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L6
Gas Transport by the Blood
29
Physiology
Professional
02/14/2013

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Cards

Term
Does oxygen have higher “solubility” dissolved in blood or bound to hemoglobin?
Definition
Bound to hemoglobin
Term
What is the name of the oxygen-binding site on hemoglobin?
Definition
ferrous site
Term
What does the O2 dissociation curve plot?
Definition
It plots the equilibrium between partial pressure of O2 in the blood and hemoglobin saturation
Term
What is the oxygen capacity of blood?
Definition

20 mL O2/dL blood

=(15g Hb/dL)*(1.34 mL O2/g Hb)

 

Remember: oxygen capacity is the maximum amount of O2 bound to Hb

Term
What is the solubility content of O2 in the plasma?
Definition
0.003 mL/dL (negligible)
Term
What is the hemoglobin concentration in the blood?
Definition
15g/dL
Term
What is p50?
Definition
It is the partial pressure in the blood when exactly half of the hemoglobin binding sites are occupied by oxygen.
Term
What is the p50 for normal blood?
Definition
27 mmHg
Term
What would an increase in blood temperature do to the O2 dissociation curve?
Definition
Shift right
Term
Does a shift of the O2 dissociation curve to the right mean increased or decreased affinity of O2 to Hb?
Definition
Decreased
Term
What would a decrease in CO2 in the blood do to the O2 dissociation curve?
Definition
shift left
Term
What would an increase in 2-3-DPG do to the O2 dissociation curve?
Definition
shift right
Term
What would a decrease in protons (alkalosis) do to the O2 dissociation curve?
Definition
shift left
Term
What are the three forms of CO2 in the blood?
Definition
Physically dissolved (5%), bicarbonate ions (90%), carbamino compounds (5%)
Term
What enzyme in RBCs produces bicarbonate from water and CO2?
Definition
carbonic anhydrase
Term
How are carbamino compounds formed? What is the most important protein involved in this?
Definition
CO2 binds to terminal amine groups in blood proteins; hemoglobin
Term
What 5 gradients allow CO2 to be taken up by RBCs from systemic capillaries and O2 to be unloaded from RBCs into systemic capillaries?
Definition

Diffusion gradient

Concentration gradient

Electrical gradient

pH gradient

osmotic gradient

 

mnemonic:

Drug Cyclists (use) = E P O

Term
What is the diffusion gradient?
Definition
CO2 produced in tissue cells diffuses into the plasma. Carbonic anhydrase within RBCs causes CO2 to diffuse from plasma into RBCs
Term
What is the concentration gradient?
Definition
The hydration of CO2 causes RBC concentration of bicarbonate to increase, moving bicarbonate into the plasma
Term
What is the electrical gradient?
Definition
Movement of bicarbonate out of RBCs sets up a net negative charge, drawing Cl- ions into RBCs
Term
What is the pH gradient?
Definition
H+ ions cannot follow bicarbonate but acidify the RBC cytosol which is in part buffered by hemoglobin
Term
What is the osmotic gradient?
Definition
RBC intracellular osmolarity increases due to metabolic reactions causing RBCs to swell with H2O in the venous blood
Term
What is the p50 for CO2?
Definition
There isn’t one
Term
What is the maximum saturation level for CO2?
Definition
There isn’t one
Term
Can oxygenated or deoxygenated blood hold more CO2? Why?
Definition
Deoxygenated blood can because it is a weaker acid
Term
What is the change in COcontent between arterial and venous blood? Change in Ocontent?
Definition

~4ml gas/dl blood for CO2

~5ml gas/dl blood for O2

 

 

Respiratory Quotient (RQ) = CO2 production/O2 consumption = VdotCO2/VdotO2. Normal values range from 0.7 to 1.0 depending on metabolic processes.
In this example, RQ = 4/5 = 0.8. 
Term
What is the change in PCO2 between arterial and venous blood? For PO2?
Definition

6 mmHg for PCO2

60 mmHg for PO2

Term
What is the “critical corner”?
Definition
It is the tissue area furthest from the capillaries
Term
What is the Haldane effect?
Definition

The Haldane effect is the property that deoxygenation of the blood increases the ability to carry COand vice versa

 

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