Transport of oxygen Flashcards

1
Q

What are the forms in which oxygen can be transported?

A

Form 1: Oxygen in physical solution (2%)
Form 2: Oxygen in chemical form (98%)

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2
Q

How is oxygen transported in a physical solution?

Form 1

A

Free oxygen is dissolved in blood

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3
Q

Volume and partial pressure of oxygen dissolved in blood

Form 1

A

V = 0.3ml/100ml, PO2 = 100mmHg in arterial blood
V = 0.13ml/100ml, PO2 = 40mmHg in venous blood

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4
Q

What does O2 tension determine?

Form 1

A

Rate and direction of O2 diffusion
% of hemoglobin saturation

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5
Q

How is oxygen transported in the chemical form?

Form 2

A

Combines with Fe2+ of hemoglobin forming HbO2, HbO4, HbO6 and HbO8

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6
Q

What does O2 in the chemical form determine?

A

The O2 capacity and O2 content

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7
Q

What is O2 capacity?

A

Volume of O2 in ml present in chemical combination with Hb in 100ml blood when Hb is fully saturated

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8
Q

How much oxygen can each gram of Hb carry?

A

1.36 ml of O2

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9
Q

What is the general O2 capacity?

A

O2 capacity = 1.36 x Hb content
= 1.36 x 15g%
=20ml/100ml blood

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10
Q

What is O2 content?

A

Volume of O2 in ml present in chemical combination with Hb in 100ml blood

Not fully saturated

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11
Q

O2 content in arterial blood

A

At PO2 = 100mmHg → O2 content = 19ml/100ml blood

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12
Q

O2 content in venous blood

A

At PO2 = 40mmHg → O2 content = 14ml/100ml blood

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13
Q

How is %O2 saturation of Hb calculated?

A

(O2 content/O2 capacity) x 100

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14
Q

%O2 saturation in arterial blood

A

(19/20) x 100 = 95% or more

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15
Q

%O2 saturation in venous blood

A

(14/20) x 100 = 70%

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16
Q

What does the oxygen-hemoglobin dissociation curve represent?

A

It represents the relationship between partial pressure of O2 (blood PO2) and % Hb saturation (SaO2)

17
Q

Describe the oxygen-hemoglobin dissociation curve

A

Sigmoid

18
Q

What does the shape of the oxygen-hemoglobin dissociation curve represent?

A

Saturation of Hb with oxygen varies with partial pressure of oxygen

19
Q

What does the plateau phase of oxygen-hemoglobin dissociation curve represent?

A

At high partial pressure of oxygen, such as in the lung tissue, oxygen taken up by Hb

Uptake of one O2 facilitates the uptake of further O2

20
Q

What does the sloped phase of the oxygen-hemoglobin dissociation curve represent?

A

At low partial pressures of oxygen, such as in the tissues of the body, oxygen released to the tissue

Low affinity of Hb to O2

21
Q

What causes the sigmoid shaped oxygen-hemoglobin dissociation curve?

A

Presence of 4 heme groups in the Hb
Each group can combine to one molecule of O2 and the groups differs in their affinity to O2 as the O2 tension increases

22
Q

What factors cause a rightward shift in the oxygen-hemoglobin dissociation curve?

A

Increased blood PCO2 (Bohr effect)
Increased concentration of 2,3 DPG
Increased body temperature
Increased blood H+ concentration (decreased blood pH, acidosis)
There is decreased affinity of Hb to O2 leading to increase O2 release to the tissues

23
Q

What factors cause a leftward shift in the oxygen-hemoglobin dissociation curve?

A

Decreased blood PCO2
Decreased concentration of 2,3 DPG
Decreased body temperature
Decreased blood H+ concentration (increased blood pH, alkalosis)
Hemoglobin F (Fetal Hb)
There is increased affinity of Hb to O2 leading to decrease O2 release to the tissues

24
Q

What is myoglobin?

A

Iron containing pigment present in skeletal muscle

25
Q

Purpose of myoglobin

A

Stores O2 in the muscles

26
Q

How many oxygen molecules can each myoglobin bind?

A

One molecule

27
Q

Describe the shape of the myoglobin dissociation curve

A

Rectangular hyperbola

28
Q

At what partial pressure is myoglobin saturated?

A

At tissue level, PO2 = 40mmHg, myoglobin is fully saturated
During muscular exercise, if PO2 < 40mmHg, myoglobin release O2 to the muscles