Resp 2 Flashcards

(29 cards)

1
Q

What factors influence gas exchange in the lungs?

A

Surface area, membrane thickness, pressure differences (Dalton’s Law), molecular weight, and gas solubility (Henry’s Law).

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2
Q

What does the VA/Q ratio represent?

A

The balance between alveolar ventilation (VA) and perfusion (Q) in the lungs.

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3
Q

What does Dalton’s Law state?

A

The total pressure of a gas mixture is the sum of the partial pressures of its components.

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4
Q

Why is the partial pressure of oxygen lower at high altitudes?

A

Because the atmospheric pressure is lower, reducing oxygen’s partial pressure.

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5
Q

What physiological adaptations help people at high altitude?

A

Increased 2,3-DPG and polycythemia.

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6
Q

What does Henry’s Law describe?

A

The amount of gas dissolved in a liquid is proportional to its partial pressure.

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7
Q

Why does CO₂ diffuse more efficiently than O₂?

A

Because CO₂ is 22 times more soluble in plasma.

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8
Q

What is the Bohr effect?

A

CO₂ and H⁺ reduce hemoglobin’s affinity for O₂, enhancing oxygen release in tissues.

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9
Q

How does myoglobin differ from hemoglobin?

A

Myoglobin is monomeric with higher O₂ affinity; hemoglobin is tetrameric and allosteric.

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10
Q

What is the chloride shift?

A

Bicarbonate ions are exchanged for Cl⁻ in red blood cells to maintain charge balance.

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11
Q

How is CO₂ transported in the blood?

A

7% in plasma, 23% bound to hemoglobin, 70% as bicarbonate.

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12
Q

What promotes oxygen release from hemoglobin during exercise?

A

Low pH, high temperature, and increased 2,3-DPG.

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13
Q

What causes ketoacidosis in diabetes?

A

Fat breakdown leads to ketone production, which are acidic.

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14
Q

How does the body compensate for ketoacidosis?

A

Hyperventilation to exhale CO₂ and kidneys excrete H⁺, reabsorb HCO₃⁻.

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15
Q

What causes lactic acidosis during exercise?

A

Anaerobic metabolism of glucose produces lactic acid.

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16
Q

How does the body respond to lactic acidosis?

A

Hyperventilation and renal excretion of H⁺, reabsorption of HCO₃⁻.

17
Q

What can cause metabolic alkalosis?

A

Vomiting, diarrhoea, antacid ingestion, volume depletion.

18
Q

How does the body compensate for metabolic alkalosis?

A

Hypoventilation, kidneys reabsorb H⁺ and excrete HCO₃⁻.

19
Q

How does hyperventilation cause respiratory alkalosis?

A

Excess CO₂ is lost, increasing blood pH.

20
Q

What are the body’s responses to respiratory alkalosis?

A

Hypoventilation, kidneys excrete HCO₃⁻ and reabsorb H⁺.

21
Q

How does hypoventilation cause respiratory acidosis?

A

CO₂ accumulates in blood, decreasing pH.

22
Q

How does the body compensate for respiratory acidosis?

A

Hyperventilation and renal H⁺ excretion with HCO₃⁻ reabsorption.

23
Q

What is spirometry used for?

A

Measuring lung volume and air flow.

24
Q

What are the key volumes measured in spirometry?

A

Tidal Volume (TV), Residual Volume (RV), Total Lung Capacity (TLC), Vital Capacity (VC)/FVC.

25
What is Peak Expiratory Flow (PEF)?
Maximum speed of expiration, often used by asthma patients.
26
What indicates restrictive lung disease in spirometry?
Low FVC and normal FEV₁/FVC ratio.
27
What suggests obstructive lung disease?
Significantly reduced FEV₁/FVC ratio.
28
How is reversible obstructive disease diagnosed?
Improvement in FVC after bronchodilator indicates asthma or COPD.
29
What conditions show no spirometry improvement after bronchodilator?
Pulmonary fibrosis, scoliosis.