Lecture 15: Gas Exchange and Partial Pressure

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Questions and Answers

What is the definition of atmospheric pressure according to the presentation?

  • The contribution of one gas in a mixture.
  • The pressure gradient that causes gases to travel.
  • The sum of the pressures exerted by all gases in a mixture. (correct)
  • The pressure exerted by a single gas at sea level.

According to Dalton's Law, what determines the partial pressure of a gas in a mixture?

  • The contribution of that individual gas to the total pressure. (correct)
  • The atmospheric pressure at sea level.
  • The gas's molecular weight relative to other gases.
  • The pressure gradient of all gases combined.

At sea level, what is the approximate partial pressure ($PO_2$) of oxygen, given that it constitutes 20.9% of the atmospheric pressure?

  • 159 mm Hg (correct)
  • 597 mm Hg
  • 20.9 mm Hg
  • 760 mm Hg

How does altitude affect atmospheric pressure and the partial pressure of oxygen?

<p>Decreases atmospheric pressure, decreasing the partial pressure of oxygen. (D)</p> Signup and view all the answers

What condition must be met for oxygen to diffuse from the alveolar air into the blood?

<p>The partial pressure of oxygen in the water film lining the alveoli must be greater than the partial pressure in the blood. (B)</p> Signup and view all the answers

In alveolar gas exchange, what is the relationship between the partial pressure of gases and their movement across the respiratory membrane?

<p>Gases move from areas of higher partial pressure to areas of lower partial pressure. (D)</p> Signup and view all the answers

Why is it essential for oxygen to dissolve in the water film lining the alveoli?

<p>To enable oxygen to diffuse across the respiratory membrane into the tissues and blood. (B)</p> Signup and view all the answers

Which of the following is true regarding the partial pressures of oxygen ($O_2$) and carbon dioxide ($CO_2$) in the alveoli compared to the blood entering the lungs?

<p>Alveoli have higher $O_2$ and lower $CO_2$ compared to the blood. (D)</p> Signup and view all the answers

What is the primary function of the pulmonary circuit?

<p>To transport deoxygenated blood to the lungs for oxygenation and remove carbon dioxide. (B)</p> Signup and view all the answers

What factors affect the efficiency of gas exchange in the lungs?

<p>Pressure gradients, solubility of gases, membrane thickness and area. (A)</p> Signup and view all the answers

Why is carbon dioxide ($CO_2$) more soluble in water than oxygen ($O_2$)?

<p>Because $CO_2$ reacts with water to form carbonic acid, increasing its solubility. (C)</p> Signup and view all the answers

How does membrane thickness affect gas exchange?

<p>Increased thickness reduces gas exchange efficiency. (C)</p> Signup and view all the answers

What is the role of carbonic anhydrase in red blood cells (RBCs) during gas exchange?

<p>It catalyzes the conversion of carbon dioxide and water to carbonic acid. (D)</p> Signup and view all the answers

What happens to most of the carbon dioxide that enters red blood cells?

<p>It is converted to bicarbonate ions and hydrogen ions, which help buffer the blood. (C)</p> Signup and view all the answers

What is the 'chloride shift' that occurs in red blood cells, and why is it important?

<p>The movement of chloride ions into the RBC to maintain electrical neutrality as bicarbonate ions leave; essential for carbon dioxide transport. (D)</p> Signup and view all the answers

In the pulmonary capillaries, what changes occur to facilitate the unloading of $CO_2$ and the loading of $O_2$?

<p>Temperature decreases, $HCO_3^-$ enters RBCs, chloride shifts out of RBCs, and $O_2$ binds to hemoglobin. (A)</p> Signup and view all the answers

What is the sequence of blood flow through the pulmonary circuit starting from deoxygenated blood entering the heart?

<p>Right atrium → right ventricle → pulmonary trunk → pulmonary arteries → lungs → pulmonary veins → left atrium. (C)</p> Signup and view all the answers

Which of the following represents the correct order of events in the systemic circuit, starting with oxygenated blood leaving the lungs?

<p>Pulmonary veins → left atrium → left ventricle → aorta → systemic circulation → vena cavae → right atrium. (B)</p> Signup and view all the answers

Ventilation-perfusion coupling is essential for efficient gas exchange. How does local vasoconstriction in the lungs contribute to this coupling?

<p>Vasoconstriction directs blood away from poorly ventilated alveoli to well-ventilated alveoli, optimizing oxygen uptake. (D)</p> Signup and view all the answers

In a scenario where an individual is at high altitude, which compensatory mechanism would the body primarily employ to facilitate oxygen delivery to tissues?

<p>Increased alveolar ventilation and red blood cell production to enhance oxygen carrying capacity. (B)</p> Signup and view all the answers

What is the significance of the water film on the surface of the alveolar epithelium in the context of gas exchange?

<p>It dissolves both oxygen and carbon dioxide, facilitating their diffusion across the alveolar membrane. (B)</p> Signup and view all the answers

In the context of alveolar gas exchange, what is the role of the relatively low concentration of protein within the interstitial fluid that surrounds the alveoli?

<p>It reduces osmotic pressure, minimizing fluid accumulation in the alveolar space that could impede gas exchange. (C)</p> Signup and view all the answers

How does the process of oxygen unloading at the systemic capillaries facilitate the return of carbon dioxide to the lungs?

<p>Oxygen unloading causes the hemoglobin molecule to have a higher affinity for carbon dioxide. (D)</p> Signup and view all the answers

Upon reaching the alveoli, how is the process of oxygen uptake influenced by the affinity of hemoglobin and the surrounding conditions?

<p>Oxygen uptake is enhanced due to increased pH and lower temperature which increase hemoglobin's oxygen affinity. (D)</p> Signup and view all the answers

Which specific characteristic of the alveolar type I cells directly facilitates efficient gas exchange?

<p>Their squamous shape minimizes the diffusion distance for gases. (A)</p> Signup and view all the answers

Consider a scenario where a patient exhibits impaired diffusion due to alveolar thickening from pulmonary fibrosis. Which of the following compensatory mechanisms is most likely to initially improve gas exchange efficiency?

<p>Increasing red blood cell count via erythropoiesis. (B)</p> Signup and view all the answers

If a patient is diagnosed with a pulmonary embolism that blocks blood flow to a segment of the lung, how would the local alveolar environment respond to maintain efficient ventilation-perfusion matching?

<p>Local vasoconstriction in affected areas to divert blood flow towards better-perfused areas of the lung. (D)</p> Signup and view all the answers

In the context of extreme physical exertion, indicate the most immediate physiological response that optimizes oxygen supply to skeletal muscles.

<p>Localized vasodilation in muscle tissues coupled with increased respiratory rate. (B)</p> Signup and view all the answers

Considering pulmonary hypertension's effects on pulmonary capillary dynamics, which of the following adaptations would likely occur to maintain gas exchange in affected individuals?

<p>An increase in the number of open capillaries to recruit more surface area for gas exchange. (C)</p> Signup and view all the answers

If an individual with chronic bronchitis develops hypoxemia, which of the following is the most likely underlying cause?

<p>Ventilation-perfusion mismatch due to airway obstruction and altered blood flow to alveolar zones. (D)</p> Signup and view all the answers

Given a patient with a significantly decreased level of carbonic anhydrase, which of the following blood gas parameters would you expect to see altered most significantly?

<p>Arterial $p\text{CO}_2$ increases significantly, and arterial pH decreases. (A)</p> Signup and view all the answers

How might the presence of significant scar tissue or fibrosis within the lungs primarily compromise gas exchange efficiency?

<p>By thickening the alveolar-capillary membrane, limiting the diffusion of gases. (B)</p> Signup and view all the answers

A mountain climber ascends rapidly to a very high altitude. How would this sudden change in altitude likely affect the climber's alveolar and arterial oxygen levels immediately?

<p>Alveolar and arterial oxygen levels both decrease due to the lower atmospheric pressure. (C)</p> Signup and view all the answers

Under conditions of hypothermia, how is the oxygen-hemoglobin dissociation curve affected, and what is the result on oxygen delivery?

<p>The curve shifts to the left, increasing the affinity of hemoglobin for oxygen, reducing release to tissues. (A)</p> Signup and view all the answers

If a doctor injects a medication that causes bronchodilation, it is likely that?

<p>The treatment will improve the gas exchange due to increased alveolar size (C)</p> Signup and view all the answers

A person has lost a significant amount of blood. How would this impact gas exchange?

<p>Gas exchange would decrease due to reduced number of red blood cells (B)</p> Signup and view all the answers

The rate of diffusion of a gas across a permeable membrane is NOT affected by

<p>the temperature of the gas (B)</p> Signup and view all the answers

Flashcards

Atmospheric Pressure

The sum of the pressures exerted by each gas in a gaseous mixture.

Partial Pressure

The pressure exerted by a single gas in a mixture of gases.

Gas Pressure Gradient

Gases move from areas of high concentration to low concentration.

Alveolar Gas Exchange

The exchange of oxygen and carbon dioxide between the air in the alveoli and the blood in the capillaries.

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Water Film on Alveoli

Before oxygen can enter the blood, it must first dissolve into this film.

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Partial pressure & diffusion

The pressure exerted by a gas must be greater in water, to diffuse into it.

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Anastomosis

The process where pulmonary veins connect with bronchial veins which causes blood leaving alveoli not to be 100% saturated.

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High O2 in lungs

Inspired/Alveolar air has a high concentration of this.

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Solubility of Gases in Alveoli

CO2 is more soluble than O2

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Pulmonary Circulation

The transfer of deoxygenated blood from the heart to the lungs for oxygenation, and the return of oxygenated blood back to the heart.

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Pulmonary Artery

Blood vessel leading to the lungs.

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Pulmonary vein

Vessel returning oxygenated blood to the left atrium.

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Right atrium

The chamber first to receive deoxygenated blood from the body.

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The creation of Bicarbonate

CO2 enters RBCs, carbonic anhydrase catalyzes formation of carbonic acid. Carbonic acid dissociates into hydrogen ions and bicarbonate.

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Study Notes

  • Gas exchange and pulmonary circulation are key components of the respiratory system.

Partial Pressure

  • The atmospheric pressure refers to the sum of the pressure of all the gases in a mixture.
  • Dalton's Law states that partial pressure is the pressure contributed by a single gas.
  • At sea level, atmospheric pressure is 760 mm Hg.
  • Oxygen constitutes 20.9% of atmospheric pressure, with a partial pressure of 159 mm Hg.
  • Gases travel down a pressure gradient.
  • Atmospheric pressure is affected by altitude, decreasing as altitude increases
  • Altitude impacts the pressure gradients in the body.

Alveolar Gas Exchange

  • A water film lines the lumen of the epithelium found on the surface of the alveoli.
  • Oxygen must be dissolved to enter tissues and blood.
  • Oxygen moves from alveolar air across the water film, through the respiratory membrane, and into the blood.
  • Partial pressure must be greater in water than in the gases for diffusion to occur.

Efficiency of Gas Exchange

  • Gas Exchange depends on:
    • Pressure gradients.
    • Gas solubility, which is higher in carbon dioxide than in oxygen.
    • Membrane thickness.
    • Membrane area.
  • An example of an issue with the membrane area is emphysema.
  • Efficiency is dependent on ventilation-perfusion coupling to ensure blood flow matches oxygen supply.
  • Low oxygen levels cause vasoconstriction, and high oxygen levels allow vasodilation.

Gas Exchange

  • The alveoli consist of thin, simple squamous cells.
  • Blood vessels surround the alveoli.

Inspiration

  • There is high oxygen and low carbon dioxide in the alveoli.
  • Conversely, blood returning to the lungs has low oxygen and high carbon dioxide.
  • Oxygen diffuses from air through water, then through the epithelium into the blood.
  • Oxygen enters red blood cells and binds to hemoglobin for transport to other body tissues.
  • Once blood reaches tissues, oxygen concentration is high.
  • Many tissues aerobically metabolize using oxygen, producing carbon dioxide and water.
  • Blood has high oxygen levels, while tissues have low oxygen levels.
  • Similarly, blood has low carbon dioxide levels, while tissues have high carbon dioxide levels.
  • Oxygen unbinds from hemoglobin and diffuses into tissue cells.
  • Carbon dioxide enters red blood cells and binds to hemoglobin.
  • In red blood cells, carbon dioxide and water form carbonic acid, which dissociates into hydrogen ions and bicarbonate.
  • Carbonic anhydrase is key to this enzymatic reaction.
  • Bicarbonate leaves the red blood cells by acting as chloride.

Oxygen Release

  • Once back in the lungs, the blood is colder.
  • The alveoli have high oxygen, while the blood has low oxygen.
  • In contrast, alveoli have low carbon dioxide, while blood has high carbon dioxide.
  • Bicarbonate re-enters red blood cells, while chloride leaves.
  • The equation reverses to reform carbon dioxide and water.
  • Carbon dioxide leaves red blood cells, diffuses out of blood, and is exhaled.
  • Oxygen diffuses from alveoli into the blood approximately 3 times per minute.

Pulmonary Circulation

  • Deoxygenated blood enters the heart through the right atrium via the superior vena cava, inferior vena cava, and coronary sinus.
  • The atria contract, moving blood to the right ventricle.
  • The ventricles contract, moving blood up the pulmonary trunk, then through the pulmonary arteries to the lungs.
  • From the lungs, blood moves via pulmonary veins to the left atrium.
  • The left atrium contracts, moving blood to the left ventricle and then the aorta.
  • The aorta facilitates systemic and coronary circulation.

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