Phys: Diffusion And Transport Of Gas Flashcards

1
Q

How does gas exchange in the lung occur?

A

By simple diffusion

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2
Q

What does diffusion of gas depend on? (3 things)

A

-pressure gradient of the gas
-surface area
-thickness

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3
Q

What is partial pressure?

A

The pressure exerted by each individual gas in a mixture

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4
Q

A gas will dissolve in _______ in proportion to its ______________

A

Fluid, partial pressure

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5
Q

Which partial pressures drive the diffusion across the respiratory membrane?

A

PO2 and PCO2

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6
Q

A _______ PO2 gradient exits across the respiratory membrane. What does this cause?

A

large, oxygen to diffuses rapidly from alveoli into pulmonary capillary blood

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7
Q

PCO2 gradient diffuses in the opposite direction under a ________ pressure gradient. What does this cause?

A

Smaller, equal amounts of O2 and CO2 are exchanged

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8
Q

What is the PO2 in the alveoli? Pulmonary arteries?

A

Alveoli - 104mmHg
Pulmonary arteries - 40mmHg

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9
Q

What is the PCO2 in the alveoli? Pulmonary arteries?

A

Alveoli - 45mmHg
Pulmonary arteries - 40mmHg

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10
Q

Which law determines gas transferred/unit time?

A

Fick’s law

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11
Q

What happens when the surface area is decreased?

A

Decreases in gas exchange

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12
Q

What diseases can decrease surface area?

A

Degenerative lung diseases and pulmonary embolism

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13
Q

What happens if the thickness of the membrane increases?

A

Gas exchange takes longer

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14
Q

What does the amount of oxygen delivery depend on?

A

-function of circulatory and respiratory systems
-blood flow to tissues
-oxygen content of blood
-oxygen consumption by the tissues

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15
Q

What happnes to oxygen carrying capacity in anemia?

A

Oxygen carrying capacity decreases

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16
Q

What is oxygen carrying capacity?

A

The maximum amount of oxygen that can bind to the hemoglobin

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17
Q

What is the normal oxygen carrying capacity?

A

20 mL O2/dL of blood

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18
Q

What is oxygen content?

A

The sum of oxygen bound to hemoglobin and oxygen in free form (dissolved form) in each 100 mL of blood

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19
Q

What is hemoglobin saturation?

A

Percentage of hemoglobin present as oxyhemoglobin

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20
Q

What are the two forms that oxygen can be transported in the blood?

A

-dissolved in plasma (1.5-2%)
-bound to hemoglobin (98-98.5%)

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21
Q

What does Henry’s law say?

A

The amount of gas that dissolves in a liquid is proportional to the partial pressure of the gas in contact with the liquid

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22
Q

What is hemoglobin?

A

The oxygen carrying protein within the red blood cells

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23
Q

How many molecules of hemoglobin are in each cell?

A

250 million molecules

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24
Q

Hb [ ] in males

A

14-18 g/dl

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25
Hb [ ] in females
12-16 g/dl
26
What is the Main function of Hb?
Transport of oxygen and carbon dioxide
27
What is Hb composed of?
A heme portion and a globin portion
28
What is located in the heme part of Hb?
4 heme groups that contain iron where O2 can bind
29
What is in the globin portion of Hb?
4 polypeptide chains in two pairs
30
What are the 2 polypeptide chains in HbA?
2 alpha and 2 beta chains
31
What are the two polypeptide chains in HbA2?
2 alpha and two delta chains (Maybe not delta idfk Greek letters)
32
What are the two polypeptide chains in HbF?
2 alpha and 2 gamma chains
33
Which Hb has a greater affinity for O2?
HbF
34
How many oxygen molecules can each Hb molecule bind?
4
35
What happens to the affinity of Hb to O2 as it binds more O2?
Affinity increases with each molecule of O2 that binds
36
What happens if iron on Hb is in the oxidized state?
It is unable to bind O2 and is called methemoglobin
37
What is oxygen saturation?
The percentage of Hb that is present as oxyhemoglobin
38
When Hb is fully saturated, how many mL of O2 can each gram of Hb bind?
1.34 mL
39
What is the shape of the oxygen-hemoglobin dissociation curve normally?
Sigmoid shaped
40
What happens if the curve shifts towards the right side?
There is a decrease in affinity and oxygen is released
41
What happens when the curve is shifted towards the left?
There is increases affinity of Hb for oxygen and more loading of oxygen
42
What factors cause a right shift and O2 offloading?
-increased temp -increased hydrogen -increased CO2 -high 2,3 DPG
43
What factors cause a left shift and more loading of oxygen?
-decreased temperature -decreased hydrogen -decreased CO2 -low 2,3 DPG
44
What happens to the curve when you reduce pH?
The curve shifts to the right, decreased affinity and more offloading
45
What happens to the curve when you increase 2,3 DPG?
The curve shifts tot the right and increases O2 offloading
46
What type of binding occurs in hemoglobin-oxygen bond?
Cooperative binding
47
What happens in carbon monoxide poisoning?
CO binds Hb 200x stronger than O2, so CO poisoning significantly reduces the ability of Hb to carry O2
48
Which direction does CO poisoning shift the curve?
Towards the left because it stabilizes the relaxed state of Hb
49
Which direction does HbF shift the curve?
Towards the left, since there is higher affinity for O2 in HbF than HbA
50
What causes the poor binding of 2,3 BPG in HbF?
2,3-BPG cannot bind to the gamma chains in fetal hemoglobin
51
What does the high affinity of HbF cause?
Hypoxia, which leads to increased rbc formation
52
Why is it important for HbF to have a higher affinity for oxygen?
So the fetus can get enough oxygen from the mother during pregnancy
53
What happens to Hb and O2 content in polycythemia?
Hb increases and O2 increases
54
What happens to Hb and O2 content in anemia?
Hb decreases and O2 content decreases
55
What happens to Hb and O2 content in CO poisoning?
Hb normal, and O2 content decreases
56
___% of CO2 is transported as dissolved CO2
10%
57
____% of CO2 is transported as carbamino compounds (bound to protein)
20%
58
___% of CO2 is transported as bicarbonate
70% - main form of transport
59
**know transport of CO2 in blood
60
What two factors control respiration?
-neural factors (involuntary and voluntary control) -chemical factors
61
What nerves come from the LMN in the cervical segments?
Phrenic nerve that innervates diaphragm
62
What nerves come from the LMN in the thoracic segment?
Intercostal nerves that innervate intercostal muscles
63
What is the respiratory center?
A functionally integrated collection of neurons that are located at different levels of the CNS and participate in control of respiration
64
What is the basic rhythm of respiration generator from the medullary respiratory rhythmicity center?
Dorsal respiratory group
65
What is the other group from the medullary rhythmicity center?
Ventral respiratory group
66
What inhibits inspiration and regulates volume and rate of respiration?
Pneumotaxic center
67
What happens if damage to pneumotaxic center?
Irregular respiration patterns
68
Where is pneumotaxic center located?
Upper pons
69
What do chemoreceptors do?
Detective changes in partial pressure of carbon dioxide, partial pressure of oxygen, and pH in the blood or CSF and send feedback to respiratory centers to modulate the breathing pattern to maintain proper levels
70
Where are peripheral chemoreceptors located?
Carotid and aortic bodies
71
What are peripheral chemoreceptors stimulated by?
Low PO2 (hypoxia)
72
Where are the central chemoreceptors located?
The medulla
73
What stimulates the central chemoreceptors?
-high PCO2 (hypercapnia) -high [H+]
74
What is the ventilators response to decreased PO2? What does it result in?
Hyperventilation, results in decreases PCO2 and increased PO2