pCO2] x 0.23)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the ideal ratio of bicarbonate to dissolved CO2

A

21 (20:1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

plasma pH depends on?

A
  • conc dissolved CO2 (controlled by breathing rate)
  • conc of bicarbonate (controlled by kidneys)
  • ratio of [HCO3-]:[CO2]
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why is out body pH slightly alkaline?

A

7.4

bicarb co2 buffer is favoured slightly to producing H+ and HCO3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the relationship between CO2 and pH

A

when CO2 inc, pH dec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which enzyme is involved in bicarbonate production in RBC?

what happens to the products?

A

Carbonic Anhydrase

CO2+H20–> HCO3- + H+

produced HCO3- is transported out of RBC by chloride:bicarbonate exchanger

the H+ that is also produced by the reaction is bound to haemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the importance of H+ binding to haemoglobin when produced in RBCs from bicarbonate production reaction?

A

if H+ did not bind to Hb, the reaction you;d be pushed in the opposite direction, meaning bicarbonate is used up NOT produced.
> Hb acts as a buffer
- deoxy haemorrhage is the best at binding H+!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what controls HCO3- concentration?

A

kidney

made in RBC, CONTROLLEd by kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens in regards to bicarbonate buffer system when extra acid is produced as part of normal metabolism?

A
  • acids react with HCO3- to produce CO2
  • CO2 levels inc, pH dec > acidotic
  • plasma bicarbonate store falls

> extra CO2 produced is removed by breathing and pH changes are buffered.
more bicarb produced to replenish buffers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

compare the amount of H+ ions that bind to Hb at lungs vs at tissues

  • relate this to CO2 and carbamino compounds
A

at lungs:
Relaxed state Hb (more O2 binds Hb) > less H+ bind

tissues:
Tense state Hb (less O2 binds Hb) > more H+ bind

*same principal with CO2 in carbamino compounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what happens chemically when venous blood arrives at the lungs?

A

Hb picks up O2 > turns to R state
> Hb gives up the extra H+ that it took from the tissues
- H+ reacts with HCO3- to form CO2
> CO2 breathed out

17
Q

how are carbamino compounds formed?

A

CO2 bind directly to Hb
at amine groups on globin of Hb

> contributes to CO2 transport

18
Q

pH ranges

acidotic part of normal range is?
alkalotic?

A

acidotic part of normal range:
7.35-7.40
<7.35= acidotic

alkalotic part of normal range:
7.40-7.45
> 7.45= alkalotic

19
Q

how to determine type of acidosis from ABG

A
  • pCO2 elevated= respiratory acidosis
  • pCO2 normal/low= NOT respiratory acidosis
  • HCO3- decreased = metabolic acidosis
20
Q

how to determine if there’s been any compensation for acidosis? on ABG

A

respiratory acidosis:
- if HCO3- elevated = compensation
full if within acidotic part of normal pH range
partial if pH<7.35

metabolic acidosis:
-pCO2 decreased= compensation
full/partial determine like above

21
Q

how to determine type of alkalosis from ABG?

A
  • pCO2 dec= respiratory alkalosis
  • pCO2 normal/high= NOT respiratory alkalosis
  • HCO3- inc = metabolic alkalosis
22
Q

how to determine if there’s been any compensation for alkalosis? on ABG

A

respiratory alkalosis:
- if HCO3- dec = compensation
full if within acidotic part of normal pH range
partial if pH<7.35

metabolic alkalosis:
-pCO2 inc= compensation
full/partial determine like above

23
Q

what is kyphoscoliosis? RESP implication?

A

Abnormal curvature of spine
Cant expand lungs
inadequate ventilation > higher pCO2

24
Q

why is compensation always limited for metabolic alkalosis?

A

in order to compensate, pCO2 needs to inc (HYPOventilate) BUT this is problematic as it means O2 also dec and then we don’t meet our O2 demand.