SM 156a - Diffusion and Gas Transport Flashcards
Some images and questions are borrowed from Dr. McCrimmon's lecture on Diffusion and Gas Transport (SM 156a)
Under normal conditions, at what partial pressure of oxygen is hemoglobin in the blood 50% saturated with oxygen?
(What is the P50 for oxygen bound to hemoglobin under normal conditions?)
27 mmHg
What causes anemic hypoxia?
Low O2 capacity due to low hemoglobin
What is the equation for oxygen saturation (SO2)?
SO2 = O2 content / O2 capacity * 100
Which gas is perfusion limited?
How can you tell?
Gas X is perfusion limited
Pc’X reaches PAX in <0.75 seconds; this means that blood gets across the alveolar-capillary membrane with enough time to spare, and perfusion must keep up in order to maintain the concentration gradient
What causes circulatory hypoxia?
Shock or hypofusion of tissues
In the pulmonary capillary bed, is oxygen usually perfusion or diffusion limited?
Perfusion limited
In healthy lungs, diffusion occurs quickly; gas exchange depends on the rate of blood flow through the pulmonary capillary bed
Hypoxia due to shock or hypofusion of tissues is called ___________ hypoxia
Hypoxia due to shock or hypofusion of tissues is called circulatory hypoxia
How does gas content vary between the gas phase and the liquid phase?
- Gas phase
- Content: n = PV/RT
- Governed by the ideal gas law
- Liquid phase
- Content: C = solubility * Partial pressure
- Governed by Henry’s law
Which gas is diffusion limited?
How can you tell?
Gas Y is diffusion limited
In 0.75 seconds, Pc’Y has not reached PAY; Diffusion across the alveolar-capillary membrane is too slow for the partial pressures to equilibrate in the time that blood is in the pulmonary capillary bed
What happens to diffusing capacity when the individual alveolar air spaces become large?
Why?
Diffusing capacity decreases
- Surface area for diffusion decreases
- Distance that gas must diffuse increases
In which 3 forms is CO2 transported in the blood?
- Dissolved CO2
- Bicarbonate (hydrated CO2)
- Carbamino compounds (bound to hemoglobin)
Dissolved CO2 makes up ___% of the total CO2 in venous blood, and ___% of the CO2 released to the lungs
Dissolved CO2 makes up 5 % of the total CO2 in venous blood, and 10% of the CO2 released to the lungs
What is the normal difference in oxygen content between arterial and mixed venous blood?
20.1 vol% - 15.1 vol% = 5 vol% O2
Which enzyme catalyzes the rate limiting reaction in the formation of HCO3-?
Carbonic anhydrase
Describe the Bohr effect
H+ + HbO2 -> HHb + O2 -> HbNH2 + CO2 -> HbNH-COOH
When H+ is elevated in tissus, oxygen is displaced from hemoglobin by CO2, creating a carbamino compound. This causes a right shift in the oxygen-hemoglobin binding curve.
Occurs in the tissues
What causes histotoxic hypoxia?
The available oxygen cannot be utilized and oxygen extraction is lowered (ex: cyanide poisoning)
Oxygen capaity is a direct function of the amount of _________ present in the blood
Oxygen capaity is a direct function of the amount of hemoglobin present in the blood
What is the equation for blood O2 content?
CO2 = SO2 * [Hb] * O2 capacity