Lecture 12 - Gas Exchange and Transport within Blood Flashcards

(32 cards)

1
Q

what is responsible for the exchange of O2 and CO2?

A
  • partial pressure (high to low pressure)
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2
Q

where does CO2 and O2 gas exchange occur?

A
  • alveoli and pulmonary capillaries (alveolar-arterial interface)
  • tissue and tissue capillaries (arterial-myocyte interface)
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3
Q

what is the range of PO2 concentration in venous blood?

A
  • 40-50 mmHg
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4
Q

what is the range of PCO2 concentration in venous blood?

A
  • 45-50 mmHg
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5
Q

what is the range of PO2 concentration in arterial blood?

A
  • 90-105 mmHg
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6
Q

what is the range of PCO2 concentration in arterial blood?

A
  • 38-42 mmHg
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7
Q

what is ‘external’ gas exchange?

A
  • gas exchange between the alveoli and arteries
  • high to low gradient (for both O2 and CO2)
  • PO2 is lower on the arterial side because some capillaries don’t interact with the alveoli
  • O2 diffuses into arterial ends of capillaries
  • CO2 diffuses into the alveoli
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8
Q

what is ‘internal’ gas exchange?

A
  • return to the left side of the heart
  • oxygen is high in the blood and low in the tissue –> flows down gradient (opposite for CO2)
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9
Q

what is the oxygen transport cascade?

A
  • how the partial pressure of oxygen changes throughout the body
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10
Q

where is oxygen partial pressure the highest?

A
  • in the air
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11
Q

where is oxygen partial pressure the lowest?

A
  • in the mitochondria
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12
Q

how is O2 transported in the blood?

A
  • in red blood cells (erythrocytes) and in hemoglobin
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13
Q

what are the characteristics of red blood cells?

A
  • no nucleus
  • unable to reproduce
  • replaced regularly (~4 months)
  • produced and destroyed at equal rates
  • contain hemoglobin
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14
Q

what are the characteristics of hemoglobin?

A
  • a protein
  • transports O2
  • contains heme = pigment, iron and o2
  • contains globin = protein
  • 250 million per red blood cell
  • o2 binding increases affinity for second o2 to bind (so red blood cells do not leave without carrying the maximal amount of oxygen)
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15
Q

what are the components of blood (and their respective percentages)?

A
  • 55% plasma (water, plasma proteins
  • 45% formed elements (red and white blood cells and platelets)
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16
Q

what is hematocrit?

A
  • formed elements / total blood volume
  • will be low in people with leukemia
17
Q

what is the difference between red blood cell transportation in capillaries vs thick venules and arterioles?

A
  • capillaries are thin and can only transport one red blood cell at a time (important that they know where to go)
  • thick venules and arterioles can contain more than one red blood cell and therefore have faster transportation
18
Q

how does blood transport O2?

A
  • dissolved in the fluid portion of blood (2%) - aka plasma
  • combined with hemoglobin in red blood cells (98%)
19
Q

how does PO2 of blood change from the pulmonary artery to the pulmonary vein? (alveoli to blood)

A
  • pulmonary artery = 40
  • middle between = 85
  • pulmonary vein = 95
20
Q

what is the equation to calculate arterial O2 content?

A
  • CaO2 = (Hb x 1.34 x SaO) + (Pa2 x 0.003)
  • where 1.34 is a constant (how much oxygen hemoglobin is able to carry)
  • normal saturation = ~96-99%
21
Q

how does the PO2 of blood change from the artery to vein? (blood to muscle)

A
  • artery = 95
  • middle = 50
  • vein = 45
22
Q

what is the equation for a-vO2difference?

A
  • a-vO2 = CaO2 - CvO2
  • calculating how much oxygen is arriving at the muscle vs. how much is leaving
  • lower percentage of oxygen left in the veins when working at VO2 max than at rest
  • higher intensity = more oxygen required
23
Q

why does venous oxygen content fall during exercise?

A
  • we are using more oxygen
  • difference gets wider despite arterial content staying the same
24
Q

what is the oxyhemoglobin dissociation curve?

A
  • how does hemoglobin know to release oxygen
  • this is the relationship between oxyhemoglobin and the partial pressure of oxygen
  • partial pressure is the independent variable
  • high PO2 = high saturation
  • shoulder of the curve allows for a greater room for error –> changes in the atmosphere don’t affect us as much because we never really drop below the shoulder
25
what happens when you drop below the shoulder of the dissociation curve?
- PO2 falls drastically and quickly (slowly at first until hits the shoulder, than quick)
26
what is left shifting on the oxyhemoglobin dissociation curve?
- decreased unloading of O2 (increased affinity) - relevant to hypothermia, hyperventilation, etc. - hemoglobin holds on to oxygen more - alkalosis (increased pH) - decreased PCO2 - decreased temp - decreased 2,3-diphosphoglycerate
27
what is right shifting on the oxyhemoglobin dissociation curve?
- increased unloading of O2 (decreased affinity) - relevant to exercise (Bohr shift) --> increased metabolic heat and acidity in active tissue = increased O2 released - acidosis (decreased pH) - increased PCO2 - increased temp - increased 2,3-diphosphoglycerate
28
what is the Bohr shift?
- no change in PO2 despite oxygen intake being increased - oxygen is less tightly bound so released more readily during exercise
29
how does PCO2 of blood change from the artery to the vein? (muscle to blood)
- high in the muscle (krebs cycle production) - low in the blood (heart) - artery = 40 - vein = 46
30
what are the 3 ways blood transports CO2?
1. dissolved in fluid portion of blood (10%) 2. combined with hemoglobin in red blood cells (20%) 3. combined with water as bicarbonate (70%)
31
how does PCO2 of blood change from the pulmonary artery to the pulmonary vein? (blood to alveoli)
- from blood to alveoli to be exhaled - CO2 at high pressure (in heart/blood) to low (alveoli) - pulmonary artery = 46 - pulmonary vein = 40
32
what is the haldane effect?
* promotes CO2 transport - when O2 binds with hemoglobin in the lung, CO2 is released - when O2 offloads from hemoglobin (tissue), CO2 binds to increase CO2 transport