Session 3 - Gas Exchange Flashcards

1
Q

what layers must gases diffuse through in the alveoli to reach the lungs

A
  1. alveolar endothelial
  2. interstitum
  3. capillary endothelia
  4. plasma
  5. RBC membrane
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2
Q

why is the alveolar air and blood partial pressures the same

A

as the rate of diffusion is very fast

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3
Q

what does the rate of diffusion in the lungs depend on

A
  • area available for exchange
  • thickness of membrane
  • solubility
  • distance to travel
  • partial pressure gradients
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4
Q

how does fibrosis affect gas exchange

A

it means theres are larger distance for gases to diffuse

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5
Q

in fibrotic lungs why might the partial pressure of carbon dioxide be normal but oxygen low

A

as carbon dioxide is more soluble so can pass through easier

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6
Q

why does pulmonary oedema affect the diffusion rate

A

the increase of fluid in the interstitum increases the distance for diffusion, slowing it down

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7
Q

how does emphysema affect gas exchange

A

the lack of alveolar walls means theres a smaller surface area for exchange

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8
Q

what is the normal pO2 in the alveoli

A

13.3 kPa

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9
Q

what is the normal pCO2 in the alveoli

A

5.3 kPa

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10
Q

what happens to the partial pressures of CO2 and O2 in hyperventilation

A

CO2 decreases

O2 increases

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11
Q

what is atmospheric pressure value

A

101 kPa

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12
Q

what happens to the blood nitrogen levels underwater

A

more nitrogen dissolves into the blood due to the increase in pressure

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13
Q

why must you resurface slowly after diving deep underwater

A

so that nitrogen dissolves out the blood slowly and no air bubbles are produced which could embolise

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14
Q

what happens to the oxygen levels in the blood underwater

A

they increase but not as much as it would with other gases as the haemoglobin would saturate first

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15
Q

what is the solubility coefficient

A

the amount of gas that dissolves in a litre of plasma at a given time

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16
Q

what is the calculation for the amount of gas dissolved

A

solubility coefficient x partial pressure

17
Q

what is the value of the saturated vapour pressure

A

6.23 kPa

18
Q

what is the saturated vapour pressure

A

the amount of water which evaporates into the airways during inhalation

19
Q

how do you work out the partial pressure of a gas

A

(atmospheric pressure - saturated vapour pressure) x percentage of gas in the air