Respiratory System (GE) II Flashcards

1
Q

Describe the respiratory membrane

A

3 layers - Very thin (0.2um)
High SA - GE by diffusion (solubility)
Affect by partial pressures and solubility of O2 and CO2

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2
Q

Define total pressure (Dalton’s law)

A

Sum of pressures of individual gases

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3
Q

Describe the correlation of partial pressures between gases and the atmosphere (O2/CO2)

A

Partial pressures of O2 is lower than that of the atmosphere

Partial pressures of CO2 is higher than that of the atmosphere

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4
Q

Which areas of the body has oxygenated blood?

Name them

A

Areas with greater O2 partial pressures

Alveolar air, Pulmonary veins, Systemic arteries

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5
Q

Which areas of the body has deoxygenated blood?

Name them

A

Areas with greater CO2 partial pressures

Systemic veins, Pulmonary arteries

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6
Q

Describe gas pressures in the air

A

Atmosphere: Po2 (160mmHg), Pco2 (0.23mmHg)

Alveolar air: Po2 (100mmHg), Pco2 (40mmHg)

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7
Q

What Factors are linked to alveolar air?

A

Gas exchange, dead space, water vapour

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8
Q

Describe gas pressures in the blood

A

Pulmonary and systemic veins: Po2 (100mmHg), Pco2 (40mmHg)
Cells: Po2 (<40mmHg), Pco2 (>46mmHg)
Pulmonary veins: Po2 (40mmHg), Pco2 (46mmHg)
Systemic veins: Depends on tissue activity

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9
Q

Describe how rapid gas exchange occurs

A

At a start point of 40, end point of 100 - Blood flows through 1/3 of capillary length completing gas exchange

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10
Q

What is the other 2/3 of the capillary for?

A

Used as a reserve in case part of the lung doesn’t work, oxygenated blood can be contributed to other areas where needed

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11
Q

Describe the efficiency of rapid gas exchange

A

Within 1/3 of capillary PPco2 decreases from 46>40 so efficiency is applied to both O2/CO2, completing both their gas exchange within 1/3 of the capillary

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12
Q

Describe the properties of gas exchange

A

Via diffusion, driven by pressure differenc, very thin respiratory membrane (0.2um), High SA, Rapid ~0.25sec, ⅓ of pulmonary caps, occurs in lungs and respiratory tissue

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13
Q

Describe the solubility of gases in terms of Henry’s Law

A
c = kP
At equilibrium (btw gas/liquid) concentration of dissolved gas (c) is prop to PP (P) and solubility (k) of gas
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14
Q

Describe the link between solubility and partial pressure in terms of O2 and CO2

A

Different types of gas have different solubility

CO2 is more soluble than O2

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15
Q

Describe the effect having the same partial pressure has on the concentration of gases

A

With same partial pressure of CO2 and O2, theres a higher concentration of CO2 in the solution than O2

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16
Q

Describe the transport of O2 in the blood

A

Solubility of O2 very low (3ml/L of blood), Not meet demand (250ml/min)

17
Q

What percentage of O2 is transported by haemoglobin?

A

98.5% (the rest is done by blood itself)

18
Q

Briefly describe haemoglobin

A

4 subunits each with globin and Has a haem group, binds to O2 reversibly, Oxyhaemoglobin/deoxyhaemoglobin

19
Q

Describe the structure of haemoglobin

A

2 alpha, 2 beta globins, 4 haem groups (Fe2+) for each O2

20
Q

Describe the difference in haemoglobin in sickle cell anaemia patients

A

b-subunit shape altered not a-subunit

21
Q

Describe the saturation of haemoglobin with O2

A

Arterial blood 98.5% saturated vs Venus blood 75% saturation reserve gained as 3 o2 bind to haem

22
Q

Describe venus blood

A

Reserve gained as 3 O2 bind to haemoglobin

23
Q

Describe the oxyhaemoglobin dissociation curve

A

% saturation inc as PO2 inc
S-shaped curve (sigmoidal), positive cooperativity (binding of one O2 inc affinity of next)
Systemic arteries - 100mmHg, 98.5% saturation
Systemic veins - 40mmHg, 75% saturation

24
Q

Describe the temperature effect on O2 saturation

A

Higher temperature - Active tissues, shifts right, more O2 unloading in tissues, more O2 delivered to tissues

25
Describe the pH effect on O2 saturation
Bohr effect - Lower pH inc O2 unloading, Active tissues > Produce more [H+], pH dec in tissues, Dec pH causes shift right in saturation curve, More O2 unloaded to tissues
26
Describe the factors affecting haemoglobin O2 affinity
Temperature inc, affinity dec CO inc, affinity dec pH dec, affinity dec (bohr effect) Pco2 inc, affinity dec (carbamino effect) 2,3-BPG (biphosphoglycerate) or 2,3-DPG (diphosphoglycerate) inc, affinity dec
27
Describe the transport of CO2 in the blood
5-6% CO2 dissolved, 5-8% bound to haem, 86-90% dissolved in blood as HCO-3 (CA - Cardonic anhydrase)