Lecture 59 - Gas Exchange and Transport Flashcards

(53 cards)

1
Q

How much is 1 atm?

A

760 mmHg

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2
Q

Describe relative gas concentrations in the air

A

Nitrogen: high partial pressure
Oxygen: 160 mmHg
CO2: very low partial pressure

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3
Q

What is the difference between reidual and reserve volume?

A

Residual: can never be expirated
Reserve: amount that can be exhaled

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4
Q

Why have a residual volume?

A
  • decreases energy required to reinflate lungs

- lung would not remain open

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5
Q

What happens to dead space during exercise?

A

nothing

Remains the same

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6
Q

Describe the features of the alveoli that make it good for gas exchange

A
  • large surface area

- very thin wall to diffuse across

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7
Q

Describe the structures that oxygen moves across to get into the blood

A

One cell thick alveolar epithelium

Fused basement membrane

Endothelial cell

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8
Q

How does Fick’s law relate to alveolar structure?

A

Fick’s law of diffusion says;

  • increased surface area
  • decreased thickness
  • greater pressure gradient

will lead to greater rate of diffusion of oxygen across the alveoli

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9
Q

Describe how concentration of gases in the atmosphere changes with altitude

A

The concentration does vary very much

It is the partial pressures of the gases that changes

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10
Q

Which variables can be altered to increase rate of diffusion of oxygen into the blood?

A

Concentration of oxygen in the breathed air

eg in Anaesthesia
65% oxygen in air

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11
Q

Describe what happens to the partial pressure of oxygen when air moves from the atmosphere into the alveoli
Why?

A

Partial pressure drops; 160 –> 100 mmHg

  • mixing with old air with depleted oxygen
  • air is moistened by mucous membrane
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12
Q

Compare the differences in PO2 in oxygenated and deoxygenated blood

A

Oxygenated: 100 mmHg
Deoxygenated: 40 mmHg

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13
Q

What happens to oxygen when we climb up higher than 5 km?

A

PO2 drops to 80 mmHg

Less oxygen is getting into the blood

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14
Q

Describe gases dissolving into liquids

A

When a liquid is exposed to a gas at a given pressure, the gas will move into solution until…

Partial pressure of gas is the same in the liquid and in the air.

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15
Q

How does solubility affect dissolution of gases into liquids?

A

Greater solubility:

  • greater concentration of the gas in the liquid once equilibrium is reached
    eg. CO2

Lesser solubility:
- lesser concentration of gas in the liquid once equilibrium is reached
eg O2

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16
Q

At equilibrium, will the concentration of the gas in the liquid and in the air be the same?

A

No

This depends on solubility of the gas

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17
Q

Is O2 or CO2 more soluble?

A

CO2

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18
Q

Describe how oxygen is transported in the blood

A
  1. O2 diffuses through cells into plasma

2. Combines chemically with haemoglobin (Hb)

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19
Q

Why must oxygen combine with Hb in the blood?

A

Because O2 is very insoluble

Hb increases the oxygen carrying capacity of the blood

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20
Q

How much Hb is present in the body?

A

Males: 15g / 100 ml
Females: 13g / 100 ml

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21
Q

What is the concentration of oxygen in the blood?

A

173 ml / L of blood

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22
Q

What is VO2 max?

A

The maximum amount of oxygen that can be taken up from the environment per unit time

23
Q

What measurement is a good measure of fitness?

A

VO2 max

ie amount of oxygen that can be carried

24
Q

How can VO2 max be increased?

25
Describe the O2-Hb dissociation curve What does this mean?
Non-linear relationship between PO2 and binding At alveoli: considerable decrease in PO2, binding not much affected At metabolically active cells: - PO2 drops right down, binding decreases and O2 offloaded
26
What happens to O2 levels in the blood during exercise?
Drops to 25 mmHg
27
Describe the Bohr effect
Increase of O2 off-loading when needed
28
Under which conditions is increased off-loading of O2 seen?
- acidity - increase in temperature - high CO2
29
What is DPG? | What is its effect on Hb binding?
An intermediate of anaerobic metabolism Di-phospho glycerate Shifts the curve to the right --> increased O2 offloading
30
Under what conditions does DPG increase?
Hypoxia Altitude Anaemia
31
Describe the ways that oxygen is transported in the blood
1/ Bound to Hb | 2/ Dissolved in the blood ( 1.5 %)
32
Describe how CO2 is transported in the blood
1/ in solution: 7% 2/ Bound to Hb: 23% 3/ As bicarbonate: 70%
33
What is the name for Hb carrying CO2?
Carbamino haemoglobin
34
Compare partial pressure of CO2 in alveoli and in blood
Aleoli: 40 mmHg Blood: 46 mmHg
35
Describe the formation of bicarbonate
CO2 + H2O --> H2CO3 carbonic acid | under carbonic anhydrase (CA)
36
What is H2CO3?
Carbonic acid
37
Where is CO2 converted to carbonic acid?
In red blood cells
38
What happens after carbonic acid is formed by carbonic anhydrase?
Ionises to form bicarbonate
39
Is the carbonic anhydrase reaction favoured in the tissues?
Yes | Because there is much CO2 present because it is being made by the respiring cells
40
Describe what happens to bicarbonate in the lungs
Reaction is reversed CO2 reforms Diffuses out into the alveoli
41
When is carbamino Hb formation favoured? Why? When is carbamino Hb formation disfavoured?
At the tissues Due to reduced Hb-oxygen affinity due to the Bohr effect Carbamino Hb formation reversed at the lungs (ie CO2 is kicked off)
42
What is the Haldane effect?
In low O2 environment, Hb has increased affinity for CO2
43
Compare grossly control of gas transport and control of respiration
Respiration: neurally controlled Gas transport: passive
44
What are the effects of hyperventilation? Why?
- increased ventilation - decreased PCO2 in arteries - increased PO2 in arteries - decreased PCO2 in veins - increased PO2 in veins - increased alkalosis - decreased respiratory drive (more fresh air Residual capacity being turned over more regularly
45
What is alkalosis?
Less carbonic acid in the blood ie blood is more basic
46
What happens to PO2 in the arteries during hyperventilation?
Increases
47
What does decreased respiratory drive mean?
Breath can be held for longer
48
What happens to PCO2 in veins during hyperventilation?
Decreases
49
What are the effects of hypoventilation?
- Increased PCO2 in arteries - Decreased PO2 in arteries - Increased PCO2 in veins - Decreased PO2 in veins - increased acidosis - increased respiratory drive
50
What is acidosis?
Increased carbonic acid in the blood ie blood is more acidic
51
What happens to PO2 in arteries during moderate exercise?
Stays the same | Coming from the lungs, which is still oxygenating it to the same degree
52
What happens to PO2 in veins during moderate exercise?
Decreases - Muscles consuming more - increased ventilation
53
Which process does PCO2 control?
Ventilation