Session 7 Physical Principles of Gas Exchange Flashcards

1
Q

Room air gasses and percentages

A

Oxygen 21%

Nitrogen 79%

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2
Q

What type of energy provides the source for the diffusion process

A

Kinetic Energy

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3
Q

Movement of gas in one direction is the effect of…

A

concentration gradient

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4
Q

Rate of diffusion is dependent on _________.

A

pressure

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5
Q

total pressure commonly used

A
1 atmosphere (weight of a column of air a mile high)
760 mmHg
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6
Q

The colder the liquid the ________ gas it can absorb.

A

more

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7
Q

Henry’s Law

A

solubility of a gas in a liquid depends on temperature, the partial pressure of the gas over the liquid, the nature of the solvent, and the nature of the gas.

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8
Q

Carbon dioxide is ____________more soluble than oxygen.

A

20 times

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9
Q

Rate of net diffusion os determined by

A

difference of partial pressures (pp)

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10
Q

If pp of gas in alveoli > blood then gas moves into ________.

A

blood

oxygen

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11
Q

If pp of gas in blood > alveoli then gas moves into

A

alveoli

Carbon Dioxide

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12
Q

Partial pressure of water escaping surface into gas phase = vapor pressure. Vapor pressure is _______ when a gas mixture is fully humidified at 37degrees C

A

47 mmHg

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13
Q

With vapor pressure considered, what is the remaining total pressure of gases in the air?

A

713 mmHg

760 mmHg - 47 mmHg (vapor pressure)

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14
Q

What factors affect gas diffusion rates in fluids?

A
Pressure differences
Gas solubility in fluid
area of fluid
distance which gas must diffuse
molecular weight of gas
Temperature of fluid (constant in body)
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15
Q

D is directly proportional to

A

solubility

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16
Q

D is inversely proportional to

A

the square root of the gas’ molecular weight

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17
Q

Rate of gas movement into tissues is limited by diffusion rate of gas through _________.

A

tissue water

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18
Q

How much alveolar air is replaced per breath?

A

350 ml

19
Q

FRC is roughly how many ml?

A

2500 ml

(Each breath replaces a seventh of the FRC

20
Q

Normal Alveolar PO2 is

A

100 mmHg

21
Q

Normal Alveolar PCO2 is

A

40 mmHg

22
Q

What affects alveolar PO2?

A

rate of ventilation
oxygen pressure
exercise

23
Q

Expired air is a combination of

A

Dead space

Alveolar air

24
Q

Alveolar air is expired at _____________.

A

end exhalation

25
Q

Overall thickness of respiratory membrane?

A

0.6 micrometers

26
Q

Total surface area of respiratory membrane

A

70 square meters

27
Q

Fick’s Law

A

Diff. = (A * change pp * D)/T
A is cross sectional area of membrane
change pp = the driving pressure (partial pressure difference
D is the gas coefficient
T is the tissue thickness or length through membrane

28
Q

With regard to surface area, Emphysema causes the dissolution of many alveolar walls to coalesce alveoli into larger chambers. This can decrease surface area as much as __________. Does this increase or decrease the diffusion rate?

A

5 fold

decreases (r/t decreased surface area on which to diffuse)

29
Q

CO2 diffuses _______ than oxygen.

A

20 times faster

30
Q

Oxygen diffuses __________ as nitrogen

A

twice as fast

31
Q

Diffusion Coefficient is affected by

A

Solubility

molecular weight

32
Q

Diffusion capacity deals with

A

how easily a gas can move across a membrane in quantitative terms.

33
Q

Oxygen diffusion capacity during exercise is increased r/t several factors:

A

Recruitment of capillary fields

Better ventilation/perfusion (V/Q) match (All Zone 3)

34
Q

CO2 has ___________ concentration differences between blood and alveoli.

A
minimal
very soluble
difficult to measure CO2 diffusion capacity
Alveoli - 40 mmHg
Blood - 46 mmHg
35
Q

When ventilation = zero but perfusion is present, what is the V/Q

A

Zero

blockage in airway

36
Q

If ventilation present but no perfusion, then V/Q=

A

infinity

ex: pulmonary embolism

37
Q

If V/Q is either zero or infinity, there is _______ exchange of gases

A

no exchange of gases

38
Q

In normal deoxygenated blood, the PO2 is____ and the PCO2 is _____.

A
PO2 = 40 mmHg
PCO2 = 45 mmHg
39
Q

PP of gases in the Alveoli ___________ the PP of gases in the pulmonary vein

A

exactly match

100mmHg PaO2, 40 mmHg PaCO2

40
Q

Shunt

A

perfusion without ventilation

V/Q is below normal

41
Q

Shunt blood is/is not oxygenated?

A

is not oxygenated

42
Q

Physiologic shunt is

A

total amount of shunted blood per minute

43
Q

Physiologic dead space

A
V/Q is greater than normal
Ventilation but no perfusion
wasted ventilation
anatomical dead space
(ventilated air does not reach blood)
has to do with embolism in pulmonary circulation