Test 3 Flashcards

1
Q

Four polypeptide chain?

A

2 Alpha 2 Beta

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2
Q

one gram of Hb can combine with?

A

1.34 mL of oxygen

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3
Q

Hb saturation with O2 is a function of the PO2 and the ___________ of the oxyhemoglobin curve

A

Hb saturation with O2 is a function of the PO2 and the shape and position of the oxyhemoglobin curve.

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4
Q

Factors Shifting Curve to the left

  • _
  • _
  • _
  • _, _, _, and ____
  • _
  • _
  • _
A
  • Alkalosis
  • Hypothermia
  • Decreased 2,3-DPG
  • Hypocarbia
  • Fetal Hb, methemoglobin, carboxyhemoglobin and other abnormal Hbs
  • Polycythemia
  • Stored blood
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5
Q

Factors Shifting Curve to the right

  • _
  • _
  • _
  • _
  • _
  • _
  • _
A
  • Acidosis
  • Hyperthermia
  • Hypercarbia
  • Increased 2.3-DPG
  • Anemia
  • Hypoxemia
  • Abnormal Hbs
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6
Q

2,3-DPG

A
  • organic phosphate in RBC
  • end product of glucose metabolism
  • binds with hb, decreasing Hbs affinity for oxygen
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7
Q

What does a left shift mean??

A

Greater affinity of Hb for oxygen. The SO2 will be higher than expected for a given PO2. (The P50 will be lower)

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8
Q

What does right shift of the curve mean?

A

there is less affinty of Hb for oxygen. The SO2 will be lower than expected for a given PO2 (The P50 will be higher)

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9
Q

HBS

A

Sickle Cell (Africa) - Malaria Protection

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10
Q

Fetal HB

A

has 2 alpha and 2 gamma chains

**Drug induced HbF to Tx sickle cell anemia**

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