transport Flashcards

1
Q

How is CO2 transported in the blood?

A

plasma 8%,

blood proteins 20%,

bicarbonate ions 80%

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2
Q

What factors influence the O2 curve to shift to the right?

A

ph

, temperature,

2.3 dpg

,PCO2

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3
Q

Define histotoxic hypoxia and name 1 example

A

when the body cells are unable to use the O2 even though there is adequate amounts delivered. eg cyanide poisioning

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4
Q

Complete the following equation

?⇔?⇔h2co3⇔?⇔?

A

co2+h2o⇔h2co3⇔h+ +hco3

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5
Q

What are the 2 groups of neurons critically important in respiration and where are they located?

A

dorsal resiratory group and ventral respiratory groups. located in the medulla

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6
Q

What reflex prevents excessive streching of the lungs?

A

Hering -Bauer reflex

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7
Q

Name 3 factors that affect the movement of o2 and co2 across the respiratory membrane?

A

1: partial pressure gradient and gas solubilities
2: matching of alveolar ventilation and pulmonary blood perfusion
3: structural charecteristics of the respiratory membrane

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8
Q

Hypoxaemia is the most life-threatening facet of respiratory failuire. The goal of treatment is to ensure adequate oxygen delivery to the tissues which is generally achieved with a PaO2 of a least ?kpa ,?mmhg and a SPO2 of a least ? %

A

PaO2 of a least 8.0 kpa,

60mmHg

SPO2 of a least 94%

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9
Q

True or false.

Passageways servicing areas where alveolar CO2 levels are high constrict while those serving areas where PCO2 is low dilate?

A

FALSE

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10
Q

What is the normal time frame for perfusion to take place?

A

0.75 seconds

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11
Q

What is normal values for blood gases?

A

ph - 7.35 - 7.45

po2 - 80 - 100mmHg

pco2 - 35 - 45 mmHg

hco3 - 22 - 28mEq/l

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12
Q

What is the differences between internal and external respiration?

A

external is between the inspired air and pulmonary capillaries and internal is between the capillary rbc and the tissue cells

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13
Q

What is the o2 flux equation?

A

Do O2 = co x hb x sats x 1.3

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14
Q

True or false?

Nitric oxide(NO), secreted by lung and vascular endotehelial cells, is a well known vasodilator that plays an important role in bloodpressure regulation.

A

True

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15
Q

Complete the following.

Periperhal chemoreceptors are located in the ? and ? and central chemoreceptors are located bilaterally in the ventrolateral ?

A

Carotid and aortic bodies and ventrolateral medulla

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16
Q

What are the 3 main factors of control of respiration?

A

Voluntary

Nervous

Chemical

17
Q

True or false?

Hypocapnia causes cerebral blood vessels to constrict, reducing brain perfusion and producing cerebral ischemia

A

True

18
Q

Name 4 modified types of respiration

A

Cough

Hiccup

Sneeze

Sigh

19
Q

Define eupnea

A

Normal respiratory rate and rhythm

20
Q

True or false?

The most important role of pontine respiratory group is to increase the breathing rate and depth and increase lung inflation

A

False.

PRG is to fine- tune the breathing rhythm and prevent lung overinflation

21
Q

True of false.

PNC and APC are located in the medulla oblongata and DRG and VRG is located in pons

A

False

22
Q

What factors decreases the surface area for gas exchange?

A

Emphysema

Tubercolosis

Pneumonia

Pulmonary oedema

Atelactisis

23
Q

What factors reduce the capacity of blood to transport oxygen?

A

Anemias

hb alterations

Carbon monoxide poisioning

24
Q

What factors reduce compliance of the lungs and thoracic wall?

A

Chronic pulmonary hypertension

Connective tissue diseases

Lung cancer,infections(pnreuminia,tb)

Interstial lung diseases

25
Q

True or false?

CO poisoning is particularly dangerous because it does not produce the characteristic signs of hypoxia- cyanosis and respiratory distress.

A

True

26
Q

True or false?

CO2 is poorly soluble in water, so only about1.5% of CO2 transported is carried in the dissolved form and most is chemically bound to hemoglobin

A

False

27
Q

What factors affect the respiratory drive?

A

Head injuries

Cns depressants

28
Q

What would influence alveolar minute ventilation more?

Breathing depth or frequancy?

A

Breathing depth

Increase tidal volume

29
Q

True or false?

If carbon dioxide levels are low (resulting in a rise in pH in capillary blood), the oxygen affinity for hemoglobin is increased

A

True

30
Q

True or false?

CO2 is poorly soluble in water so only about 1.5% is transported in the dissolved form. The rest of the CO2 is chemically bound to heamoglobin.

A

False

31
Q
A