resp-5 gas properties Flashcards

1
Q

what drives diffusion

A

different partial pressures

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2
Q

what is daltons law

A

total pressure is the sum of individual pressures (partial pressures)

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3
Q

what ranges is oxygen Po2

A

150-160mmHg

21%

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4
Q

ficks law of diffusion–> proportionalities

A

diffusion is proportional to area, diffusion constant, (P1-p2) and inverse to thickness

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5
Q

what is the diffusion constant

A

the amount of gas transferred between the alveoli and the blood/unit time

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6
Q

what is the diffusion constant proportional to

A

gas solubility

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7
Q

does co2 or o2 have a higher diffusion constant

A

co2

more soluble, same molecular weight

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8
Q

what entails diffusion constant

A

proportional to solubility, inversely proportional to molecular weight

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9
Q

henrys law

A

the amount of gas dissolved in a liquid is directly proportional to the partial pressure of gas in which the liquid is in equilibrium

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10
Q

what determines concentration of a gas in liquid (2 factors)

A

their solubility and their partial pressure

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11
Q

why is Po2 in air> po2 in alveoli

A

humidification of air in resp (more water, relative percentage of other molecules decreases)
loss O2 to blood diffusion (hemoglobin)
mixing inspired air with alveolar air (functional residual capacity)

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12
Q

what determines alveolar po2 and pco2

A

Po2 and PCO2 in atm
alveolar ventilation
metabolic rate (more you use, more you take)
perfusion

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13
Q

increasing alveolar ventilation does what do alveolar po2 and pco2

A

increase alveolar po2 and decrease alveolar pco2

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14
Q

increasing metabolic rate does what do alveolar po2 and pco2

A

decrease alveolar po2 and increase alveolar pco2

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15
Q

what determines arterial levels of gases

A

partial pressure of gas in alveoli

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16
Q

when does getting the first bit of o2 happen (in healthy person)

A

in the first third of the capillary system

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17
Q

what is cardiac output

A

volume of blood pumped by the heart per minute

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18
Q

does systemic or pulmonary system have higher pressure

A

systemic higher pressure

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19
Q

why is pulmonary low pressure system

A

only pumps blood to top of lung, shorter and wider vessels

20
Q

why is the pulmonary high compliance vessels

A

lots of arterioles with low restine tone
thin walls and little smooth muscle can accept large amount of blood
can dilate in increase to pressure

21
Q

when would alveolar capillaries collaps

A

if capillary pressure falls below
alveolar pressure, the capillaries close off, diverting blood to other pulmonary
capillary beds with higher pressures

22
Q

what is the ventilation/perfusion ratio (V/Q0

A

balance
between LUNG ventilation (O2 ATM→ALVEOLI / CO2
ALVEOLI→ATM) and LUNG perfusion (O2 ALVEOLI → BLOOD
/CO2 BLOOD → ALVEOLI).

23
Q

what is a major factor that the ventilation/pefusion ratio affects

A

the alveolar and arterial elvels of Po2 and Pco2

24
Q

more ventilation does what to po2 and pco2

A

more closely alveolar po2 and pco2 will approach their respective valuesof the insipired air

25
more perfusion does what to po2 and pco2
the more closely the composition of | local alveolar air will approach that of mixed-venous blood.
26
what does high V/Q ratio mean
high ventilation | low perfusion
27
what causes a high V/Q ratio
alveolar/physiologic dead space | regions where air reaching them is not taken up by blood (underperfused, like from blood clot)
28
what is ventilation
the air that reaches the alveoli
29
what is perfusion
the blood that reaches the alveoli
30
What are relative po2 and pco2 in high V/Q ratio
high po2 low pco2 | similarto air
31
what is anatomical dead space
volume of conducting airways that do not participate in gas exchange
32
what is alveolar dead space
regions of lung with high V/Q ratios. Regions that are relatively over ventilated (UNDERPERFUSED) so that a portion of the fresh air reaching these alveoli can not be taken up by the blood.
33
what could cause high V/Q ratio
blood clot, preventing perfusion
34
what could cause a low V/Q ratio
airway obstruction
35
What are relative po2 and pco2 in low V/Q ratio
low po2 high pco2, no fresh air coming in and cant remove co2
36
what is a shunt
portion of venous blood that doesnt get oxygenated and goes back to arterial blood
37
what does the local V/Q ratio determine
local alveolar Po2 and Pco2
38
where is perfusion greatest in the lungs and why
base of lungs | more weight at bottom and more air goes there
39
what does perfusion depend on
gravity and posture
40
po2 co2 relationship at top of lungs
high po2 | low pco2
41
po2 co2 relationship at bottom of lungs
low po2 | high pco2
42
does blood flow or ventilation increase more as you go lower in the lungs
blood flow increases more dramatically
43
how does V/Q change in top and bottom of lungs
top of lungs has high V/Q | bottom of lungs has low V/Q
44
what is pulmonary hypoxic vasoconstriction
low O2 to capillary, vasoconstrict to increase flow to an alveoli that works
45
what happens when theres decreased blood flow to a region of the lungs
bronchoconstriction (less co2 carried to the alveoli) so there is decreased air flow and it is rediverted to a better area
46
where is circuclation is there the most similar amount of pco2 and po2
venous
47
what determines alveolar po2 (3)
PO2 of atmospheric air the rate of alveolar ventilation the rate of total-body oxygen consumption