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Systems Exam III (L)
Oxygen Exchange and Transport
18
Medical
Graduate
04/07/2009

Additional Medical Flashcards

 


 

Cards

Term
What is the average Alveolar Oxygen Partial Pressure?
Definition
PAO2 = 100mmHg
Term
What two factors can affect the concentration gradient of oxygen from atmosphere to blood?
Definition

1. Total Barometric Pressure

2. Partial Pressure of oxygen will vary as a function of its percentage composition (humid vs. dry air)

Term
What are two factors that affect the rate of diffusion?
Definition

1. Driving Force or differences in partial pressure of oxygen between two compartments.

2. Nature of the barrier that oxygen must diffuse across.

Term
What is Fick's Law?
Definition

States that flow of any gas is related to its diffusing capacity (DL) in the barrier and its concentration gradient across the barrier (P1 - P2).

 

V = (DL) * (P1 - P2)

Term
What are the components of the Diffusion Capacity?
Definition

1. molecular weight of the gas

2. solubility in water

Term

1. What is pulmonary transit time?

2. What is the time for saturation of capillary blood with oxygen?

Definition

1. 0.75 seconds

2. 0.25 seconds

Term
How many ml of O2 will dissolve in each 100ml of blood per 100mHg of pressure?
Definition
0.003 ml - Obviously not enough to deliver the appropriate amount of O2 to tissues.
Term
What is the delivery of O2 to tissues with hemoglobin?
Definition
With cardiac output of 500ml/min O2 delivery will be appoximately 1000ml of O2/min
Term
What is the average blood hemoglobin concentration?
Definition
15 g Hb/100ml blood
Term
How much O2 can one gram of hemoglobin bind?
Definition
1.34 ml
Term
Affinity of Hb for O2 is less as the curve shifts to the _______.
Definition
right
Term
Moderate shifts to the right of the Hb curve lead to (increased/decreased) oxygen unloading in the tissues.
Definition
increased. This is because Hb has a lower affinity for O2 as the curve shifts to the right. However, as long as alveolar PO2 is above 70, the slightly less affinity does not affect loading in lungs due to the sigmoid shape of the curve.
Term
What are some of the factors that affect affinity of Hb for O2?
Definition

Temperature - higher temperature shifts curve right

pH - lower pH shifts curve to the right

2,3 DPG - more shifts curve to right

Carbon Dioxide - more shifts curve towards right

Genetics

 

Term
What is myoglobin?
Definition
Another heme monomer that does not demonstrate cooperativity with regard to oxygen affinity.
Term
T/F: Carbon Monoxide has a greater affinity for hemoglobin than Oxygen?
Definition
True. Thus CO decreases the delivery of oxygen to the tissues.
Term
What is hyperoxia and what are some negative affects of it?
Definition

Too much oxygen delivery.

Superoxide formation.

Term
Where is erythropoeitin formed?
Definition
Formed in the kidneys in response to stimuli related to the oxygen carrying capacity of blood.
Term
What is the timeline for RBC replacement in response to EPO?
Definition
10- 24 hours
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