week 2  Respiratory Physiology
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Questions and Answers

What is the end product of aerobic metabolism?

38 ATP + CO2 + H2O

What is the byproduct of anaerobic metabolism?

2 lactic acid + 2 ATP

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?

<p>Alveolar pressure (PA) is greater than both the arterial (Pa) and venous pressures (Pv).</p> Signup and view all the answers

What is the relevant pressure gradient in Zone 2 of pulmonary blood flow?

<p>The pressure gradient is between the arterial pressure and the alveolar pressure.</p> Signup and view all the answers

What is the main difference between systemic and pulmonary circulation?

<p>Systemic circulation involves the circulation of oxygenated blood from the heart to the rest of the body, whereas pulmonary circulation involves the circulation of deoxygenated blood from the heart to the lungs and oxygenated blood from the lungs to the heart.</p> Signup and view all the answers

What is the relevant pressure gradient in Zone 3 of pulmonary blood flow?

<p>The pressure gradient is between the arterial and venous pressures.</p> Signup and view all the answers

What is the role of alveoli in the process of gas exchange?

<p>Alveoli are the site of gas exchange between the lungs and the blood, where oxygen diffuses from the inhaled air into the blood and carbon dioxide diffuses from the blood into the exhaled air.</p> Signup and view all the answers

What is the role of 2,3 DPG in the oxyhaemoglobin dissociation curve?

<p>It helps regulate the affinity between Hb and O2, acting as a repellent.</p> Signup and view all the answers

What is the significance of the oxyhaemoglobin dissociation curve in understanding oxygen delivery?

<p>The oxyhaemoglobin dissociation curve shows the relationship between oxygen saturation and partial pressure of oxygen, and it helps to understand how oxygen is delivered to the body's tissues.</p> Signup and view all the answers

What is the difference between SaO2 and PaO2?

<p>SaO2 is the oxygen saturation of arterial blood, while PaO2 is the partial pressure of oxygen in arterial blood.</p> Signup and view all the answers

What is the purpose of the zones of pulmonary blood flow?

<p>To define the functional zones of pulmonary blood flow based on the relevant pressure gradient.</p> Signup and view all the answers

What is VQ mismatch, and what are its two components?

<p>VQ mismatch refers to the mismatch between ventilation and perfusion, and its two components are shunt and dead space.</p> Signup and view all the answers

What is the normal range of hemoglobin (Hb) in adults?

<p>The normal range of hemoglobin in adults is typically between 13.5 and 17.5 g/dL.</p> Signup and view all the answers

What is the significance of V/Q mismatch in understanding respiratory physiology?

<p>V/Q mismatch refers to the imbalance between ventilation and perfusion in the lungs, and it can lead to respiratory failure and impaired oxygen delivery.</p> Signup and view all the answers

What is the effect of increasing FiO2 on oxygen delivery?

<p>Increasing FiO2 can increase oxygen delivery to the body's tissues, but it may also have negative effects such as oxygen toxicity and absorption atelectasis.</p> Signup and view all the answers

What is the significance of shunt and dead space in understanding V/Q mismatch?

<p>Shunt refers to the flow of blood through the lungs that is not oxygenated, while dead space refers to the volume of air that is breathed in but does not participate in gas exchange.</p> Signup and view all the answers

What is the relationship between ejection fraction and cardiac output?

<p>Ejection fraction is the percentage of the ventricular volume that is ejected with each heartbeat, and it affects cardiac output.</p> Signup and view all the answers

What is the role of hemoglobin in oxygen delivery?

<p>Hemoglobin binds to oxygen in the lungs and releases it in the tissues</p> Signup and view all the answers

What is the significance of the oxyhaemoglobin dissociation curve?

<p>It shows the relationship between oxygen and hemoglobin in oxygen delivery</p> Signup and view all the answers

What is the primary function of alveoli in the process of gas exchange, and how do they relate to lung capillaries?

<p>Alveoli are responsible for facilitating gas exchange by allowing oxygen to diffuse into the bloodstream and carbon dioxide to diffuse out. They are surrounded by a network of lung capillaries, which provide a large surface area for gas exchange to occur.</p> Signup and view all the answers

What is the oxyhaemoglobin dissociation curve, and what is its significance in understanding oxygen delivery?

<p>The oxyhaemoglobin dissociation curve is a graph that illustrates the relationship between oxygen saturation (SaO2) and partial pressure of oxygen (PaO2). It is significant because it shows how oxygen binds to haemoglobin and releases it to tissues.</p> Signup and view all the answers

What is V/Q mismatch, and what are its two components?

<p>V/Q mismatch refers to the imbalance between ventilation (V) and perfusion (Q) in the lungs, leading to inefficient gas exchange. Its two components are shunt (perfusion without ventilation) and dead space (ventilation without perfusion).</p> Signup and view all the answers

What are the variables of oxygen delivery (DO2), and what is their significance?

<p>The variables of oxygen delivery are cardiac output (CO), oxygen saturation (SaO2), haemoglobin (Hb), and partial pressure of oxygen (PaO2). They are significant because they determine the amount of oxygen delivered to tissues.</p> Signup and view all the answers

What is the difference between SaO2 and PaO2, and what are their clinical implications?

<p>SaO2 is the percentage of oxygen saturation in arterial blood, while PaO2 is the partial pressure of oxygen in arterial blood. Clinically, SaO2 reflects the effectiveness of oxygenation, while PaO2 reflects the actual oxygen levels in the blood.</p> Signup and view all the answers

What is the effect of increasing FiO2 on oxygen delivery, and when is it clinically indicated?

<p>Increasing FiO2 increases the partial pressure of oxygen in the alveoli, which increases oxygen delivery to tissues. It is clinically indicated in patients with hypoxia or respiratory failure.</p> Signup and view all the answers

How does 2,3 DPG regulate the affinity between Hb and O2?

<p>2,3 DPG acts as a repellent, helping to reduce the affinity between Hb and O2, promoting the unloading of oxygen in the tissues.</p> Signup and view all the answers

What is the relationship between the concentration of O2 in the tissues and the affinity of Hb for O2?

<p>The low concentration of O2 in the tissues weakens the affinity of Hb for O2, promoting the unloading of oxygen.</p> Signup and view all the answers

What is the purpose of the zones of pulmonary blood flow?

<p>The zones of pulmonary blood flow define the functional areas of the lung based on the pressure gradients that actuate blood flow.</p> Signup and view all the answers

What is the significance of VQ mismatch in understanding respiratory physiology?

<p>VQ mismatch, which consists of shunt and dead space, is a key concept in understanding respiratory physiology, as it describes the imbalance between ventilation and perfusion in the lungs.</p> Signup and view all the answers

How does the oxyhaemoglobin dissociation curve relate to oxygen delivery?

<p>The oxyhaemoglobin dissociation curve describes the relationship between oxygen and Hb, and is critical for understanding how oxygen is delivered to the tissues.</p> Signup and view all the answers

composition of the air we breath

<p>78 % nitrogen 21% oxygen 1% co2, argon, water vapour</p> Signup and view all the answers

where is aerobic metabolism takes place

<p>mitochondria</p> Signup and view all the answers

where is anaerobic metabolism takes place

<p>cytoplasm</p> Signup and view all the answers

what happened when Oxyhemoglobin Dissociation Curve shift to left

<p>Lungs: Lower temperature High level of O2 More affinity - holds onto it Less 2,3 DPG</p> Signup and view all the answers

what happened when Oxyhaemoglobin Dissociation Curve Shift to the Right

<p>Muscles/placenta: Increased temperature (more blood flow) Higher level of CO2 (more acidic environment) High requirement of O2 (Exercise) Less affinity- needs to unload More 2,3 DPG</p> Signup and view all the answers

what are oxygen delivery variables

<p>co, Hb,pao2 and Sao2</p> Signup and view all the answers

whats the variable to sao2

<p>odc shifting fio2 diffusion across alveolar and capillary</p> Signup and view all the answers

whats the variable for pao2

<p>fio2 diffusion across alveolar and capillary</p> Signup and view all the answers

Normal Respiratory Mechanic

<p>Voluntary OR Cellular metabolism generates CO2 High levels of CO2 detected centrally Phrenic nerve innervated Diaphragm moves down intercostals gases move out mixed gas come in gas exchange occurs</p> Signup and view all the answers

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.

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