Respiratory II
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Questions and Answers

What is the primary determinant of gas exchange in the lungs?

  • Blood flow
  • Ventilation rate
  • Driving partial pressure gradient (correct)
  • Alveolar thickness
  • Hypoxic vasoconstriction redirects blood flow from well-ventilated areas to poorly ventilated areas.

    False

    What does the term V/Q stand for in relation to lung function?

    Ventilation/perfusion

    During gas exchange, oxygen diffuses from the ______ to the blood.

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

    Which factor increases the surface area available for gas exchange?

    <p>Increased capillary opening during exercise</p> Signup and view all the answers

    The thickness of the air-blood barrier does not affect the rate of diffusion.

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

    Match the following conditions with their effects on gas exchange:

    <p>High altitude = Decreases alveolar oxygen pressure Thickened membrane = Decreases rate of diffusion Hypoventilation = Inadequate ventilation V/Q inequality = Ventilated alveoli without blood supply</p> Signup and view all the answers

    Gas exchange in tissues follows the same principle as in the ______.

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

    What is the primary mechanism of gas exchange in the alveoli?

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

    The partial pressure of a gas is influenced by the presence of other gases in a mixture.

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

    What is the partial pressure of O2 in the lungs if it is calculated as PO2 = (0.21 x 760) - (0.21 x 47)?

    <p>150 mm Hg</p> Signup and view all the answers

    Gas exchange in the lungs depends on the partial pressures of gases in the alveoli and the ______.

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

    Match the following concepts with their correct definitions:

    <p>Total pressure = Sum of all individual gas pressures in a mixture Partial pressure = Pressure exerted by an individual gas within a mixture Hyperventilation = Increased breathing rate leading to decreased pCO2 Hypoventilation = Decreased breathing rate leading to increased pCO2</p> Signup and view all the answers

    Which of the following factors does NOT significantly impact diffusion of CO2 in the lungs?

    <p>Changes in atmospheric altitude</p> Signup and view all the answers

    At sea level, the total pressure of atmospheric air is 760 mm Hg.

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

    What is the impact of hyperventilation on partial pressures in the alveoli?

    <p>Decreases pCO2</p> Signup and view all the answers

    What factor primarily affects the diffusion of gases in the alveoli?

    <p>Partial pressures of the gases</p> Signup and view all the answers

    The total pressure of air in dry conditions is equal to the sum of the partial pressures of its components.

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

    What is the partial pressure of oxygen (PO2) in the lungs, based on the equation PO2 = (0.21 x 760) - (0.21 x 47)?

    <p>150 mm Hg</p> Signup and view all the answers

    Gas exchange occurs through the process of ______, moving from areas of high concentration to low concentration.

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

    Match the gas components with their respective properties related to gas exchange:

    <p>O2 = Higher concentration in atmosphere than in alveoli CO2 = Higher concentration in lungs than in atmosphere N2 = Present in significant amounts in dry air Water vapor = Dilutes the concentration of gases in the lungs</p> Signup and view all the answers

    At higher altitudes, what is the primary effect on gas exchange?

    <p>Decreased pO2 in the atmosphere</p> Signup and view all the answers

    Hypoventilation leads to an increase in the partial pressure of CO2 in the alveoli.

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

    What role does water vapor play in the lungs concerning gas exchange?

    <p>It dilutes the concentration of gases.</p> Signup and view all the answers

    Which factor does NOT enhance gas exchange in the lungs?

    <p>Thickening of alveolar-capillary membrane</p> Signup and view all the answers

    Hypoxic vasoconstriction results in blood being redirected away from well-ventilated areas.

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

    What is the main driving force behind gas diffusion in the alveoli?

    <p>Partial pressure gradient</p> Signup and view all the answers

    The balance between ventilation and blood flow is referred to as ______.

    <p>ventilation-perfusion (V/Q)</p> Signup and view all the answers

    Match the following conditions with their effects on gas exchange:

    <p>Impaired diffusion = Decreases the rate of gas exchange High altitude = Decreases driving pressure for O2 Hypoventilation = Inadequate ventilation of the lung V/Q inequality = Ventilated alveoli with no blood supply</p> Signup and view all the answers

    What happens to pCO2 levels in the blood entering the alveolar capillaries?

    <p>They are higher than in the alveoli</p> Signup and view all the answers

    The thickness of the air-blood barrier has no impact on the exchange of gases.

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

    What effect does the opening of capillaries during exercise have on gas exchange?

    <p>Increased gas exchange</p> Signup and view all the answers

    Study Notes

    Properties of Gases

    • Gas molecules are constantly moving and colliding with one another, exerting pressure on the container they occupy.
    • Total pressure is based on the total number of gas molecules within a given volume.
    • Partial pressure of a gas in a mixture is the total pressure multiplied by the percentage of that gas in the mixture, and is independent of other gases present.
    • For example, oxygen (O2) makes up 20.94% of atmospheric air. Therefore, the partial pressure of oxygen at sea level (total pressure of 760 mm Hg) is 159 mm Hg (0.21 x 760).

    Definitions

    • Dry air pressure (P) is the sum of the partial pressures of nitrogen (PN2), oxygen (PO2), and carbon dioxide (PCO2) and equals 760 mm Hg.
    • Inspired air becomes saturated with water vapor when it reaches the respiratory zone, meaning it is no longer dry.
    • Some gas molecules dissolve in water, affecting the partial pressure of the gas compared to dry air.
    • The amount of dissolved gas depends on its solubility and partial pressure.
    • The presence of water "dilutes" gas content, so the partial pressure of oxygen is slightly lower than in dry air.
    • For example, at 37°C, the water vapor pressure is 47 mm Hg, which leads to a partial pressure of oxygen (PO2) of 150 mm Hg (0.21 x 760)-(0.21x47).

    Gas Exchange

    • Gas exchange occurs by diffusion, where gas molecules move from regions of high concentration (partial pressure) to regions of low concentration (partial pressure).
    • In the alveoli, air velocity is zero due to the large cross-sectional area, meaning movement from alveoli to the alveolar-capillary membrane is solely by diffusion.

    Alveolar Gas Exchange

    • The diffusion of gases between the alveoli and blood capillaries depends on the partial pressure gradients in these two locations.
    • This gradient is influenced by ventilation for the alveoli and tissue consumption for the blood.
    • At high altitudes, the partial pressure of oxygen in the atmosphere decreases, significantly impacting diffusion.
    • The partial pressure of carbon dioxide in the atmosphere is much lower than in the alveoli and blood, making changes in atmospheric pressure less impactful on CO2 diffusion, except in enclosed spaces.

    Ventilation's Effect on Alveolar Partial Pressures

    • Hyperventilation increases the rate of ventilation, leading to a higher partial pressure of oxygen (PO2) and a lower partial pressure of carbon dioxide (PCO2) in the alveoli.
    • Hypoventilation reduces the rate of ventilation, resulting in a lower PO2 and a higher PCO2 in the alveoli.

    Lung Gas Exchange

    • Gas exchange occurs between alveoli and the blood capillary network.
    • Blood from the right ventricle flows through capillaries in the lungs, delivering deoxygenated blood.
    • The lungs also have capillaries from the left side of the heart to supply lung tissue with oxygen.
    • Blood entering alveolar capillaries has low oxygen partial pressure (pO2).
    • Oxygen diffuses from the alveoli into the blood, increasing the blood's pO2 until it reaches an equilibrium with the alveolar pO2.
    • Carbon dioxide (CO2) diffuses in the opposite direction, moving from the blood into the alveoli, due to a higher pCO2 in the blood entering the capillary.

    Determinants of Gas Exchange

    • Driving partial pressure gradient: The difference in partial pressure between the alveoli and the capillaries (PalveoO2 - PcapO2) drives the diffusion across the membrane.
    • Surface area available for diffusion (A): A larger surface area allows for greater gas exchange. Capillaries can open during exercise to increase this area.
    • Thickness of the air-blood barrier (X): A thinner barrier facilitates more rapid diffusion. Deep inspirations during exercise reduce the distance between alveolar and capillary epithelia.
    • Physical properties of the gas (D): Each gas has a unique diffusion coefficient affecting its rate of movement.
    • This relationship is represented by Fick's Law of Diffusion: VO2 = D x A x (PAO2 – PcapO2)/X

    Ventilation-Perfusion Matching

    • Perfusion refers to the blood flow entering the lung.
    • Matching ventilation (air flow) with perfusion is crucial for optimal gas exchange.
    • In humans at rest, ventilation and perfusion are not ideally matched due to gravity, which affects blood flow more than ventilation. This results in lower blood flow at the top of the lung, where capillaries can potentially collapse.
    • This issue is less pronounced in quadrupeds.
    • The ventilation/perfusion ratio (V/Q) is used to quantify this relationship, with a value of about 0.8 in humans.
    • During exercise, the V/Q ratio becomes more uniform as blood flow increases throughout the lung.

    Hypoxic Vasoconstriction

    • Certain diseases can affect ventilation or perfusion in specific alveoli, leading to V/Q inequality.
    • Hypoxic vasoconstriction is a natural mechanism to minimize the impact of V/Q inequality.
    • It involves the constriction of blood vessels supplying poorly ventilated alveoli, redirecting blood flow to well-ventilated areas.
    • This mechanism is triggered by a decrease in pO2 and/or an increase in pCO2 in the interstitial fluid of affected areas.

    Impaired Pulmonary Gas Exchange

    • Thickening of the alveolar-capillary membrane: Increases the distance for diffusion, decreasing the rate of gas exchange.
    • High altitude or low air pO2: Decreases alveolar oxygen pressure, reducing the driving pressure for diffusion.
    • Hypoventilation: Inadequate ventilation of the lung reduces the alveolar oxygen pressure, leading to poor gas exchange.
    • Ventilation-perfusion inequality: An imbalance between alveoli that are ventilated but lack blood supply or vice versa, reducing overall gas exchange efficiency.

    Gas Exchange in Tissues

    • Gas exchange in tissues follows the same principles as in the alveoli, driven by the difference in partial pressure.
    • Cells consume oxygen and produce carbon dioxide.
    • Blood from the left ventricle delivers oxygen to tissues.
    • Oxygen diffuses from the blood into the interstitial fluid and then into the cells.
    • Carbon dioxide diffuses from the cells into the interstitial fluid and then into the blood, returning to the lungs for elimination.

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    Description

    This quiz covers the fundamental properties of gases, including the behavior of gas molecules, total and partial pressure concepts, and the impact of water vapor on gas solubility. Test your knowledge on how gases interact and the calculations involved in determining their pressures in various environments.

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