resp 7 Flashcards

1
Q

what are the 4 things that effect Hemoglobin affinity?

A
  1. pH
  2. PCO2
  3. Temperature
  4. 2-3 BPG
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2
Q

how does pH affect hemoglobin affinity?

A

hard work makes exess CO2 which makes the cell use anaerobic metabolism. This results in increased H+ and lactic acid.

more acid (low pH) = right shift
less acid (higher pH) = left shift

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3
Q

how does pCO2 affect hemoglobin affinity?

A

-Co2 binds to hemoglobin and changes it conformation & Co2 is converted into acid (bicarbonate and H+)

more pCO2 = right shift
less pCO2 = left shift

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4
Q

how does temperature affect hemoglobin affinity?

A

muscles heat up and decrease affinity

increase in temp = right shift
decrease in temp = left shift

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5
Q

how does 2-3 BPG affect hemoglobin affinity?

A

when oxygen is low (chronic hypoxia) increases 2-3 DPG production

adding 2-3 = right shift
none = left shift

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6
Q

why is fetal hemoglobin different

A

higher affinity for oxygen because more o2 can go into baby when PCO2 is high. Since there is no direct connection between mother and baby

has 2 alpha and 2 gamma globulin untis

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7
Q

What are the 3 ways CO2 is transported?

A
  1. dissolve in plasma (7%)
  2. bound to hemoglobin (23%)
  3. Converted to bicarbonate (70%)
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8
Q

why is it important to remove CO2?

A

too much can cause acidosis
not enough causes to low pH

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9
Q

what acts as a buffer for H+ and CO2?

A

Hemoglobin does.

or else we can have acidosis

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10
Q

why is bicarbonate (HCO3-) allowed to leave Hb after it is made?

A

because Cl- goes in as an exchange using an exchanger

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11
Q

what purpose does the conversion of CO2 —> HCO3- have? (2)

A
  1. provides additional transport of CO2
  2. HCO3- is a buffer for acids. So it basically stabilizes the bodies pH
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12
Q

what turns CO2 —> HCO3-

A

Carbonic Anhydrase which follows the law of mass action (meaning it occurs until equilibrium is reached)

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