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Respiratory 5
Respiratory 5
19
Physiology
Undergraduate 4
11/26/2016

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Term
How is oxygen transported in the blood?
Definition
dissolved in plasma (2%)
bound to Hg in erythrocytes (98%)
Term
Structure of hemoglobin
Definition
2 alpha and 2 beta subunits each with a heme group, which can bind 1 O2 molecule. Each Hg molecule can carry 4 O2 molecules
Term
What role does globin play in Hg?
Definition
prevents O2 from binding permanently to the iron atom of Hg, allowing for O2 uptake & release as needed
Term
____ enzymes are involved in the synthesis of heme from iron an _____
Definition
8
porphyrins
Term
Why does O2 bind more readily to hemeoglobin after 1 molecule has already bound?
Definition
the binding of the first O2 induces a conformational change that 'encourages' more O2 to bind. the reverse happens when it's time to release the O2
Term
True or False

Heomglobin's affinity for O2 is linear
Definition
false

saturation/affinity for oxygen increases a PaO2 in the tissues increases
Term
What factors affect oxygen transport by Hg? (4)
Definition
PO2
temperature (as temp rises, affinity falls
PCO2 & pH
organic phosphates
Term
How does PCO2 affect Hg's affinity for O2?
Definition
high CO2 = low pH (more acidic)

lower pH = less affinity for oxygen
Term
What is the Bohr shift?
Definition
oxyhemoglobin dissociation curve shifts to the right in response to a drop in pH arising from CO2 accumulation
Term
How do organic phosphates affect Hg's affinity for O2?
Definition
DPG is present in RBCs at the same levels as Hg.

-DPG inhibits O2 from binding
-if oxygen levels are low, DPG levels increase shifting the dissociation curve right and promoting the release of O2 from hemoglobin into tissues
Term
What is cyanosis?
Definition
reddish blue colour of hemoglobin due to oxygen depletion
Term
What is pulse oximetry?
Definition
measuring the difference between oxy-Hb and deoxy-Hb to calculate the % of Hb that is oxygenated
Term
What is the Bohr effect?
Definition
uncreased unloading of O2 in tissues due to the low pH created by production of CO2, carbonic acid & lactic acid
Term
Why is CO poisoning a thing?
Definition
CO competes with O2 for binding sites on Hb, and has 4x the affinity
Term
What is the Haldane effect?
Definition
increased ability of blood to carry CO2 resulting from deoxygenation of the blood

-removal of O2 from Hb increases Hb's affinity for CO2
Term
Which is greater, PCO2 of tissue or of blood? Why is this important?
Definition
tissue

-CO2 will move down concentration gradient into the blood for removal
Term
How is CO2 transported in the blood?
Definition
-converted to bicarbonate ions & diffuses into plasma
-bound to hemoglobin
-dissolved in plasma as CO2
Term
What are the fetal adaptations to low oxygen tensions?
Definition
-higher affinity of Hb for oxygen
-higher Hg concentration
-higher cardiac output
Term
Why do fetus (fetusi? fetuses?) need adaptations for fetal circulation?
Definition
the umbilical vein has lower oxygen tension
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