Week 4 Physical Principles Of Gas Exchange Flashcards

1
Q

What is the diffusion process in gas exchange?

A

-Random molecular motion of molecules
• Movement in both directions through the
membranes & fluids of the respiratory
structure

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2
Q

What is the net diffusion of gas?

A
  • movement of a gas one direction is the effect of a concentration gradient
  • diffusion goes from high to low
  • rate of diffusion dependent on pressure
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3
Q

What is the partial pressure of a gas mixture?

A
  • Each gas in a mixture contributes to the total pressure in proportion to its concentration
  • respiratory gases mainly include: oxygen, nitrogen, and carbon dioxide
    • each gas exerts it own individual pressure on the respiratory wall
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4
Q

What is the composition of air?

A
  • 21% oxygen, 79% nitrogen

- total pressure of air mixture is 760mmHg = 1 atmosphere

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5
Q

What is Henry’s Law?

A

Solubility of a gas in a liquid depend on temperature, the partial pressure of a gas over the liquid, the nature of the solvent and the nature of the gas

-the colder it is, the more gas can be dissolved into a fluid

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6
Q

What is the solubility coefficient (D)?

A
  • tells you how many molecules can be dissolved in a fluid
  • highly soluble: when dissolved molecules are attracted by water more can be accumulated without building up excess pressure in a solution
  • poorly soluble: molecules which are repelled by water will dissolve less and have a lower concentration

*CO2 is 20x more soluble than O2

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7
Q

What determines the rate of net diffusion between the alveoli and blood?

A

The difference of partial pressures (pp)

  • if pp of gas in alveoli > blood then gas moves into blood (O2)
  • if pp of gas in blood > alveoli then gas moves into alveoli (CO2)
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8
Q

What is the vapor pressure of water?

A

*vapor pressures = parietal pressure of water escaping surface into gas phase

Vapor pressure is 47mmHg when gas mixture is fully humidified at 37 degrees C

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9
Q

How does vapor pressure alter the partial pressure of the upper airway?

A

Part of the total pressure (760mmHg) is due to the vapor pressure of water

  • 760mmHg(total) = 713mmHg (pp air) + 47mmHg (pp H2O vapor)
  • so pp of O2 in upper airway = 713mmHg x 0.21 = 150mmHg
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10
Q

What factors affect gas diffusion rates?

A
  • pressure difference main factor
  • gas solubility in fluid
  • area of fluid
  • distance which gas must diffuse
  • molecular weight of gas
  • temperature of fluid (constant in body)
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11
Q

What are the characteristics of the gas which affect the ability and rate of net diffusion?

A
  • solubility of gas molecule
  • molecular weight
  • the relative rate at which different gases diffuse are proportional to their diffusion coefficient
  • D is directly proportional with solubility
  • D is inversely proportional to the square root of the gas’ molecular weight-heavier gas will move more slowly
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12
Q

What allows for diffusion of gasses through tissues?

A
  • respiratory gases are highly soluble in lipids (the main component of cell membranes)
  • cell membranes are highly permeable to these gases
  • rate of gas movement into tissues is limited by diffusion rate of gas through tissue water
  • movement of gas into and out of tissues = diffusion are of gas through water
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13
Q

Why is the alveolar air composition different from atmospheric air composition?

A
  • alveolar are is partially replaced by atmospheric air during each breath
  • oxygen constantly absorbs into blood from alveoli
  • carbon dioxide diffused into alveoli from blood
  • as air enters respiratory passages it becomes humidified diluting the inspired gases partial pressures
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14
Q

What prevents sudden changes in alveolar gas concentration?

A
  • multiple breaths are required to exchange alveolar air
    • 350mL or air per breath
    • FRC is roughly 2500mL
    • each breath replaces a seventh of FRC

*allows respiratory control mechanism to be more stable

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15
Q

What is the rate of normal alveolar ventilation?

A

-normal ventilation remove 1/2 of gas in 17 seconds

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16
Q

What is normal alveolar PO2?

A

-100mmHg

17
Q

What is normal alveoli CO2?

A

-40mmHg

18
Q

When is alveolar air expired?

A

At end of exhalation

-beginning part of exhalation is air in dead space, then mixture of both

19
Q

What happens to diffusion with pulmonary edema?

A

It increases interstitial space and makes diffusion more difficult

20
Q

What are factors that affect the rate of gas diffusion through the respiratory membrane?

A
  1. Thickness of respiratory membrane
    • increasing thickness 2-3 times significantly interferes with normal respiratory exchange
    • edema fluid and fibrosis increase thickness
    • rate of diffusion inversely inversely proportional to membrane thickness
  2. Surface area of respiratory membrane
    • decreases of surface area to 1/4 normal impedes gas exchange significantly
    • emphysema: dissolution of many alveolar walls decreases surface area as; much as 5-fold
  3. Transfer of gas through membrane depends on the diffusion coefficient (D)
    • the smaller the molecule, the easier it crosses the membrane
  4. Pressure difference across the respiratory membrane
    • diffusion goes down the pressure gradient
21
Q

What does it mean with V/Q equals zero?

A

There is blood flow but no alveolar ventilation (compete airway obstruction)

*in normal deoxygenated blood - the PO2 is 40mmHg and PCO2 is 45mmHg

22
Q

What does it mean when V/Q equals infinity?

A

There is alveolar ventilation but no blood flow (pulmonary artery obstruction)

  • alveolar gas partial pressures:
    • PO2: 150mmHg
    • PCO2: 0mmHg
23
Q

At what V/Q ratio is no gas exchange taking place?

A
  • zero

- infinity

24
Q

What are the normal alveolar partial pressures?

A
  • alveolar PO2: 100mmHg

- alveolar CO2: 40mmHg

25
Q

What is partial pressures of inspired air?

A

PO2: 150mmHg
CO2: 0mmHg

26
Q

What are partial pressures of venous blood?

A

PO2: 40mmHg
CO2: 45mmHg

27
Q

What are the driving forces of gas exchange?

A

O2: pressure bc the great pressure difference
CO2: very soluble so move easily across

28
Q

What is a shunt?

A

V/Q is below normal

Perfusion but no ventilation

Shunted blood is not oxygenated. The greater the physiologic shunt, the greater the amount of blood that fails to be oxygenated in the lungs

Can calculate how big the shunt is based on drop of O2

29
Q

What is physiologic dead space?

A

V/Q is great than normal

Ventilation but no perfusion
Includes wasted ventilation and anatomical dead space