Ventilation and Diffusion Flashcards

1
Q

How do you convert from mmHg to kPa?

A

mmHg x 0.133322

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2
Q

What is atmopheric pressure at sea level?

A

760mmHg

101.325kPa

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3
Q

What are the partial pressure of nitrogen, oxygen and carbon dioxide at normal atmopshier pressure?

A

Nitrogen = 593mmHg

Oxygen = 159mmHg

Carbon Dioxide = 0.29mmHg

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4
Q

What happens to partial pressure if atmopsheric pressure changes?

A

partial pressure changes?

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5
Q

Oxygen can be toxic at high levels. What can be used to replaced it?

A

trimix - nitrogen-oxygen-helium

Heliox - oxygen-helium

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6
Q

What is dalton’s law of partial pressure?

A

in a mixture of non-reacting gases, the total pressure exerted is equal to the sum of the partial pressures of the individual gases.

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7
Q

What is Henry’s Law?

A

when a mixture of gases is in contact with a lquid, each gas will dissolve in the liquid in proportion to its partial pressure

partial pressure = 10kPa vs 1kPa

x10 more gas will go into solution if its partial pressure is 10kPa compared to 1kPa

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8
Q

What occurs if the partial pressure in the liquid becomes greater than in the air?

A

gas will move out of the liquid

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9
Q

What does the abolsute level of gas dissolved in liquid also depend on?

A

solubility of the gas

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10
Q

Rate the gases in order of solubility at atmopsheric pressure

A

CO2 = most soluble

O2 = 1/20th as soluble

N2 = barely soluble

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11
Q

What occurs if a gas enters a chemical reaction?

A

the total amount of gas in the liquid is the amount of gas dissolved plus that chemically bound in solution

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12
Q

What is alveolar gas not?

A

atmopsheric air

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13
Q

How do the conudtcing passages of the respiratory system alter atmopsheric air?

A

humidify the air so it is warm and moistened

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14
Q

What is the water vapour pressure of warm and moistened air?

A

47mmHg

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15
Q

What is the partial pressure of alveolar gas?

A

760-47 = 713mmHg

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16
Q

What is the partial pressure of O2 and CO2 in the lungs and give an explanation for these values

A
  • O2 = 104mmHg
  • CO2 = 40mmHg
  • alveolar air is made up of fresh air plus the air that remained in the lungs after the last breath
17
Q

What must happen for gas exchange to occur between the alveolar air and the blood?

A
  • dissolve in the aqueous layer (surfactant lining the alveoli)
  • diffuse across the capillary membrane
  • enter the blood
18
Q

What are the major factors that affect the rate of diffusion?

A
  • proportional to surface area, solubility, concentration gradient (difference in partial pressure)
  • inversly proprtional to tissue thickness, √molecular mass
19
Q

What is the main impact of the rate of diffusion

A

limitis how much air gets into the blood

20
Q

How are the lungs adapted to maximase gas exchange?

A
  • surface area is large
  • large number of alveoli
  • small thickness
  • concentration gradient is large
  • molecular mass between gases is insignficiant
  • CO2 is much more soluble than O2
21
Q

Draw a diagram showing the change in PO2 from the start of the capillary to the end

22
Q

Why does CO2 need a smaller concentration gradient into flow into and out of the blood compared to O2

A

More soluble than O2

23
Q

How does oedema alter the respiratory membrane?

A

thickness increases

Full transmit time may not be sufficient enough to complete full gas exchange

More marked effect on O2 than CO2 due to difference in solubility

24
Q

In what condition is the surface area of the lungs decreased and how does this affect gas exchange?

A

Empheysema

gas exchange is reduced

25
In what conditions is gas entry inhibited? And how does this affect gas exchange?
* mucus * inflammation of airway * tumours Gas exchange is reduced
26
What are the gas movements at tissue level?
* partial pressure gradients reserved * movement of gases is in the oppsoite direction than in the lungs * CO2 moves into the blood from tissues * O2 moves out of the blood into tissues
27
How is atmospheric pressure affected at altitude?
Atmopsheric pressure is reduced so PO2 is also reduced
28
How is the body affected at altitude?
* Hb saturation is reduced * Increased release of EPO
29
What are the main health risks of diving?
* air embolism * decompression sickness
30
Problems associated with N2 bubbles
* can form lethal emboli * bubble in pulmonary circulation * joints - painful * brain - stroke * decompression sickness
31
How are divers who come up too quickly decompressed?
Hyperbaric chambers
32
What does rapid ascension without exhaling cause?
rupture of alveoli and gas bubbles which enter circulation