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Questions and Answers
What is the end product of aerobic metabolism?
What is the end product of aerobic metabolism?
38 ATP + CO2 + H2O
What is the byproduct of anaerobic metabolism?
What is the byproduct of anaerobic metabolism?
2 lactic acid + 2 ATP
What is the purpose of transmembrane diffusion in oxygen delivery?
What is the purpose of transmembrane diffusion in oxygen delivery?
To facilitate the exchange of oxygen into the bloodstream
What is the pressure gradient in Zone 1 of pulmonary blood flow?
What is the pressure gradient in Zone 1 of pulmonary blood flow?
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What is the relevant pressure gradient in Zone 2 of pulmonary blood flow?
What is the relevant pressure gradient in Zone 2 of pulmonary blood flow?
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What is the main difference between systemic and pulmonary circulation?
What is the main difference between systemic and pulmonary circulation?
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What is the relevant pressure gradient in Zone 3 of pulmonary blood flow?
What is the relevant pressure gradient in Zone 3 of pulmonary blood flow?
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What is the role of alveoli in the process of gas exchange?
What is the role of alveoli in the process of gas exchange?
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What is the role of 2,3 DPG in the oxyhaemoglobin dissociation curve?
What is the role of 2,3 DPG in the oxyhaemoglobin dissociation curve?
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What is the significance of the oxyhaemoglobin dissociation curve in understanding oxygen delivery?
What is the significance of the oxyhaemoglobin dissociation curve in understanding oxygen delivery?
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What is the difference between SaO2 and PaO2?
What is the difference between SaO2 and PaO2?
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What is the purpose of the zones of pulmonary blood flow?
What is the purpose of the zones of pulmonary blood flow?
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What is VQ mismatch, and what are its two components?
What is VQ mismatch, and what are its two components?
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What is the normal range of hemoglobin (Hb) in adults?
What is the normal range of hemoglobin (Hb) in adults?
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What is the significance of V/Q mismatch in understanding respiratory physiology?
What is the significance of V/Q mismatch in understanding respiratory physiology?
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What is the effect of increasing FiO2 on oxygen delivery?
What is the effect of increasing FiO2 on oxygen delivery?
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What is the significance of shunt and dead space in understanding V/Q mismatch?
What is the significance of shunt and dead space in understanding V/Q mismatch?
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What is the relationship between ejection fraction and cardiac output?
What is the relationship between ejection fraction and cardiac output?
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What is the role of hemoglobin in oxygen delivery?
What is the role of hemoglobin in oxygen delivery?
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What is the significance of the oxyhaemoglobin dissociation curve?
What is the significance of the oxyhaemoglobin dissociation curve?
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What is the primary function of alveoli in the process of gas exchange, and how do they relate to lung capillaries?
What is the primary function of alveoli in the process of gas exchange, and how do they relate to lung capillaries?
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What is the oxyhaemoglobin dissociation curve, and what is its significance in understanding oxygen delivery?
What is the oxyhaemoglobin dissociation curve, and what is its significance in understanding oxygen delivery?
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What is V/Q mismatch, and what are its two components?
What is V/Q mismatch, and what are its two components?
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What are the variables of oxygen delivery (DO2), and what is their significance?
What are the variables of oxygen delivery (DO2), and what is their significance?
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What is the difference between SaO2 and PaO2, and what are their clinical implications?
What is the difference between SaO2 and PaO2, and what are their clinical implications?
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What is the effect of increasing FiO2 on oxygen delivery, and when is it clinically indicated?
What is the effect of increasing FiO2 on oxygen delivery, and when is it clinically indicated?
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How does 2,3 DPG regulate the affinity between Hb and O2?
How does 2,3 DPG regulate the affinity between Hb and O2?
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What is the relationship between the concentration of O2 in the tissues and the affinity of Hb for O2?
What is the relationship between the concentration of O2 in the tissues and the affinity of Hb for O2?
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What is the purpose of the zones of pulmonary blood flow?
What is the purpose of the zones of pulmonary blood flow?
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What is the significance of VQ mismatch in understanding respiratory physiology?
What is the significance of VQ mismatch in understanding respiratory physiology?
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How does the oxyhaemoglobin dissociation curve relate to oxygen delivery?
How does the oxyhaemoglobin dissociation curve relate to oxygen delivery?
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composition of the air we breath
composition of the air we breath
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where is aerobic metabolism takes place
where is aerobic metabolism takes place
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where is anaerobic metabolism takes place
where is anaerobic metabolism takes place
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what happened when Oxyhemoglobin Dissociation
Curve shift to left
what happened when Oxyhemoglobin Dissociation Curve shift to left
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what happened when Oxyhaemoglobin Dissociation Curve Shift to the Right
what happened when Oxyhaemoglobin Dissociation Curve Shift to the Right
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what are oxygen delivery variables
what are oxygen delivery variables
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whats the variable to sao2
whats the variable to sao2
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whats the variable for pao2
whats the variable for pao2
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Normal Respiratory Mechanic
Normal Respiratory Mechanic
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Study Notes
Respiratory Physiology
- Systemic vs pulmonary circulation: two distinct circulatory systems in the body
- Pulmonary circulation: deoxygenated blood from the body enters the lungs, where oxygen is absorbed and carbon dioxide is removed
- Systemic circulation: oxygenated blood from the lungs is pumped to the rest of the body
Lung Capillaries
- Alveoli and lung capillaries are closely linked for oxygen and carbon dioxide exchange
- Oxygen diffuses from the alveoli into the blood, and carbon dioxide diffuses from the blood into the alveoli
Oxygen Delivery
- Variables affecting oxygen delivery: cardiac output (CO), arterial oxygen saturation (SaO2), hemoglobin (Hb), and partial pressure of oxygen (PaO2)
- Oxygen delivery formula: DO2 = CO x (SaO2 x Hb x 1.34) + 0.003(PaO2) x 10
Steps of Oxygen Delivery
- Oxygen available to breathe
- Airway: oxygen enters the lungs
- Transmembrane diffusion: oxygen diffuses from the alveoli into the blood
- Vascular: oxygen binds to hemoglobin in red blood cells
- Cardiac output: blood carrying oxygen is pumped to the tissues
- Tissue uptake: oxygen is released from hemoglobin and used by the tissues
Hypoxia vs Hypoxaemia
- Hypoxia: lack of oxygen in the tissues
- Hypoxaemia: lack of oxygen in the blood
Cellular Respiration
- Aerobic metabolism: glucose + oxygen = ATP + CO2 + H2O
- Anaerobic metabolism: glucose = lactic acid + ATP
The Lactate Dilemma
- Lactate is produced in anaerobic metabolism, but also in aerobic metabolism as a fuel
- Lactate is a marker of physiological stress and is released in response to adrenergic stimulation
- High lactate levels are associated with increased mortality, but it is not the cause of the problem
Zones of Pulmonary Blood Flow
- Zone 1: alveolar pressure > arterial and venous pressures, no blood flow
- Zone 2: moderate blood flow, arterial pressure > alveolar pressure
- Zone 3: greatest blood flow, arterial pressure > venous pressure
VQ Mismatch - Shunt and Dead Space
- Shunt: perfusion of blood to areas with low ventilation
- Dead space: ventilation of areas with low perfusion
Oxyhaemoglobin Dissociation Curve
- Oxygen binds to hemoglobin in the lungs, but needs to unbind in the tissues
- 2,3 DPG (diphosphoglycerate) helps regulate the affinity between hemoglobin and oxygen
- The difference in oxygen concentration between the blood and tissues promotes unloading of oxygen from hemoglobin
Respiratory Physiology
- Systemic vs pulmonary circulation: two distinct circulatory systems in the body
- Pulmonary circulation: deoxygenated blood from the body enters the lungs, where oxygen is absorbed and carbon dioxide is removed
- Systemic circulation: oxygenated blood from the lungs is pumped to the rest of the body
Lung Capillaries
- Alveoli and lung capillaries are closely linked for oxygen and carbon dioxide exchange
- Oxygen diffuses from the alveoli into the blood, and carbon dioxide diffuses from the blood into the alveoli
Oxygen Delivery
- Variables affecting oxygen delivery: cardiac output (CO), arterial oxygen saturation (SaO2), hemoglobin (Hb), and partial pressure of oxygen (PaO2)
- Oxygen delivery formula: DO2 = CO x (SaO2 x Hb x 1.34) + 0.003(PaO2) x 10
Steps of Oxygen Delivery
- Oxygen available to breathe
- Airway: oxygen enters the lungs
- Transmembrane diffusion: oxygen diffuses from the alveoli into the blood
- Vascular: oxygen binds to hemoglobin in red blood cells
- Cardiac output: blood carrying oxygen is pumped to the tissues
- Tissue uptake: oxygen is released from hemoglobin and used by the tissues
Hypoxia vs Hypoxaemia
- Hypoxia: lack of oxygen in the tissues
- Hypoxaemia: lack of oxygen in the blood
Cellular Respiration
- Aerobic metabolism: glucose + oxygen = ATP + CO2 + H2O
- Anaerobic metabolism: glucose = lactic acid + ATP
The Lactate Dilemma
- Lactate is produced in anaerobic metabolism, but also in aerobic metabolism as a fuel
- Lactate is a marker of physiological stress and is released in response to adrenergic stimulation
- High lactate levels are associated with increased mortality, but it is not the cause of the problem
Zones of Pulmonary Blood Flow
- Zone 1: alveolar pressure > arterial and venous pressures, no blood flow
- Zone 2: moderate blood flow, arterial pressure > alveolar pressure
- Zone 3: greatest blood flow, arterial pressure > venous pressure
VQ Mismatch - Shunt and Dead Space
- Shunt: perfusion of blood to areas with low ventilation
- Dead space: ventilation of areas with low perfusion
Oxyhaemoglobin Dissociation Curve
- Oxygen binds to hemoglobin in the lungs, but needs to unbind in the tissues
- 2,3 DPG (diphosphoglycerate) helps regulate the affinity between hemoglobin and oxygen
- The difference in oxygen concentration between the blood and tissues promotes unloading of oxygen from hemoglobin
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Description
This quiz covers the foundational concepts of critical care in respiratory physiology, including systemic vs pulmonary circulation, alveoli and lung capillaries, oxygen delivery, and oxyhaemoglobin dissociation curve.