Gas Exchange Principles

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Questions and Answers

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

  • The interaction of each gas with other gases present.
  • The percentage of the gas in the mixture. (correct)
  • The solubility of the gas in the mixture.
  • The temperature of the gas mixture.

Henry's Law suggests that the amount of gas that dissolves in a liquid is solely determined by the pressure of the gas.

False (B)

Which of the following gases has the highest solubility coefficient?

  • Helium
  • Oxygen
  • Carbon Dioxide (correct)
  • Nitrogen

What is the relationship between gas concentration, pressure, and solubility according to the provided materials?

<p>Concentration of dissolved gas = Pressure x Solubility</p> Signup and view all the answers

According to the provided diffusion equation, the diffusion rate is ______ proportional to the square root of the molecular weight of the gas.

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

Which of the following factors does NOT directly influence the diffusion of gases through fluids?

<p>Catalytic activity of carbonic anhydrase (C)</p> Signup and view all the answers

Increased membrane thickness decreases the rate of gas diffusion across it.

<p>True (A)</p> Signup and view all the answers

Match the gas with its approximate partial pressure in alveoli:

<p>Oxygen = 104 mm Hg Carbon Dioxide = 40 mm Hg Water Vapor = 47 mm Hg Nitrogen = 569 mm Hg</p> Signup and view all the answers

What is the primary difference between PIOâ‚‚ and PAOâ‚‚?

<p>PAOâ‚‚ accounts for carbon dioxide concentration in the alveoli, while PIOâ‚‚ does not. (C)</p> Signup and view all the answers

Provide the formula to calculate PAOâ‚‚ as shown in the materials.

<p>PAOâ‚‚ = PIOâ‚‚ - (PACOâ‚‚/R)</p> Signup and view all the answers

A high V/Q ratio indicates a ventilation-perfusion ______ where ventilation exceeds perfusion.

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

Which scenario would most likely result in a low V/Q ratio in a region of the lung?

<p>Bronchoconstriction due to asthma. (A)</p> Signup and view all the answers

Which of the following describes the oxygen content in venous blood?

<p>Lower total, dissolved, and high Hb-bound oxygen compared to arterial blood (A)</p> Signup and view all the answers

P50 represents the partial pressure of oxygen at which the lung capillaries are 50% saturated.

<p>False (B)</p> Signup and view all the answers

Which condition results in a rightward shift of the oxygen-hemoglobin dissociation curve?

<p>Increased 2,3-diphosphoglycerate (DPG) (C)</p> Signup and view all the answers

According to the Bohr effect, what is the relationship between pH and P50?

<p>decrease pH, inc. P50</p> Signup and view all the answers

Approximately ______% of carbon dioxide is transported in the blood as bicarbonate ion in plasma.

<p>70</p> Signup and view all the answers

Match the form of carbon dioxide transport with its approximate percentage in the blood:

<p>Dissolved in plasma = 7-10% Chemically bound to hemoglobin = 20% Bicarbonate ion in plasma = 70%</p> Signup and view all the answers

In red blood cells, what enzyme catalyzes the conversion of carbon dioxide and water to carbonic acid?

<p>Carbonic anhydrase (C)</p> Signup and view all the answers

According to figures, a lower oxygen concentration increases the amount of carbon dioxide that can be carried in the blood.

<p>True (A)</p> Signup and view all the answers

Flashcards

Dalton's Law

The total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture.

Henry's Law

When a mixture of gases is in contact with a liquid, each gas will dissolve in the liquid in proportion to its partial pressure.

Gas Flow equation across a membrane

Gas Flow is proportional to Area x Diffusion Constant x Pressure, divided by Membrane Thickness

PIOâ‚‚

Inspired O₂ Conc. (%) x (barometric pressure – H₂O vapour pressure)

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PAOâ‚‚

PIOâ‚‚ - (PACOâ‚‚/R), where R is the respiratory quotient

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P50

The POâ‚‚ at which hemoglobin is 50% saturated.

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COâ‚‚ Transport Forms

Carbon dioxide is transported in dissolved form, bound to hemoglobin, and as bicarbonate ions.

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Haldane Effect

A decrease in PO2 and hemoglobin saturation increases carbon dioxide carrying capacity. This occurs by increasing the amount of CO2 that binds to hemoglobin

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Study Notes

Objectives

  • Knowledge is required regarding Dalton's and Henry's Laws.
  • Knowledge is required regarding factors affecting gas diffusion via fluids/membranes.
  • Understand gas partial pressures in atmospheric, alveolar, arterial, and venous blood.
  • Being able to explain VA-Q mismatch changes with exercise is required.
  • Predicted changes in the O2-Hb diffusion curve based on provided changes to gas, pH, or temperature.
  • Being able to predict blood pH changes based on respiratory rate changes is necessary.

Properties of Gases: Dalton's Law

  • Total pressure from a gas mixture equals the sum of each gas's individual pressures.
  • A gas' partial pressure directly relates to its percentage in the mixture.

Properties of Gases: Henry's Law

  • In gas mixtures contacting a liquid, each gas dissolves proportional to its partial pressure.
  • Dissolving gas amount also depends on solubility.
  • The concentration of dissolved gas calculation is pressure multiplied by solubility.

Gas Solubility Coefficients

  • Oxygen's coefficient is 0.024.
  • Carbon Dioxide's coefficient is 0.57.
  • Carbon Monoxide's coefficient is 0.018.
  • Nitrogen's coefficient is 0.012.
  • Helium's coefficient is 0.008.

Diffusion of Gases Through Fluids

  • Diffusion rate (D) is determined from the formula: D = (ΔP x A x S) / (d x √MW)
  • ΔP is the pressure difference.
  • A is the area.
  • S is gas solubility.
  • d is the diffusion distance.
  • MW is molecular weight.

Diffusion of Gases Through a Membrane

  • Gas Flow is proportional to (Area x Diffusion Constant x Pressure) / Membrane Thickness.
  • Diffusion constant equals solubility divided by molecular weight.
  • Mean diffusing capacity equals 21ml/min/mmHg.
  • Diseases potentially increase membrane thickness and/or decrease surface area.

PIOâ‚‚ vs PAOâ‚‚

  • PIO2 is the inspired Oâ‚‚ concentration (%) x (barometric pressure – Hâ‚‚O vapor pressure)
  • PAO2 = PIO2 - (PACO2/R), where R is the respiratory quotient

Ventilation-Perfusion Ratio (V/Q)

  • Not all alveoli are equally perfused.
  • The combination of pressure and disease affect alveolar prefusion.

Oxygen in the Blood

  • In arterial states (PO2 = 100mmHg): dissolved oxygen is at 0.3 Vol%, bound oxygen is 19.5 Vol%, and a total of 19.8 Vol%.
  • In venous states (PO2 = 40mmHg): dissolved oxygen is at 0.1 Vol%, bound oxygen is 14.4 Vol%, and a total of 14.5 Vol%.
  • Vol% is ml/100ml of blood.

Oxygen-Hemoglobin Dissociation Curve

  • P50 refers to the PO2 level where hemoglobin is 50% saturated.

Factors Affecting P50

  • Increased PCO2 leads to increased P50.
  • Decreased pH (Bohr effect) leads to increased P50.
  • Increased temperature leads to increased P50.
  • Increased 2,3-diphosphoglycerate (DPG) leads to increased P50.

Carbon Dioxide Transport

  • Carbon dioxide is transported in the blood in three forms.
  • Between 7-10% is dissolved plasma.
  • 20% is chemically bound to hemoglobin.
  • 70% is carried in RBCs as carbaminohemoglobin.
  • 70% is transported as bicarbonate.

Transport and Exchange of Carbon Dioxide

  • Carbon dioxide diffuses into RBCs and combines with water.
  • This forms carbonic acid (Hâ‚‚CO₃), which dissociates into hydrogen and bicarbonate ions.
  • Carbonic anhydrase in RBCs catalyzes carbon dioxide and water's conversion into carbonic acid,.
  • The lower the PO2 and hemoglobin saturation with oxygen, the more carbon dioxide is carried in the blood. This is known as the Haldane effect.

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