week 11- respiratory Flashcards
what do RBC transport
Transport O2 to, and CO2 from, peripheral
tissues
what is the concentration of oxygen in arterial blood
20ml o2 per 100ml of blood
98.5% O2 bound to haemoglobin (Hb)
* 1.5% (0.3 mL) dissolved in plasma
what is haemoglobin
4 globin protein chains, each with a haem group
* Haem (with iron/Fe in the centre) attaches to O2
1 RBC has 280 million Hb molecules
* Each Hb can bind to four O2 molecules
* Binding to haemoglobin is a reversible reaction
* Oxyhemoglobin (HbO2)Deoxyhaemoglobin (HHb)
when is Oxygen saturation 100%
When all four haems are attached to O2
what does saturation depend on
- partial pressure of O2
- affinity of haemoglobin to bind O2
Effect of pH on oxygen affinity and dissociation
Tissues have higher CO2 therefore higher acidity
* lower pH
* Lower O2 binding affinity
*higher pH
* Higher O2 binding affinity
* Therefore, O2 dissociates when blood reaches tissues
transport of co2 chemical reaction
CO2 + H2O ⇔ H2CO3 ⇔ H+ + HCO3-
moves to right in muscles. moves to left in the lungs
Effect of temperature on haemoglobin affinity and dissociation
- higher Temperature
- Lower O2 binding affinity
- lower Temperature
- Higher O2 binding affinity
- Effect significant in active tissues generating large amounts of heat
what is co2 carried as in the plasma and what percentage
- 70% carried as bicarbonate ion
this is bc of Carbonic anhydrase (CA) enzyme
7% dissolved in plasma
what is co2 carried as in the haemoglobin and what percentage
23% bound to haemoglobin
* Binds to the globular proteins
* Forming carbaminohaemoglobin (HbCO2)
Which gas controls the respiration rate
- Respiration controlled by high PCO2 or low PO2
- Stimulus to breathe once PCO2 > 40 mm Hg
Hypercapnia- blood pco2, equation, main causes and consequences
– Blood PCO2> 45 mmHg
–increase CO2 + H2O-> increase H2CO3-> HCO3- +increase H+
–Main causes
* Hypoventilation - Inadequate O2 delivery and CO2 removal
* Lung disease - Decreased gas exchange
–Consequences
* Respiratory acidosis
* ↓ CNS activity
* Lethargy, coma and death
Hypocapnia- blood pco2, equation, main causes and consequences
– Blood PCO2 < 40 mm Hg
* No breathing until level reaches PCO2 ≥ 40 mm Hg
– decrease CO2 + H2O-> decrease H2CO3-> HCO3-decrease H+
– Main cause
* Hyperventilation - Increased CO2 removal
– Consequences
* Respiratory alkalosis
* ↑ CNS activity
* ‘Pins and needles’, dizziness
pH balance in the body
- 7.35 – 7.45
Compensation for acidosis/alkalosis by
Chemical buffers in seconds
* Respiratory changes in minutes
* Hydrogen ion excretion and bicarbonate synthesis by kidneys in hours/days
tidal volume- def, volume
def: amount of air inhaled during a normal breath
volume: o.5L
expiratory reserve volume- def, volume
def- amount of air that can be exhaled after a normal exhalation
volume- 1.2L
inspiratory reserve volume- def, volume
def- amount of air that can be inhaled after a normal inhalation
volume- 3.1L
residual volume(RV)- def, volume
def- air left in the lungs after a forced exhalation
vol- 1.2L