gas exchange Flashcards

(37 cards)

1
Q

composition of the air we breathe

A

78 percent nitrogen
21 percent oxygen
0.033 percent carbon dioxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

dalton’s law

A

the total pressure exerted by a mixture of gases is the sum of pressures exerted by all individual gases

the pressure exerted by an individual gas is called the partial pressure of that gas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

total air pressure equation

A

Patm = PN2+PO2+PCO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

total air pressure equation in humid air

A

Patm=PN2+PO2+PCO2+PH20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

total partial pressure in dry air equation

A

Pgas= Patm x % of gas in atmosphere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

total partial pressure in humid air equation

A

Pgas= (Patm-PH2O)x % of gas in atmosphere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

gas composition in the atmosphere of O2 and CO2

A

PO2= 160 mm Hg
PCO2= 0.25 mm HG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

alveolar partial pressures during normal quiet breathing

A

PO2= 100 mm Hg
PCO2 = 40 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

as alveolar ventilation increases alveolar PO2 _______ and PCO2 ______

A

increases, decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

explain pulmonary gas exchange and transport

A
  1. Oxygen enters the blood at alveolar-capillary interface
  2. oxygen is transported in blood dissolved plasma or bound to hemoglobin inside RBCS
  3. oxygen diffuses into cells, cellular respiration determines metabolic CO2 production
  4. CO2 diffuses out of the cells
  5. CO2 is transported, dissolved, bound to hemoglobin or as HCO3-
  6. CO2 enters alveoli at alveolar-capillary interface
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the rate of diffusion directly proportional to

A

concentration (partial pressure) gradient

AxDx (delta Pgas)/ T^2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

partial pressures in venous blood

A

O2: 40 mm Hg
CO2: 46 mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

partial pressures in arterial blood

A

O2: 100 mm Hg
CO2: 40m HG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

partial pressures in cells

A

O2<= 40 mm Hg
CO2> = 46 mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is alveolar gas exchange influenced by

A

oxygen reaching alveoli: composition of inspired air; alveolar ventilation - rate and depth of breathing, airway resistance, lung compliance

gas diffusion between alveoli and blood: SA, diffusion distance - barrier thickness and amount of fluid

adequate perfusion of alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

factors that decrease the amount of oxygen in the blood

A

insufficient exchange
hypoxia
low oxygen in the atmosphere
low alveolar ventilation: decreased lung compliance (how easily they can expand), increased air resistance, CNS depression: drugs, alcohol overdose

17
Q

emphysema

A

affects elastance (lose it)
destruction of alveoli means less SA for gas exchange
oxygen is normal or low (Po2 low)
affects SA and partial pressure gradient in ficks law
ie/ from smoking

18
Q

astma

A

increased histamine
increased airway resistance, decreases alveolar ventilation
bronchioles constricted
increased resistance, decreased airflow

affects partial pressure gradient

19
Q

fibrotic lung disease

A

thickened alveolar membrane shows gas exchange. loss of lung compliance may decrease alveolar ventilation

PO2 low

build up of scar tissue around alveoli by particulate irritants ie/ asbestos

affects distance (scar tissue build up) and partial pressure gradient (decreased in compliance)

20
Q

pulmonary edema

A

fluid in interstitial space increases diffusion distance. Arterial PCO2 may be normal due to higher CO2 solubility in water

increase in interstitial fluid is often a result of heart failure

affects distance in fick’s law

21
Q

name the four pathological conditions that cause hypoxia

A

emphysema
astma
fibrotic lung disease
pulmonary edema

22
Q

what happens at equilibrium to partial pressures

A

they are equal

23
Q

what is more soluble O2 or CO2

23
Q

what happens to concentrations at equilibrium

A

they are unlikely to be equal

24
Hemoglobin
found in rbs reversibly binds to O2 - unbuckling when o2 is low and loads up when high each hb molecule has the ability to bind to 4 o2 molecules
25
total O2 in blood equation
amount dissolved in plasma + amount bound to hemoglobin
26
Po2 value at the resting cell
40 mm Hg (unloads at tissure)
27
Po2 value at alveoli
100 mm Hg (loads at lungs)
28
why does the O2-Hb dissociation curve plateau
all hemoglobin will all eventually be bound to O2
29
what would happen if oxygen binding to hemoglobin was not cooperative
hemoglobin would just hang onto oxygen curve would be hyperbolic
30
what happens to affinity when pH is low
reduces oxygens carrying capacity of Hb oxygen dissociates more at the tissues
31
what happens when PCO2 is increased
oxygen dissociates more at tissues
32
O2 transport in blood
98 percent bound to hemoglobin - then will transport to cells, HbO2->Hb+O2, oxygen then dissolved in plasma and then used in cellular respiration 2 percent dissolved in tissues - will just stay dissolved in plasma In lungs: PO2 is high, drives oxygen exchange into plasma, high plasma PO2 drives oxygen binding to Hb. forward reaction dominates In tissues: PO2 is low, drives oxygen exchange out of plasma, low plasma PO2 drives O2 release from hemoglobin, reverse rxn dominates
33
CO2 transport in blood
7% dissolved gas in plasma 23% as HbCO2, not binding just hitches a ride, gets transported to the lungs then CO2 diffuses out to the plasma and then alveolus 70% as bicarbonate dissolved in plasma CO2 + H2O <---> H2CO3(carbonic acid) <--->H+ + HCO3- carbonic anhydrase enzyme H+ buffered by Hb in rbcs
34
respiratory acidosis
excess H+ present
35
central chemoreceptors
located in medulla increased activity in response to increase PCO2 resulting in increased rate and depth of respiration
36
peripheral chemoreceptors
located in carotid sinuses and aortic arch increased activity in response to increased PCO2 and H+ concentration or decreased PCO2 afferent signals back to respiratory control center of medulla oblongaae, resulting in increased rate and depth of respiration