Shared Flashcard Set

Details

HHD RespiratorRuoss Diffusion
diffusion
24
Medical
Professional
04/02/2009

Additional Medical Flashcards

 


 

Cards

Term
three components of diffusion
Definition
diffusion positive movmenet orm high to low concentration
not bulk flow

gas transfer
more accurate term in the bological sysytem
Term
.75 seconds
Definition
the time rbc takes to in alveoli
Term
fick's law
Definition
gas flux through a membrane os detemined by the pressure difference and the conductive properties of the membrane
Term
fick's law
Definition
gas flux through a membrane os detemined by the pressure difference and the conductive properties of the membrane
Term
directly proportional
Definition
diffusion contant and area and the difference of pressure and the solubility
Term
inversly proportional
Definition
thickness and molecular weight
Term
membranes are made of
Definition
phospholipids
Term
smaller mw gas
Definition
more diffusable
Term
phsyiologically inert gases
Definition
N2 N2O acetylene
no reaction with HgB
small, highly soluable
Term
wehn the pressure gradeint=0, the onyl way to tranfer more N20 is to supply new more
Definition
blood
Term
Carbon monoxide is not inert it binds to Hg
Definition
produces negliginble rise in capillary CO pressure
all CO rapidly bound to HgB
pressure difference persists across the alveolar-capillary barrier

there remains a difference in driving pressure
Term
PCo gradiuest exists across the alveolar capillary barrier at the ned of capillary flow
Definition
characteristics of the membrane determine the flow.
Term
carbon monoxide is
Definition
diffusion limited
Term
oxygen crosses alveolar membrane quickly and
Definition
binds with hemoglobin
Term
o2 quickly equilibriates with
Definition
alveolar pressure
Term
onlky a small fraction of bulk moles of oxygen is
Definition
free gas
Term
what about hte complication of patholigc conditions? you have low alveolar pressure or thickened alveolar membrane
Definition
we normally have alveolar pressure of 100 percent. Palv of 40 is woefully lwo. if there is a laot of extraction..you have a capilalry pressure P20. In us it is 100 P alv to 35P cap.we have a 65 mmHg driving force.

in disease state, alveolar pressure is quite low and pcap is low low driving pressure.

Therefore we get low diffusion of oxygen...we have changed a perfusion limited to a diffusion limited situation gas.
Term
If we thicken the wall
Definition
we get only still alimited time of transfer
lower o2 pressure
Term
Pneumocystic jirvecci
Definition
causes thickening of the barrier between alveoli and capilalry.
Term
gas trasnfer of CO2
Definition
HgB binding but reverse reaction.
Term
Difusion capcity
Definition
also involves capillary blood volume
Term
capillary blood volume has little to do with membrane but lots to do with
Definition
transfer
Term
conditions that decrease DlCO 9testable)
Definition
thickened barrier (fibrosis alveolar edema)
decreased perfused alveolar surface area (emphysema, pulmonary embollism decreased blood volume)
reducedgs up take by RBCs (anemia) volume
Term
increase Dl CO
Definition
icnrease rbc volume
high outpu
mitral stenosis
CHF early
asthma exacerbaton
Supporting users have an ad free experience!