Test 2 Study Guide Flashcards

1
Q

The net movement of molecules from
an area of high concentration to an area of low concentration.

A

Diffusion

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2
Q

This process continues until the molecules are evenly distributed, reaching equilibrium.

A

Diffusion

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3
Q

An example of ___ ____ ____ is ventilation, in which mouth and alveolar pressure differences cause all air molecules to move together, in and out of the lungs.

A

Bulk Gas Flow

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4
Q

Creates a pressure gradient between the air outside the body at relatively
high pressure and the alveoli at relatively low pressure.

A

Bulk Gas Flow

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5
Q

The gas moves down the pressure gradient through the airways of the lungs
and into the alveoli until the pressure of the air and that in the alveoli are
equal in this process

A

Bulk Gas Flow

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6
Q

Gas moves from an area of high pressure to an area of low pressure in this process.

A

Bulk Gas Flow

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7
Q

States that the rate of gas transfer across tissue is directly proportional to the surface area of the tissue, to the diffusion constants, and to the difference in partial pressures of the gas between the two sides of the tissue.

A

Fick’s Law

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8
Q

Fick’s Law states that the rate of gas transfer across tissue is directly proportional to the ____ _____ of the tissue, to the diffusion constants, and to the difference in partial pressures of the gas between the two sides of the tissue.

A

Surface Area

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9
Q

This law summarizes the factors that determine the rate of gas diffusion
through the alveolar capillary membrane

A

Fick’s Law

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10
Q

Fick’s Law is inversely proportional to the ____ of the tissue

A

Thickness

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11
Q

Formula for Fick’s Law

A

Vgas = [A x D x (P1 – P2)] / T
A = surface area
D = diffusion coefficient (solubility)
(P1– P2) = diffusion gradient
T = membrane thickness

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12
Q

These conditions cause decreased alveolar surface area:

A

Atelectasis, alveolar fluid, emphysema,
secretions, pleural effusion

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13
Q

This causes decreased partial pressure gradient across the membrane:

A

High altitudes

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14
Q

These conditions cause increased alveolar thickness (diffusion path length):

A

Fibrosis, alveolar edema

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15
Q

What is the alveolar air equation?

A

PAO2 = PIO2 – PACO2 [FIO2 + (1 – FIO2/R)]

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16
Q

The number ____ in the alveolar air equation is a factor that adjusts for alteration in oxygen tension due to
variations in the respiratory exchange ratio.

A

1.2

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17
Q

States that the rate of diffusion of a gas through a liquid is directly
proportional to the solubility coefficient of the gas, and indirectly proportional to
the square root of the gram-molecular weight (GMW) of the gas.

A

Graham’s Law

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18
Q

Because O2 is a lighter molecule, it diffuses through a medium ____ times faster than CO2
.

A

1.17
GMW of CO2 = 44
GMW of O2 = 32

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19
Q

States that the amount of a gas that dissolves in a liquid at a given
temperature is proportional to the partial pressure of the gas.

A

Henry’s Law

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20
Q

The amount of gas that can be dissolved by 1 mL of a given liquid at 760 mm Hg
and specific temperature is known as the ____ _____ of the liquid.

A

Solubility Coefficient

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21
Q

CO2 solubility

A

0.592 = 24

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22
Q

O2 solubility

A

0.0244 = 1

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23
Q

_____ _____ means that the movement of gas across the alveolar wall is a
function of the integrity of the alveolar-capillary membrane itself.

A

Diffusion Limited

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24
Q

A strictly diffusion-limited test gas such as ____ _____ is used to measure the diffusion capacity of the lung.

A

Carbon Monoxide

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25
Carbon Monoxide (CO) is used to measure diffusion capacity due to its high affinity for _____
Hemoglobin
26
Carbon Monoxide (CO) affinity for hemoglobin is ____ times greater than O2
210 times greater
27
As clinically performed, the single-breath CO test measures the amount (in milliliters) of CO that diffuses across the alveolar-capillary membranes during a ___ second breath-holding period after first inhaling a known concentration of CO.
10 second
28
Normal ranges for the single-breath CO test
20-30 mL/min/mm Hg
29
Normal DLCO in healthy young man under resting conditions
21 mL/min/mm Hg
30
Most O2 in the blood is bound to hemoglobin inside the ______
erythrocyte
31
Hemoglobin allows whole blood (plasma plus cellular components) to carry ____ mL/dL of O2 per 100 mL of blood if PaO2 = 100 mm Hg and Hb concentration = 15 g/dL.
20
32
Hemoglobin allows whole blood to carry _____ times more than the capacity of plasma alone.
67 times more
33
Binds 4 molecules of O2
Hemoglobin Molecule (HbA)
34
Hb combined with oxygen
Oxyhemoglobin (HbO2)
35
Not bound with oxygen
Deoxyhemoglobin
36
Means that a hemoglobin molecule either is bound to four O2 molecules or is bound to none.
Cooperative binding
37
At sea level, ___% of Hb in arterial blood are oxygenated
97%
38
At sea level, 97% of Hb in arterial blood are oxygenated, and ____% are unoxygenated.
2.5%
39
Normal SaO2
97.5% at a normal PaO2
40
Normal SvO2
75% at a partial pressure of oxygen in mixed venous blood (PvO2)
41
low O2 content, yet can be 100% saturated.
Low Hb
42
normal O2 content, yet can have low saturation.
High Hb
43
Normal Hb level
12-15 g/dL
44
Normal arterial-venous content difference
At 15 g/dL and 100% saturation, hemoglobin's oxygen carrying capacity is 15 x 1.34 = 20.1 mL oxygen. * Mixed venous blood (PvO2 ) at 75% saturation carries 0.75 x 20.1 = 15.1 mL/dL. * This equates to an arterial-venous content difference ≈ 5 mL/dL
45
Normal cardiac output
5 L/min
46
Represents the partial pressure at which hemoglobin is 50 percent saturated with oxygen
P50
47
Provides a means of quantifying the hemoglobin's affinity (willingness to bond) with oxygen
P50
48
Normal P50 (Remember this!!!)
27 mm Hg under perfect conditions.
49
Formula for oxygen content
CaO2 = ([Hb] x 1.34 x SaO2) + (PaO2 x 0.003)
50
Factors affecting O2 delivery (O2 DEL) to the tissues (Remember this!!!)
- Hb concentration - Arterial Hb saturated with O2 - Cardiac output
51
The cardiopulmonary system delivers ____ mL of O2 to the tissues each minute at rest.
1000 mL
52
Blood transfusion to improve O2 delivery is needed when the Hb amount drops to this level
* Hb <7 g/dL
53
The movement of HCO3 creates an electropositive environment inside the RBC, as K+ and Na+ can’t follow HCO3 due to the RBCs membrane impermeability to positive ions. This is known as....
Hamburger Phenomenon (Chloride Shift)
54
During a Chloride Shift (Hamburger Phenomenon), all reactions involving CO2 are _____ in the lungs.
Reversed
55
CO2 is a byproduct of
oxidative (aerobic) metabolism
56
Body tissue produces = ___ mL/min of CO2 at rest each minute. (Remember this!!!)
200
57
At the tissue level, the _____ _____ occurs as hemoglobin's affinity for CO2 increases as O2 dissociates from it and moves into the tissues.
Haldane Effect
58
Haldane effect = ____ in Hb affinity for CO2
Increase
59
At the alveolar level, the ____ ____ occurs when the uptake of oxygen facilitates hemoglobin’s release of CO2
Haldane Effect
60
Haldane effect = _____ affinity in Hb for CO2
Decreased
61
At the tissue level, the _____ _____occurs when carbaminohemoglobin has a decreased affinity for oxygen as CO2 combines with Hb this enhances the release of O2 to the tissues.
Bohr Effect
62
Bohr effect = _____ in Hb affinity for oxygen.
Decreased
63
At the alveolar level, the _____ ____ occurs as Hb affinity for oxygen increases due to the offloading of CO2 into the alveoli.
Bohr Effect
64
Bohr effect = ____ in Hb affinity for oxygen.
Increase
65
CO2 reacts with water to form...
carbonic acid (H2CO3)
66
The fundamental characteristic of an acid is its release of ____ into a solution.
H+
67
Although CO2 is not technically an acid CO2 is treated as an acid in the body because of resulting ____ produced.
H+
68
Pathways for CO2 transported in the plasma (3)
* Carbamino compounds * Dissolved CO2 * Bicarbonate
69
Pathways for CO2 transported in the red blood cells
- Bicarbonate * Dissolved CO2 * Carbamino
70
CO2 is carried in the following three forms in the plasma and erythrocyte:
1. Dissolved CO2 2. HCO3 3. Protein compounds (carbamino compounds)
71
According to _____ ______, the amount of CO2 dissolving in plasma is proportional to the PCO2 to which the plasma is exposed.
Henry's Law
72
Henry's Law states that CO2 in the gaseous phase establishes _____ with CO2 in the aqueous state
Equilibrium
73
Blood pH normal range
7.35 - 7.45.
74
Blood pH becomes more _____ as the ratio decreases.
Acidic
75
Blood pH becomes more _____ as the ratio increases.
Alkaline (Basic)
76
In the plasma, the ratio of HCO3 and H2CO3 is normally maintained at...
20:1
77
90% of CO2 diffuses into the _____ rather than remaining in the plasma.
Erythrocyte
78
The reaction between CO2 and HCO3 is _____ x faster in RBC than in plasma (Remember this!!!)
13,000 X Faster
79
Cardiac Output: O2 delivery is ___ x body’s resting requirement (Remember this!!!!)
4x