Week 3 - Gas Exchange Flashcards

1
Q

What effect does SVP have on pO2 in inhaled air?

A

-Decreases it

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2
Q

What is fick’s first law of diffusion?

A

-diffusion is proportional to permeability of the molecules x surface area x concentation gradient

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3
Q

Which molecule O2 or CO2 diffuses more quickly through air? why?

A

-O2 because it is smaller

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4
Q

What is diffusion rate dependant on when gases diffuse through liquids?

A

-Solubulity

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5
Q

In blood, which molecule CO2 or O2 diffuses more quickly? Why?

A

-CO2 as even though it is bigger it is much more soluble

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6
Q

If O2 is poorly soluble, what drives O2 gas exchange?

A

-The large concentration gradient of oxygen drives diffusion

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7
Q

Why is O2 diffusion more effected than CO2 diffusion in a diseased lung?

A

-CO2 is much more soluble than O2

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8
Q

What is the pO2 and PCO2 in the following areas:

i) tracheal air
ii) alveolar air

A
  • i)pO2 -> 19.6% pCO2->0.04%

- ii) pO2 -> 13.3% pCO2 -> 5.3%

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9
Q

What is the rate of diffusion dependant upon in the lungs?

A
  • Surface area
  • Diffusion resistance (barrier)
  • Concentration gradient
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10
Q

Why is pO2 lower in alveoli compared to external environment?

A
  • Continuous diffusion across alveoli

- Diluting effect of CO2

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11
Q

What happens to CO2 which enters RBC as waste?

A
  • Combines with H2O to produce carbonic acid
  • CA dissociates into HCO3 and H+
  • HCO3 enters plasma whilst H+ are buffered by Hb inside rbc
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12
Q

How is CO2 carried in the blood?

A
  • 5% dissolves in plasma
  • 5% are carboxyhb on proteins
  • 90% as bicarb
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13
Q

Why is it okay to have a shallow pCO2 gradient between blood and alveoli?

A

-High solubility means it diffuses easily despite gradient

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14
Q

Describe pO2 and pCO2 in arterial and venous blood

A
  • arterial = pO2->13.3kPa pCO2-> 5.1kPa

- Venous = pO2 -> 5.3kPa pCO2-> 6.1kPa

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15
Q

What determines diffusion resistance?

A
  • Nature of barrier (pathlength and permeability)

- Nature of molecule

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16
Q

Why is it important that gas exchange occurs within a third of the allotted time in the pulmonary capillary?

A

-Allows increased cardiac output during exercise without gas exchange being comprimised

17
Q

How many times quicker can CO2 diffuse than O2?

A

-20

18
Q

What determines oxygen supply to the tissues?

A

-Composition of alveolar air

19
Q

What is the SVP at body temp?

A

-6.28kPa

20
Q

What is alveolar ventilation rate?

A

-The amount of air which reaches the alveoli

21
Q

How many breaths are needed for total exchange of air in alveoli? What advantage does this have?

A
  • 7->8
  • Guards against sudden changes in blood gas levels caused interruptions in respiration as not all gas used in one breath
22
Q

What determines the pO2 in alveoli?

A
  • Rate of entry

- Rate of absorption into RBC

23
Q

What is ventilation-perfusion mismatching?

A

-When the ventilation of the alveoli is not equal to perfusion of the pulmonary capillaries serving that alveolus

24
Q

Give an example of when V/Q less than 1

A

-Mucus plug preventing ventilation of alveoli

25
Q

What is physiological dead space?

A

-The air in the lungs and airways which does not take place in gas exchange (anatomical+distributive)

26
Q

What are the two types of dead space?

A
  • Anatomical (the volume of the airways)

- Distributive (Dead/damaged alveoli and alveoli with poor perfusion)

27
Q

What is used to measure anatomical (serial) deadspace?

A

-Nitrogen washout

28
Q

How much is physiological dead space typically?

A

-0.17L

29
Q

How do you calculate dead space ventilation rate?

A

-Dead space volume x resp rate

30
Q

How do you calculate pulmonary ventilation rate?

A

-Tidal volume x resp rate

31
Q

How do you calculate alveolar ventilation rate?

A

-Pulmonary ventilation rate - dead space ventilation rate

32
Q

What is the effect of rapid shallow breathing on AVR?

A

-Decreases

33
Q

What is the effect of slow deep breathing on AVR?

A

-Increases (but is hard work)