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three components of diffusion |
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Definition
diffusion positive movmenet orm high to low concentration not bulk flow
gas transfer more accurate term in the bological sysytem |
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the time rbc takes to in alveoli |
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gas flux through a membrane os detemined by the pressure difference and the conductive properties of the membrane |
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gas flux through a membrane os detemined by the pressure difference and the conductive properties of the membrane |
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Definition
diffusion contant and area and the difference of pressure and the solubility |
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Definition
thickness and molecular weight |
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phsyiologically inert gases |
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Definition
N2 N2O acetylene no reaction with HgB small, highly soluable |
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Term
wehn the pressure gradeint=0, the onyl way to tranfer more N20 is to supply new more |
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Definition
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Term
Carbon monoxide is not inert it binds to Hg |
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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 |
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PCo gradiuest exists across the alveolar capillary barrier at the ned of capillary flow |
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Definition
characteristics of the membrane determine the flow. |
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oxygen crosses alveolar membrane quickly and |
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Definition
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o2 quickly equilibriates with |
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onlky a small fraction of bulk moles of oxygen is |
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what about hte complication of patholigc conditions? you have low alveolar pressure or thickened alveolar membrane |
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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. |
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we get only still alimited time of transfer lower o2 pressure |
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causes thickening of the barrier between alveoli and capilalry. |
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HgB binding but reverse reaction. |
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also involves capillary blood volume |
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capillary blood volume has little to do with membrane but lots to do with |
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conditions that decrease DlCO 9testable) |
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Definition
thickened barrier (fibrosis alveolar edema) decreased perfused alveolar surface area (emphysema, pulmonary embollism decreased blood volume) reducedgs up take by RBCs (anemia) volume |
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Definition
icnrease rbc volume high outpu mitral stenosis CHF early asthma exacerbaton |
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