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Questions and Answers
What effect does sudden decompression at 9000m altitude have on Hb saturation with oxygen?
What effect does sudden decompression at 9000m altitude have on Hb saturation with oxygen?
Which factor is primarily responsible for determining how much oxygen binds to hemoglobin?
Which factor is primarily responsible for determining how much oxygen binds to hemoglobin?
How does a decrease in blood pH affect hemoglobin saturation with oxygen?
How does a decrease in blood pH affect hemoglobin saturation with oxygen?
In what way does increased carbon dioxide (PCO2) in the blood affect hemoglobin saturation?
In what way does increased carbon dioxide (PCO2) in the blood affect hemoglobin saturation?
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What percentage of oxygen (O2) is dissolved in the blood plasma?
What percentage of oxygen (O2) is dissolved in the blood plasma?
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What is the majority form of carbon dioxide (CO2) transport in the blood?
What is the majority form of carbon dioxide (CO2) transport in the blood?
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During high altitude conditions, what happens to the partial pressure of oxygen (PO2) and hemoglobin saturation?
During high altitude conditions, what happens to the partial pressure of oxygen (PO2) and hemoglobin saturation?
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What is the percentage of carbon dioxide transported as carbaminohemoglobin?
What is the percentage of carbon dioxide transported as carbaminohemoglobin?
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What is the relationship between PO2 and % hemoglobin saturation during exercise?
What is the relationship between PO2 and % hemoglobin saturation during exercise?
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Which of the following represents the least quantitatively important form of CO2 transport?
Which of the following represents the least quantitatively important form of CO2 transport?
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Which physiological process primarily occurs at the tissues during internal respiration?
Which physiological process primarily occurs at the tissues during internal respiration?
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Which statement is true regarding the transport of O2 and CO2 in the blood?
Which statement is true regarding the transport of O2 and CO2 in the blood?
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What is the primary process that occurs regarding bicarbonate ions in red blood cells during internal respiration?
What is the primary process that occurs regarding bicarbonate ions in red blood cells during internal respiration?
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How does the chloride shift contribute to maintaining electrical neutrality in red blood cells?
How does the chloride shift contribute to maintaining electrical neutrality in red blood cells?
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What effect does an increase in carbon dioxide and hydrogen ions have on hemoglobin's affinity for oxygen during exercise?
What effect does an increase in carbon dioxide and hydrogen ions have on hemoglobin's affinity for oxygen during exercise?
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Which statement best describes the Haldane effect?
Which statement best describes the Haldane effect?
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During external respiration at the lungs, what happens to the bicarbonate ions?
During external respiration at the lungs, what happens to the bicarbonate ions?
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Which enzyme is responsible for the rapid conversion of carbon dioxide and water into carbonic acid in red blood cells?
Which enzyme is responsible for the rapid conversion of carbon dioxide and water into carbonic acid in red blood cells?
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What happens to carbonic acid as oxygen diffuses from the alveoli into the blood during external respiration?
What happens to carbonic acid as oxygen diffuses from the alveoli into the blood during external respiration?
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What is the role of deoxyhemoglobin regarding hydrogen ions during gas transport?
What is the role of deoxyhemoglobin regarding hydrogen ions during gas transport?
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How does increased CO2 influence the binding of oxygen to hemoglobin?
How does increased CO2 influence the binding of oxygen to hemoglobin?
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What is the relationship between deoxyhemoglobin and carbon dioxide binding?
What is the relationship between deoxyhemoglobin and carbon dioxide binding?
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What occurs at the lungs when hemoglobin is saturated with oxygen?
What occurs at the lungs when hemoglobin is saturated with oxygen?
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What effect does a decrease in oxygen partial pressure (PO2) have on hemoglobin’s oxygen release?
What effect does a decrease in oxygen partial pressure (PO2) have on hemoglobin’s oxygen release?
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In a healthy individual, what is the expected oxygen carrying capacity of blood with 15 g Hb per 100 ml?
In a healthy individual, what is the expected oxygen carrying capacity of blood with 15 g Hb per 100 ml?
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What happens to the binding of CO2 when hemoglobin is deoxygenated?
What happens to the binding of CO2 when hemoglobin is deoxygenated?
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What effect does anemia have on the oxygen carrying capacity of blood?
What effect does anemia have on the oxygen carrying capacity of blood?
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How does the Haldane effect assist in CO2 transport?
How does the Haldane effect assist in CO2 transport?
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What is the significance of the % Hb saturation regarding oxygen transportation?
What is the significance of the % Hb saturation regarding oxygen transportation?
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What physiological process occurs as deoxyhemoglobin returns to the lungs?
What physiological process occurs as deoxyhemoglobin returns to the lungs?
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What primarily influences the amount of oxygen dissolved in plasma?
What primarily influences the amount of oxygen dissolved in plasma?
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Which statement accurately reflects the role of haemoglobin in carbon dioxide transport?
Which statement accurately reflects the role of haemoglobin in carbon dioxide transport?
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Which condition describes respiratory acidosis?
Which condition describes respiratory acidosis?
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Which physiological system is primarily responsible for regulating blood pH?
Which physiological system is primarily responsible for regulating blood pH?
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How does an increase in alveolar ventilation affect blood pH?
How does an increase in alveolar ventilation affect blood pH?
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What is the primary role of the respiratory membrane during gas exchange?
What is the primary role of the respiratory membrane during gas exchange?
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What factor does NOT influence airway resistance?
What factor does NOT influence airway resistance?
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Which statement about haemoglobin saturation and partial pressure of oxygen is true?
Which statement about haemoglobin saturation and partial pressure of oxygen is true?
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Match the following conditions with their expected effects on hemoglobin saturation:
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Match the following blood gas values with their likely physiological effect:
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Match the following respiratory concepts with their relevant descriptions:
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Match the following factors with their roles in oxygen transport:
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Match the following forms of carbon dioxide transport with their percentages:
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Match the following parts of the oxygen dissociation curve with their descriptions:
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Match the following components of internal respiration with their roles:
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Match the following descriptions of respiratory gas transport with their respective components:
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Match the following components of blood gas transport with their characteristics:
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Match the blood condition with its oxygen carrying capacity:
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Study Notes
Gas Transport: O2 and CO2
- Oxygen and carbon dioxide are transported between the lungs and tissues through the blood, but through distinct mechanisms.
- Only 2% of oxygen in the blood is dissolved, with the remaining 98% bound to hemoglobin.
- The majority of carbon dioxide in the blood is transported as bicarbonate, with the rest dissolved or bound to hemoglobin.
O2 Transport
- The amount of dissolved oxygen in the plasma affects the percentage of hemoglobin saturation.
- The hemoglobin saturation curve has a "plateau region" where large changes in the partial pressure of oxygen (PO2) result in small changes in hemoglobin saturation. This is important because oxygen, which decreases at high altitudes, has a small effect on hemoglobin saturation.
- In the steep part of the curve, small changes in PO2 result in large changes in hemoglobin saturation. This is important during exercise, where tissue PO2 may be low.
CO2 Transport
- Carbon dioxide is transported in the blood in five forms, but only three are significant:
- Dissolved (7%, in plasma and hemoglobin)
- Bound to Hemoglobin (23%, forming carbaminohemoglobin)
- Bicarbonate ions (70%)
- In red blood cells, carbonic anhydrase converts CO2 and water into carbonic acid, which dissociates into bicarbonate and hydrogen ions.
- Bicarbonate ions quickly diffuse from red blood cells into the plasma.
- Chloride ions move from the plasma into red blood cells to maintain electrical neutrality, a process called the chloride shift.
Internal Respiration (at tissues)
- Oxygen released from oxyhemoglobin diffuses into tissues for cellular respiration.
- Hemoglobin binds with hydrogen ions forming HHb.
- Carbon dioxide diffuses from tissues into the plasma and red blood cells.
- In erythrocytes, the enzyme carbonic anhydrase rapidly converts CO2 and water into carbonic acid (H2CO3), which quickly splits into bicarbonate (HCO3-) and hydrogen (H+).
- Bicarbonate (HCO3-) moves from red blood cells into plasma.
- To maintain neutrality, chloride ions (Cl-) move from plasma into red blood cells, known as the "chloride shift".
External Respiration (at lungs)
- Oxygen diffuses from the alveoli into capillaries and erythrocytes, where it binds with HHb to form oxyhemoglobin (HbO2) and releases H+.
- Bicarbonate ions move into the red blood cells and bind with H+ to form carbonic acid.
- Cl- diffuses out of the cell into plasma (reverse chloride shift).
- Carbonic acid is split by carbonic anhydrase, releasing CO2, which then diffuses from the blood to the alveoli for expiration.
Bohr Effect
- The Bohr Effect is the influence of CO2 and acid on the release of oxygen.
- CO2 and H+ reversibly bind with hemoglobin, changing its structure. This reduces the affinity for oxygen, meaning more oxygen is released in acidic environments.
Haldane Effect
- The Haldane Effect states that an increase in oxygen decreases hemoglobin’s CO2 binding capacity.
- Deoxyhemoglobin (or reduced Hb) has a greater affinity for H+ than hemoglobin.
Bohr and Haldane Effects
- The Bohr and Haldane effects work together to facilitate efficient gas exchange.
- Increased CO2 and H+ cause increased oxygen release because of the Bohr effect.
- Increased oxygen release increases the uptake of CO2 and H+ by Hb (Haldane effect).
- Reduced Hb carries CO2 and H+ back to the lungs to be expelled.
% Hb Saturation ≠ Amount of O2 Transported
- Hemoglobin saturation refers only to the extent of Hb combined with oxygen, not other gases.
- The amount of oxygen transported in the blood depends on both the amount of hemoglobin and its saturation level.
- An anemic patient with low hemoglobin can still have 100% Hb saturation, but their total oxygen carrying capacity is reduced.
Blood pH Buffering
- The normal physiological pH of blood is between 7.35 and 7.45.
- The CO2/HCO3- buffering reaction is the most crucial physiological system for regulating pH.
- Production of CO2 increases H+ ions, making the blood more acidic.
- Removal of CO2 decreases H+ ions, making the blood more basic.
Acidosis and Alkalosis
- Respiratory acidosis is a decrease in pH due to an increase in pCO2, caused by reduced alveolar ventilation, decreased diffusion capacity, or ventilation-perfusion mismatch.
- Respiratory alkalosis results from hyperventilation, which lowers pCO2 and raises pH.
- Metabolic causes of acid-base imbalance also exist and are typically compensated for by the kidneys.
Gas Transport: O2 and CO2
- Oxygen (O2) and Carbon Dioxide (CO2) are transported between the lungs and tissues via blood using different mechanisms.
- Only 2% of O2 in blood is dissolved; the remaining 98% is bound to haemoglobin (Hb).
- The majority of CO2 is transported in blood as bicarbonate.
O2 Transport
- Dissolved O2 determines Partial Pressure of Oxygen (PO2).
- PO2 affects the percentage of haemoglobin saturation.
- The oxygen dissociation curve shows the relationship between PO2 and haemoglobin saturation.
- The plateau region of the curve indicates that large changes in PO2 result in small changes in Hb saturation, which is important for maintaining O2 supply at high altitudes.
- The steep region of the curve shows that small changes in PO2 result in large changes in Hb saturation, which is important for delivering O2 to tissues during exercise.
CO2 Transport
- CO2 is transported in blood in several forms, primarily as:
- Dissolved CO2 (7%)
- Carbaminohaemoglobin (23%)
- Bicarbonate ions (HCO3-) (70%)
- Most CO2 is converted to HCO3- within red blood cells.
Internal Respiration (at Tissues)
- O2 is released from oxyhaemoglobin and diffuses into tissues for cellular respiration.
- CO2 from tissues diffuses into plasma and red blood cells.
- In red blood cells, carbonic anhydrase converts CO2 and water into carbonic acid (H2CO3).
- Carbonic acid dissociates into bicarbonate (HCO3-) and hydrogen ions (H+).
- Bicarbonate diffuses from red blood cells into plasma.
- Chloride ions (Cl-) move from plasma into red blood cells (chloride shift) to maintain electrical neutrality.
External Respiration (at Lungs)
- The processes of internal respiration are reversed at the lungs.
- Inhaled oxygen diffuses from alveoli into capillaries and red blood cells, forming oxyhaemoglobin (HbO2) and H+.
- Bicarbonate ions move into red blood cells and combine with H+ to form carbonic acid.
- Chloride ions (Cl-) move from red blood cells into plasma (reverse chloride shift).
- Carbonic acid is split by carbonic anhydrase to release CO2.
- CO2 diffuses from blood to alveoli for expiration.
- The Bohr effect describes the influence of CO2 and acid on the release of O2.
- CO2 and H+ bind reversibly with Hb, changing its structure and reducing its affinity for O2.
- This helps offload more O2 to tissues with high CO2 or low pH.
Haldane Effect
- Increased O2 decreases Hb's CO2 binding capacity.
- Deoxyhaemoglobin has a greater affinity for H+ than oxyhaemoglobin.
- Therefore, unloading O2 facilitates Hb uptake of CO2-generated H+.
- This helps maintain blood pH, as Hb mops up most of the H+ generated at the tissues.
- The Bohr and Haldane effects work in synchrony:
- Increased CO2 and H+ cause increased O2 release (Bohr effect).
- Increased O2 release from Hb causes increased CO2 and H+ uptake by Hb (Haldane effect).
% Hb Saturation ≠ Amount of O2 Transported
- Normal blood contains 15 g Hb per 100 ml blood.
- O2 carrying capacity is 20 ml O2 per 100 ml blood.
- O2 content of arterial blood is 20 ml O2 per 100 ml blood (Hb saturation with O2 is 100% at a PO2 of 100 mmHg).
- O2 content of venous blood is 15 ml O2 per 100 ml blood (Hb saturation with O2 is 75% at a PO2 of 40 mmHg).
Blood pH Buffering
- Normal physiological blood pH is 7.35 to 7.45.
- The CO2/HCO3- buffering system is the most important physiological system regulating pH.
- Production of CO2 leads to an increase in H+ (more acid).
- Removal of CO2 leads to a decrease in H+ (more basic).
Acidosis - Alkalosis
- Respiratory acidosis is a decrease in pH due to increased pCO2, caused by decreased alveolar ventilation, decreased diffusion capacity, or ventilation-perfusion mismatch.
- Respiratory alkalosis is an increase in pH due to decreased pCO2, caused by increased alveolar ventilation or hyperventilation.
- Note that there are also metabolic causes of acid-base imbalance.
- Kidney compensation usually occurs to correct acid-base imbalances.
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Description
Explore the mechanisms of oxygen and carbon dioxide transport in the blood. This quiz covers key concepts such as hemoglobin saturation, the hemoglobin saturation curve, and the methods of CO2 transport. Understand the physiological implications of these processes during varying conditions such as altitude and exercise.