Lecture 19 - Blood gas transport Flashcards

1
Q

What does gas transport carry around the body?

A

O2 from alveoli to systemic tissues
CO2 from systemic tissues to alveoli

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2
Q

Through which process does gas exchange occur?

A

Diffusion

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3
Q

What factors determine efficiency/ability of gas exchange?

A

Diffusion surface area
Diffusion distance for gases
Concentration gradient between alveolar air and blood
Solubility of gases
Coordinated blood flow and air flow

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4
Q

What is Dalton’s law of partial pressure?

A

The total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture

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5
Q

What is the definition of partial pressure?

A

The pressure exerted by each gas
It is directly proportional to its percentage in the total gas mixture

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6
Q

What is Henry’s law in relation to solubility?

A

The amount of gas that dissolves in water is determined by its solubility in water and its partial pressure in air
At equilibrium, the amount of dissolved gas in a solution is proportional to the partial pressure of that gas

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7
Q

According to Henry’s law, what happens as the partial pressure of gas increases?

A

The number of gas molecules increases

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8
Q

What is the structure of haemoglobin?

A

4 globular protein subunits, 2 alpha 2 beta
Each subunit contains globin and haem

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9
Q

What occurs as haemoglobin becomes oxygenised?

A

It is a rapid and reversible reaction
Each haemoglobin molecule will bind to 4 molecules of oxygen

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10
Q

What percentage of oxygen is transported in blood with haemoglobin?

A

97%

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11
Q

What is the meaning of haemoglobin saturation?

A

The percentage of haem units in a haemoglobin molecule that contain bound oxygen

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12
Q

What factors affect the binding of oxygen to haemoglobin?

A

PO2 of blood
Blood pH
Temperature
State of the oxygen thats attempting to bind

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13
Q

What occurs as oxygen unloads into tissues?

A

pH decreases
CO2 increases
The oxygen dissociation curve shifts to the right
Temperature increases
2,3-diphosphoglycerate increases

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14
Q

What is carboxyhaemoglobin?

A

CO2 binds tighter than O2
Reduces ability of oxygen to bind to haemoglobin

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15
Q

What is methaemoglobin

A

Fe2+ oxidised by Fe3+
Unable to carry O2
Slowly converted back

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16
Q

What is foetal haemoglobin?

A

Has a higher affinity for oxygen
Role in transferring oxygen across placenta

17
Q

How is carbon dioxide generated?

A

By aerobic metabolism in peripheral tissues

18
Q

How is 70% of carbon dioxide transported?

A

Converted to carbonic acid formation, H2CO3- and transported in plasma as bicarbonate ion HCO3

19
Q

How is 23% of carbon dioxide transported?

A

Bound to haemoglobin as carbaminohaemoglobin

20
Q

How is 7% of carbon dioxide transported?

A

Dissolved in plasma

21
Q

What is the process of the Haldane effect in the lungs?

A

Oxygenation of haemoglobin occurs
Haemoglobin undergoes a conformational change
It has lower affinity for H+ ions
Buffering power decreases
H+ are released

22
Q

What is the process of the Haldane effect in the tissues?

A

Deoxygenation of haemoglobin
Hb undergoes conformational change
It has a higher affinity for H+ ions
Buffering power increases
H+ uptake