Podcast
Questions and Answers
What is the significance of the large surface area (SA) provided by the capillary network in the lungs?
What is the significance of the large surface area (SA) provided by the capillary network in the lungs?
- It decreases the blood flow to the lungs.
- It reduces the diffusion distance for gas exchange.
- It ensures efficient gas exchange between alveoli and blood. (correct)
- It increases the resistance in the pulmonary vessels.
How does gravity affect lung perfusion?
How does gravity affect lung perfusion?
- Gravity only affects ventilation, not perfusion.
- Perfusion is equal throughout the entire lung, regardless of gravity.
- Perfusion is greater at the top of the lungs due to less gravitational effect.
- Perfusion is greater at the bottom of the lungs due to increased blood flow. (correct)
What is the primary role of chemoreceptors in the respiratory control system?
What is the primary role of chemoreceptors in the respiratory control system?
- To detect changes in arterial $PCO_2$, $PO_2$, and pH. (correct)
- To increase or decrease the feedback loop.
- To control the alveolar ventilation rate.
- To regulate the rate of breathing muscles.
How do the lungs maintain low resistance in the pulmonary vessels?
How do the lungs maintain low resistance in the pulmonary vessels?
Where does lung perfusion receive blood supply from?
Where does lung perfusion receive blood supply from?
Which factor directly impacts the efficiency of gas exchange in the lungs?
Which factor directly impacts the efficiency of gas exchange in the lungs?
How do the respiratory centers respond to signals from chemoreceptors when arterial $PCO_2$ increases?
How do the respiratory centers respond to signals from chemoreceptors when arterial $PCO_2$ increases?
Which of the following is NOT a function that contributes to homeostasis and control of respiration?
Which of the following is NOT a function that contributes to homeostasis and control of respiration?
What effect would decreased blood pH have on ventilation?
What effect would decreased blood pH have on ventilation?
How would increased alveolar ventilation rate most directly affect arterial $PCO_2$?
How would increased alveolar ventilation rate most directly affect arterial $PCO_2$?
In the context of lung perfusion, what is the consequence of low blood flow to certain regions of the lung?
In the context of lung perfusion, what is the consequence of low blood flow to certain regions of the lung?
Which of the following correctly describes the relationship between ventilation and perfusion in an ideal scenario?
Which of the following correctly describes the relationship between ventilation and perfusion in an ideal scenario?
How does the position of a person (e.g., standing vs. lying down) influence the distribution of ventilation and perfusion in the lungs?
How does the position of a person (e.g., standing vs. lying down) influence the distribution of ventilation and perfusion in the lungs?
What is the primary function of the pulmonary circulation?
What is the primary function of the pulmonary circulation?
Pulmonary vessels typically have which characteristics?
Pulmonary vessels typically have which characteristics?
Which of the following conditions would likely stimulate an increase in ventilation via chemoreceptors?
Which of the following conditions would likely stimulate an increase in ventilation via chemoreceptors?
If the capillary network in the lungs were stretched out end to end, approximately how long would it be?
If the capillary network in the lungs were stretched out end to end, approximately how long would it be?
During exercise, what changes occur to ventilation and perfusion in order to meet the increased metabolic demands of the body?
During exercise, what changes occur to ventilation and perfusion in order to meet the increased metabolic demands of the body?
In a healthy individual at rest, what is the primary determinant of the baseline ventilation rate?
In a healthy individual at rest, what is the primary determinant of the baseline ventilation rate?
What is the role of respiratory muscles in the feedback loop of respiratory control?
What is the role of respiratory muscles in the feedback loop of respiratory control?
How does the thinness of the capillaries surrounding the alveoli directly benefit gas exchange in the lungs?
How does the thinness of the capillaries surrounding the alveoli directly benefit gas exchange in the lungs?
What is the functional relationship between an arteriole and a venule within a lung lobule?
What is the functional relationship between an arteriole and a venule within a lung lobule?
How does the release of Angiotensin-Converting Enzyme (ACE) by endothelial cells of alveolar capillaries contribute to systemic homeostasis?
How does the release of Angiotensin-Converting Enzyme (ACE) by endothelial cells of alveolar capillaries contribute to systemic homeostasis?
Tracing a red blood cell's path through the heart and lungs, which sequence accurately describes its journey?
Tracing a red blood cell's path through the heart and lungs, which sequence accurately describes its journey?
What is the primary mechanism by which carbon dioxide ($CO_2$) moves from the tissues into the lungs for exhalation?
What is the primary mechanism by which carbon dioxide ($CO_2$) moves from the tissues into the lungs for exhalation?
Why is carbon dioxide ($CO_2$) considered to be more easily diffused across the alveolar membrane compared to oxygen ($O_2$)?
Why is carbon dioxide ($CO_2$) considered to be more easily diffused across the alveolar membrane compared to oxygen ($O_2$)?
How does the cooperative binding of oxygen to hemoglobin enhance the efficiency of oxygen transport in the blood?
How does the cooperative binding of oxygen to hemoglobin enhance the efficiency of oxygen transport in the blood?
What role does the iron core within each heme group of hemoglobin play in oxygen transport?
What role does the iron core within each heme group of hemoglobin play in oxygen transport?
What is the approximate percentage of oxygen ($O_2$) that binds to hemoglobin (Hb) to form oxyhemoglobin ($HbO_2$)?
What is the approximate percentage of oxygen ($O_2$) that binds to hemoglobin (Hb) to form oxyhemoglobin ($HbO_2$)?
If a patient has a condition that reduces the number of functional hemoglobin molecules in their blood, how would this directly impact oxygen delivery to the tissues?
If a patient has a condition that reduces the number of functional hemoglobin molecules in their blood, how would this directly impact oxygen delivery to the tissues?
Which sequence accurately represents the flow of blood through the heart and pulmonary system?
Which sequence accurately represents the flow of blood through the heart and pulmonary system?
How does the concentration gradient facilitate the movement of carbon dioxide ($CO_2$) from cells into the bloodstream?
How does the concentration gradient facilitate the movement of carbon dioxide ($CO_2$) from cells into the bloodstream?
What would be the immediate effect on oxygen transport if a drug competitively binds to the iron core of hemoglobin?
What would be the immediate effect on oxygen transport if a drug competitively binds to the iron core of hemoglobin?
Which of the following correctly describes the relationship between plasma oxygen, % saturation of Hb, and total number of Hb binding sites?
Which of the following correctly describes the relationship between plasma oxygen, % saturation of Hb, and total number of Hb binding sites?
How might significant damage to lung tissue, reducing the surface area available for gas exchange, impact the cardiovascular system's function?
How might significant damage to lung tissue, reducing the surface area available for gas exchange, impact the cardiovascular system's function?
How does stenosis (narrowing) of the pulmonary artery influence gas exchange in the lungs?
How does stenosis (narrowing) of the pulmonary artery influence gas exchange in the lungs?
What compensatory mechanism might the body employ if the carrying capacity of hemoglobin for oxygen is significantly reduced due to chronic anemia?
What compensatory mechanism might the body employ if the carrying capacity of hemoglobin for oxygen is significantly reduced due to chronic anemia?
In a scenario where a person is hyperventilating, what is the likely effect on the oxygen saturation of hemoglobin, assuming initially normal lung function?
In a scenario where a person is hyperventilating, what is the likely effect on the oxygen saturation of hemoglobin, assuming initially normal lung function?
How would an increase in the concentration of plasma proteins affect the movement of oxygen from the alveoli into the blood?
How would an increase in the concentration of plasma proteins affect the movement of oxygen from the alveoli into the blood?
What homeostatic challenges would the body face if the endothelial cells of alveolar capillaries were unable to produce Angiotensin-Converting Enzyme (ACE)?
What homeostatic challenges would the body face if the endothelial cells of alveolar capillaries were unable to produce Angiotensin-Converting Enzyme (ACE)?
In the context of the oxygen dissociation curve, how does a decreased blood pH (increased acidity) affect hemoglobin's affinity for oxygen and the curve's position?
In the context of the oxygen dissociation curve, how does a decreased blood pH (increased acidity) affect hemoglobin's affinity for oxygen and the curve's position?
How does the sigmoidal shape of the hemoglobin-oxygen dissociation curve contribute to oxygen delivery in the body?
How does the sigmoidal shape of the hemoglobin-oxygen dissociation curve contribute to oxygen delivery in the body?
What is the likely effect of chronic hypoxia on the oxygen dissociation curve, and why?
What is the likely effect of chronic hypoxia on the oxygen dissociation curve, and why?
Under what conditions would the exchange of carbon dioxide from the tissues into the blood be maximized, according to the principles governing the oxygen dissociation curve?
Under what conditions would the exchange of carbon dioxide from the tissues into the blood be maximized, according to the principles governing the oxygen dissociation curve?
How does the body maintain steady-state alveolar ventilation in relation to partial pressure of carbon dioxide ($PCO_2$)?
How does the body maintain steady-state alveolar ventilation in relation to partial pressure of carbon dioxide ($PCO_2$)?
What is the primary implication of a ventilation/perfusion (V/Q) ratio approaching infinity (∞) in a region of the lung?
What is the primary implication of a ventilation/perfusion (V/Q) ratio approaching infinity (∞) in a region of the lung?
What does a ventilation/perfusion (V/Q) ratio of zero indicate about the conditions in a specific region of the lung?
What does a ventilation/perfusion (V/Q) ratio of zero indicate about the conditions in a specific region of the lung?
How do small fluctuations in the partial pressure of oxygen ($PO_2$) in the lungs affect the oxygen concentration in the blood, and what characteristic of hemoglobin binding contributes to this?
How do small fluctuations in the partial pressure of oxygen ($PO_2$) in the lungs affect the oxygen concentration in the blood, and what characteristic of hemoglobin binding contributes to this?
If a person's respiratory quotient (RQ) is consistently around 0.7, what does this suggest about their primary source of energy?
If a person's respiratory quotient (RQ) is consistently around 0.7, what does this suggest about their primary source of energy?
How would a higher-than-normal metabolic rate affect the relationship between carbon dioxide production and oxygen absorption in the lungs?
How would a higher-than-normal metabolic rate affect the relationship between carbon dioxide production and oxygen absorption in the lungs?
Which of the following sets of conditions would result in a shift of the oxygen dissociation curve to the right?
Which of the following sets of conditions would result in a shift of the oxygen dissociation curve to the right?
How would you interpret an arterial blood gas result showing a pH of 7.30, $PCO_2$ of 50 mmHg, and a temperature of 38°C, in the context of oxygen binding to hemoglobin?
How would you interpret an arterial blood gas result showing a pH of 7.30, $PCO_2$ of 50 mmHg, and a temperature of 38°C, in the context of oxygen binding to hemoglobin?
How do hydrogen ions ($H^+$) affect hemoglobin's affinity for oxygen, and what is the underlying mechanism?
How do hydrogen ions ($H^+$) affect hemoglobin's affinity for oxygen, and what is the underlying mechanism?
A patient presents with metabolic alkalosis. How might this condition acutely affect the oxygen dissociation curve and oxygen delivery to the tissues?
A patient presents with metabolic alkalosis. How might this condition acutely affect the oxygen dissociation curve and oxygen delivery to the tissues?
How does an increase in body temperature during strenuous exercise directly influence the release of oxygen from hemoglobin to the muscle tissues?
How does an increase in body temperature during strenuous exercise directly influence the release of oxygen from hemoglobin to the muscle tissues?
How does the Bohr effect facilitate the release of oxygen specifically in metabolically active tissues like exercising muscle?
How does the Bohr effect facilitate the release of oxygen specifically in metabolically active tissues like exercising muscle?
Consider a scenario where a patient has a condition causing increased levels of hydrogen ions ($H^+$) in their blood. How does this directly impact the hemoglobin saturation curve?
Consider a scenario where a patient has a condition causing increased levels of hydrogen ions ($H^+$) in their blood. How does this directly impact the hemoglobin saturation curve?
A person performing heavy exercise increases both oxygen consumption and carbon dioxide production. How does this affect the oxygen dissociation curve, and why?
A person performing heavy exercise increases both oxygen consumption and carbon dioxide production. How does this affect the oxygen dissociation curve, and why?
In a scenario where an individual's arterial $PCO_2$ is chronically elevated, how does this impact the delivery of oxygen to peripheral tissues?
In a scenario where an individual's arterial $PCO_2$ is chronically elevated, how does this impact the delivery of oxygen to peripheral tissues?
How does modifying the temperature from 37°C to 25°C and increasing the pH from 7.40 to 7.55 affect the position of the oxygen dissociation curve and hemoglobin's affinity for oxygen?
How does modifying the temperature from 37°C to 25°C and increasing the pH from 7.40 to 7.55 affect the position of the oxygen dissociation curve and hemoglobin's affinity for oxygen?
What is the primary mechanism by which the majority of carbon dioxide is transported from the tissues to the lungs?
What is the primary mechanism by which the majority of carbon dioxide is transported from the tissues to the lungs?
What is the function of carbonic anhydrase in red blood cells during carbon dioxide transport?
What is the function of carbonic anhydrase in red blood cells during carbon dioxide transport?
Why does fetal hemoglobin have a higher affinity for oxygen than adult hemoglobin?
Why does fetal hemoglobin have a higher affinity for oxygen than adult hemoglobin?
What effect does an increase in 2,3-diphosphoglycerate (2,3-DPG) levels have on hemoglobin's affinity for oxygen and the oxygen dissociation curve?
What effect does an increase in 2,3-diphosphoglycerate (2,3-DPG) levels have on hemoglobin's affinity for oxygen and the oxygen dissociation curve?
Which of the following conditions would shift the hemoglobin-oxygen dissociation curve to the right?
Which of the following conditions would shift the hemoglobin-oxygen dissociation curve to the right?
How does the chloride shift maintain electrochemical neutrality during carbon dioxide transport?
How does the chloride shift maintain electrochemical neutrality during carbon dioxide transport?
Under what physiological condition would you expect to see an increased production of 2,3-DPG?
Under what physiological condition would you expect to see an increased production of 2,3-DPG?
How does a drop in blood pH affect the binding affinity of hemoglobin for oxygen?
How does a drop in blood pH affect the binding affinity of hemoglobin for oxygen?
What percentage of carbon dioxide is transported dissolved in the blood?
What percentage of carbon dioxide is transported dissolved in the blood?
Through which mechanism is carbon dioxide able to bind to hemoglobin?
Through which mechanism is carbon dioxide able to bind to hemoglobin?
What is the chemical formula for carbaminohemoglobin, the compound formed when carbon dioxide binds to hemoglobin?
What is the chemical formula for carbaminohemoglobin, the compound formed when carbon dioxide binds to hemoglobin?
How do increased levels of thyroid hormones and growth hormone potentially influence oxygen delivery to tissues?
How do increased levels of thyroid hormones and growth hormone potentially influence oxygen delivery to tissues?
How would an increase in blood pH directly affect the oxygen dissociation curve and hemoglobin's affinity for oxygen?
How would an increase in blood pH directly affect the oxygen dissociation curve and hemoglobin's affinity for oxygen?
A patient with chronic hypoventilation is likely to experience which of the following compensatory mechanisms related to oxygen transport?
A patient with chronic hypoventilation is likely to experience which of the following compensatory mechanisms related to oxygen transport?
Which of the following represents the correct ionic exchange that occurs during the chloride shift?
Which of the following represents the correct ionic exchange that occurs during the chloride shift?
What condition is directly associated with an increase in thyroid hormones and growth hormone that may affect the oxygen dissociation curve?
What condition is directly associated with an increase in thyroid hormones and growth hormone that may affect the oxygen dissociation curve?
Which of the following physiological changes occurs during exercise that directly facilitates increased oxygen release from hemoglobin to active muscle tissues?
Which of the following physiological changes occurs during exercise that directly facilitates increased oxygen release from hemoglobin to active muscle tissues?
How does an increase in metabolic activity during exercise directly affect the oxygen dissociation curve?
How does an increase in metabolic activity during exercise directly affect the oxygen dissociation curve?
What direct effect does an increased concentration of hydrogen ions ($H^+$) in the blood have on the oxygen-hemoglobin saturation curve?
What direct effect does an increased concentration of hydrogen ions ($H^+$) in the blood have on the oxygen-hemoglobin saturation curve?
In a scenario where a person is undergoing intense physical activity, which combination of factors would MOST likely promote the unloading of oxygen from hemoglobin in muscle tissues?
In a scenario where a person is undergoing intense physical activity, which combination of factors would MOST likely promote the unloading of oxygen from hemoglobin in muscle tissues?
Flashcards
Lung perfusion
Lung perfusion
Blood supply from both pulmonary and systemic circulation to the lungs.
Gas Exchange Efficiency
Gas Exchange Efficiency
Efficiency of gas exchange depends on alveolar distribution and blood flow throughout all parts of the lungs.
Capillary Network Size
Capillary Network Size
The extensive capillary network in the lungs has a large surface area (SA); if stretched end to end, it would extend to 1600km.
Pulmonary Resistance
Pulmonary Resistance
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Gravity's Effect on Lungs
Gravity's Effect on Lungs
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Arterial Blood Gases
Arterial Blood Gases
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Chemoreceptors
Chemoreceptors
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Respiratory Centers
Respiratory Centers
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Respiratory Muscles
Respiratory Muscles
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Ventilation
Ventilation
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Alveoli Capillaries
Alveoli Capillaries
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Lung Lobule Supply
Lung Lobule Supply
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ACE Enzyme Function
ACE Enzyme Function
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Path of Blood in Heart
Path of Blood in Heart
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CO₂ Transport
CO₂ Transport
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CO₂ Diffusion Gradient
CO₂ Diffusion Gradient
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CO₂ vs O₂ Solubility
CO₂ vs O₂ Solubility
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Blood Control
Blood Control
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Oxyhemoglobin Formation
Oxyhemoglobin Formation
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Cooperative O₂ Binding
Cooperative O₂ Binding
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pO₂ and O₂ Binding
pO₂ and O₂ Binding
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Hemoglobin Structure
Hemoglobin Structure
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Oxygen bound to Hemoglobin
Oxygen bound to Hemoglobin
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Hemoglobin Saturation
Hemoglobin Saturation
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Oxygen Dissociation Curve
Oxygen Dissociation Curve
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Typical Blood Values
Typical Blood Values
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Sigmoidal Curve Shape
Sigmoidal Curve Shape
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Respiratory Quotient (RQ)
Respiratory Quotient (RQ)
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Steady State Ventilation
Steady State Ventilation
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Chronic Hypoxia
Chronic Hypoxia
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H+ effect on oxygen affinity
H+ effect on oxygen affinity
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pH effect on oxygen binding
pH effect on oxygen binding
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Oxygen Release Effect
Oxygen Release Effect
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VA/Q (Ventilation-Perfusion ratio)
VA/Q (Ventilation-Perfusion ratio)
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CO₂ Diffusion Location
CO₂ Diffusion Location
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Dissolved CO₂ in Plasma
Dissolved CO₂ in Plasma
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CO₂ binding to Hemoglobin
CO₂ binding to Hemoglobin
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CO₂ conversion to Bicarbonate
CO₂ conversion to Bicarbonate
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Chloride Shift
Chloride Shift
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CO₂ Diffusion at the Lungs
CO₂ Diffusion at the Lungs
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Hemoglobin Binding H⁺
Hemoglobin Binding H⁺
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Carbonic Anhydrase Function
Carbonic Anhydrase Function
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2,3-DPG Origin
2,3-DPG Origin
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2,3-DPG Effect on Hemoglobin
2,3-DPG Effect on Hemoglobin
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2,3-DPG and Curve Shift
2,3-DPG and Curve Shift
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Factors Causing Right Shift
Factors Causing Right Shift
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Fetal Hemoglobin Affinity
Fetal Hemoglobin Affinity
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Study Notes
- Haemoglobin saturation is related to the oxygen dissociation curve
- Oxygen dissociation curve occurs at: pCO₂ = 45mm Hg; pH = 7.35-7.45; temperature = 37°C
- The oxygen dissociation curve is sigmoidal due to the nature of Hb binding to O₂
- Oxygen concentration in blood is unaffected by small pO₂ fluctuations in lungs at pO₂ of tissues; the curve is very steep, affecting gas exchange
- Exchange to release CO₂ from tissues is larger than O₂ release
- The respiratory quotient relates the amount of CO₂ produced to the amount of oxygen absorbed (VA/Q)
- At a steady state, alveolar ventilation = pCO₂
- ∞ = ventilation but no perfusion
- 0 = no ventilation but perfusion
- At a steady state, actual values are 0.7-1.0 (fat metabolism - carbohydrate metabolism)
- The Bohr effect is a shift in the Hb saturation curve resulting from pH change
- Chronic hypoxia is an extended period of low O₂ (↑pH)
- H+ ions bind Hb, causing a shape change, which reduces Hb's affinity for O₂; CO₂ also binds to Hb
- Decreasing pH caused by CO₂ (↑H+ ions) causes decreased O₂ saturation, releases it more readily into tissues
- Changes in pH shifts the dissociation curve to the right
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