Transport of O2 and CO2 in blood Flashcards

1
Q

In solution, only _____ gas molecules generate the partial pressure

A

dissolved

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2
Q

Methemoglobin

A

hemoglobin variant, iron is in Fe+++ state

does not bind O2

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3
Q

What are some things that can cause methemoglobin

A

nitrites and sulfonamides

deficiency of methemoglobin reductase

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4
Q

What is the O2 binding capacity

A

the maximum O2 volume that can combine with Hb

depends on Hb concentration and binding procperties

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5
Q

What is the O2 content

A

actual amount of O2 per volume of blood

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6
Q

What is the equation for O2 content

A

O2 binding capacity x SaO2 +dissolved O2

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7
Q

What is the SaO2

A

% of heme groups bounds to O2

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8
Q

How do you calculate O2 delivery

A

CO x oxygen content

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9
Q

What are some factors that affect tissue oxygen delivery

A

CO in 3rd degree heart failture
hemogoblin in anemia
decreased RBC production in chronic kidney failure

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10
Q

What is the normal shape of the O2-Hb dissociation curve?

A

sigmoidal

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11
Q

What is the flat upper part of the O2-Hb dissociation curve

A

ensures constant oxyhemoglobin saturation for aterial blood despite wide variations in O pressure

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12
Q

What is the steep lower part of the O2-Hb dissociation curve

A

considerable amounts of O can be unloaded to peripheral tissues with only a small drop in capillary PO2

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13
Q

Under normal conditions about ______ of oxygen are transported from lungs to tissues by each 100 mL of blood flow

A

5 mL

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14
Q

Hb automatically delivers O2 to tissues at _________

A

a tight PO2 range

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15
Q

What does an increase in P50 mean

A

weaker binding

Oxygen gets released more easily

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16
Q

What does a decrease in P50 mean

A

tighter binding

Oxygen wants to stay bound

17
Q

How does fever affect Hb-O2 binding

A

right shift,

O2 gets released more easily

18
Q

How does hypothermia affect Hb-O2 binding

A

left shift

O2 wants to stay bound

19
Q

How does decreasing pH affect Hb-O2 binding

A

right sift

O2 gets released more easily (bohr effect)

20
Q

How does increasing pH affect Hb-O2 binding

A

left shift

O2 wants to stay bound

21
Q

How does 2,3 DOG affect Hb-O2 binding

A

right shift

O2 gets released more easily

22
Q

What are the symptoms of CO poisoning

A

altered reaction time
blurred vision
unconsciousness

23
Q

What is the main form of CO2 transport in the body

A

bicarb in RBCs

24
Q

7% of CO2 is in what form

A

dissolved

25
Q

23% of CO2 is in what form

A

conjugated with Hb

26
Q

What is the Haldane effect

A

higher PO2 will shift CO2 equilibrium curve down and right, allows blood to load more CO2 into tissues, and unload more CO2 in lungs