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Respiratory
Physiology 3
68
Physiology
Undergraduate 3
07/27/2009

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Term
1. About what % of all O2 is dissolved in plasma?
Definition
1.5%
Term
2. About what % of all O2 is transported via hemoglobin?
Definition
98.5%
Term
3. How many O2 molecules can hemoglobin bind to?
Definition
4
Term
4. What does % saturation tell you?
Definition
out of all hemoglobin molecules, that % is fully saturated
Term
5. As PO2 increases, what happens to the amount of O2 bound to hemoglobin?
Definition
it increases
Term
6. 100% saturation of hemoglobin occurs at a PO2 of __________?
Definition
100 mm Hg
Term
7. 75% saturation of hemoglobin occurs at a PO2 of __________?
Definition
40 mm Hg
Term
8. If you increase CO2, what happens to pH?
Definition
it decreases (more acidic)
Term
9. What does an increase in CO2 do to O2 binding to hemoglobin?
Definition
it decreases affinity for O2 (right shift)
Term
10. What is the Bohr effect?
Definition
a "right-shift" of the oxygen-hemoglobin curve due to an increase in hydrogen ions (decrease in pH)
Term
11. Anything that increases the amount of O2 around will produce what kind of shift in the O2-hemoglobin curve?
Definition
Left shift
Term
12. Would you see an increase in CO2 (decrease in pH) in body tissues or at the lungs?
Definition
in body tissues (due to internal respiration)
Term
13. Would you see a decrease in CO2 (increase in pH) in body tissues or at the lungs?
Definition
at the lungs (due to external respiration)
Term
14. What effect does temperature have on the amount of CO2 around?
Definition
Increase in temperature will increase metabolism and a by-product of metabolism is CO2
Term
15. What is a by-product of glycolysis in RBCs?
Definition
CO2 and BPG
Term
16. Do RBCs produce lots of BPG when PO2 is low or high?
Definition
low
Term
17. Will BPG produce a right-shift of the curve or a left-shift?
Definition
right-shift
Term
18. To summarize, what 4 things produce a right shift of the curve?
Definition
decrease pH / increase CO2 / increase temperature / BPG
Term
19. To summarize, what 4 things produce a left shift of the curve?
Definition
increase pH / decrease CO2 / decrease temperature / CO
Term
20. Does hemoglobin have a greater affinity for O2 or CO (carbon monoxide, not dioxide)?
Definition
CO (250 times more)
Term
21. What affect does CO have on hemoglobin's affinity for O2?
Definition
It increases affinity (left shift) due to cooperativity of hemoglobin
Term
22. What is the greatest amount of O2 that CAN BE carried in 100 ml of blood?
Definition
Oxygen capacity
Term
23. What is the amount of oxygen that IS carried in 100 ml of blood?
Definition
Oxygen content
Term
24. Knowing the definitions of oxygen capacity and content, you can find out O2 content by multiplying what by what?
Definition
O2 capacity X SaO2 (if hemoglobin is 100% saturated, then O2 content will equal O2 capacity)
Term
25. About how much CO2 is carried dissolved in plasma?
Definition
5-10%
Term
26. About how much CO2 is carried attached to hemoglobin?
Definition
5-30%
Term
27. Since hemoglobin likes O2 better than CO2, what is it called when hemoglobin kicks off CO2 as more O2 binds to it?
Definition
The Haldane effect (at the lungs)
Term
28. At the body tissues, CO2 enters a RBC and it can bind to hemoglobin or it can be hydrated by what enzyme?
Definition
Carbonic anhydrase
Term
29. When CO2 is hydrated, what is produced?
Definition
HCO3(-)
Term
30. CO2 + H2O --> H2CO3 --> H(+) + HCO3(-) To seek equilibrium, if you added more CO2, the equation would shift to the ______ to produce more _______.
Definition
shift to the right to produce more HCO3(-)
Term
31. CO2 + H2O --> H2CO3 --> H(+) + HCO3(-) To seek equilibrium, if you added more HCO3(-), the equation would shift to the _____ to produce more _______.
Definition
shift to the left to produce more CO2
Term
32. At the tissues, HCO3(-) will diffuse from the RBC into where and in exchange for what?
Definition
Diffuse into plasma in exchange for chloride
Term
33. At the lungs, CO2 will diffuse from the RBC to the alveoli, which direction will the equilibrium equation shift to?
Definition
Shift to the left (if take away CO2, leaves more HCO3(-), shifts to left to balance out)
Term
34. At the lungs, if the equilibrium equation is shifted to the left, then will decrease amount of HCO3(-), so the HCO3(-) will diffuse from the plasma into what and in exchange for what?
Definition
Into the RBCs and in exchange for chloride
Term
35. Where are our respiratory centers located?
Definition
In brainstem
Term
36. Which respiratory group is most active during inspiration?
Definition
Dorsal respiratory group
Term
37. Which respiratory group is active during inspiration and expiration?
Definition
Ventral respiratory group
Term
38. Which respiratory group primarily drives the diaphragm?
Definition
Dorsal respiratory group
Term
39. Which respiratory group primarily drives the intercostal muscles?
Definition
Ventral respiratory group
Term
40. What is like the pacemaker of breathing and where is it located?
Definition
Pre-Botzinger complex / located in the ventral respiratory group
Term
41. Which respiratory groups regulate the duration of inspiration?
Definition
Pontine respiratory group and apneustic center
Term
42. Which respiratory group causes shorter inspiratory bursts (short, fast, shallow inspiration)?
Definition
Pontine respiratory group
Term
43. Which respiratory group causes longer inspiratory bursts (long, slow, deep inspiration)?
Definition
Apneustic center
Term
44. Are the pontine respiratory group and apneustic center needed for eupnic breathing?
Definition
No
Term
45. What can affect the respiratory centers?
Definition
Inputs from cortex, hypothalamus, chemoreceptors, stretch receptors and proprioceptors
Term
46. What part of our body would control the voluntary aspect of breathing (holding our breath)?
Definition
Cortex
Term
47. What part of our body would control the emotional aspect of breathing (increased RR when excited)?
Definition
Hypothalamus
Term
48. Where would you find chemoreceptors?
Definition
In medulla, pons, and carotid body (at bifurcation of carotid arteries)
Term
49. What do chemoreceptors detect?
Definition
Amount of O2 and CO2 in blood
Term
50. What is the main stimulus to breathing?
Definition
Carbon dioxide (chemoreceptors detect CO2, stimulate receptors)
Term
51. Where would you find pulmonary stretch receptors?
Definition
Throughout airways and in alveoli
Term
52. Do pulmonary stretch receptors send excitatory or inhibitory impulses to the brainstem?
Definition
Inhibitory
Term
53. What is the reflex called when the pulmonary stretch receptors inhibit breathing?
Definition
Inflation reflex/Hering-Breuer reflex
Term
54. Stimulation of proprioceptors and exteroreceptors (exercise/pain) would stimulate or inhibit breathing?
Definition
Stimulate
Term
55. With an obstructive lung disease, is the problem getting air in or out?
Definition
Getting air out of lungs
Term
56. With an obstructive lung disease, what lung volumes or capacities are increased?
Definition
Residual volume (so therefor, TLC and FRC too)
Term
57. With an obstructive lung disease, would you see an FEV1/FVC higher or lower than normal?
Definition
Lower
Term
58. What two conditions are commonly seen with COPD?
Definition
Emphysema and chronic bronchitis
Term
59. Which condition is due to a loss of elastic fibers in walls of bronchioles and alveoli?
Definition
Emphysema
Term
60. Which condition is due to an increased production of mucus and airway inflammation for at least 3 months in 2 years?
Definition
Chronic bronchitis
Term
61. Is asthma considered an obstructive or restrictive pulmonary disease?
Definition
Obstructive lung disease
Term
62. With a restrictive pulmonary disease, is the problem getting air into or out of the lungs?
Definition
Problem getting air in
Term
63. With a restrictive pulmonary disease, what lung volumes or capacities are reduced?
Definition
All volumes and capacities are reduced
Term
64. With a restrictive pulmonary disease, would the FEV1/FVC be higher or lower than normal?
Definition
Normal or higher
Term
65. What diseases are restrictive pulmonary diseases?
Definition
Fibrosis, diseases that affect respiratory muscles, IRDS, and ARDS
Term
66. What disease causes the lungs to become stiff?
Definition
Fibrosis
Term
67. What condition is found in children born prematurely where surfactant is not produced and the alveoli collapse?
Definition
Infant respiratory distress syndrome (IRDS)
Term
68. What condition causes respiratory failure due to trauma or illness that has damaged alveoli or pulmonary capillaries?
Definition
Acute respiratory distress syndrome (ARDS)
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