Allied Science Physiology 09-10. Respiratory System. Lecture 3. Allied Science Physiology. Respiratory System. Lecture 3. 1 • Arterial blood O2 and CO2 levels remain relatively constant – Oxygen moves from alveoli to blood at same rate it is consumed by cells – Carbon dioxide moves from blood to alveoli at same rate it is produced by cells VCO2 = 200ml/min Respiratory Quotient :0.8 (rest) VO2=250ml/min • At maximum exercise, RQ > or < than 0.8?? Allied Science Physiology. Respiratory System. Lecture 3. Figure 17.1 Allied Science Physiology. Respiratory System. Lecture 3. 2 • Many gases are mixtures of different molecules • Total pressure is the sum of all Partial Pressures – Ptotal = P1 + P2 + P3 + … Pn • Partial pressure of a gas depends on: – Fractional concentration of the gas – Total pressure of gas mixture Pgas = %gas x Ptotal Allied Science Physiology. Respiratory System. Lecture 3. • Composition of Air – 79% Nitrogen – 21% Oxygen – Trace amounts carbon dioxide, helium, argon, etc. – Water can be a factor depending on humidity Allied Science Physiology. Respiratory System. Lecture 3. 3 • At sea level (0% humidity): Pair = 760 mm Hg = PN2 + PO2 – PN2 = 0.79 x 760 mm Hg = 600 mm Hg – PO2 = 0.21 x 760 mm Hg = 160 mm Hg – Air is only 0.03% carbon dioxide • PCO2 = 0.0003 x 760 mm Hg = 0.23 mm Hg • At 100% humidity: Pair = 760 mm Hg = PN2 + PO2+ PH2O – PN2 = 0.741 x 760 mm Hg = 563 mm Hg – PO2 = 0.196 x 760 mm Hg = 149 mm Hg – PH2O = 0.062 x 760 mm Hg = 47 mm Hg – PCO2 = 0.00027 x 760 mm Hg = 0.21 mm Hg Allied Science Physiology. Respiratory System. Lecture 3. Allied Science Physiology. Respiratory System. Lecture 3. 4 • Gas molecules can exist in gas form or dissolved in liquid • When a gas and a liquid in contact: gas molecules dissolve in the liquid until system reaches equilibrium. At equilibrium: – Gas and liquid at the same partial pressure – The concentration of gas molecules in the liquid proportional to the partial pressure of the gas and solubility of the gas in that liquid • Henry’s Law: c = kP (note that k or Henry’s Law constant differs among gases) Allied Science Physiology. Respiratory System. Lecture 3. • At a given partial pressure, relative concentrations of different dissolved gases differ • At 100 mm Hg partial pressure in water: – [O2] in water = 0.15 mmoles/liter – [CO2] in water = 3.0 mmoles/liter Carbon dioxide is more soluble (20 times!) than oxygen in water (and blood) Allied Science Physiology. Respiratory System. Lecture 3. 5 Figure 17.3 Allied Science Physiology. Respiratory System. Lecture 3. – Diffusion rate (CO2) = 3.62 (diffusion constant) x 6 (ΔP) = 21.7 – Diffusion rate (O2) = 0.18 (diffusion constant) x 60 (ΔP)= 10.6 • CO2 diffusion rate is 2 times that of O2 Allied Science Physiology. Respiratory System. Lecture 3. 6 • In gas mixtures, gases diffuse down partial pressure gradients – High partial pressure low partial pressure • A particular gas diffuses down its own partial pressure gradient – Presence of other gases irrelevant Allied Science Physiology. Respiratory System. Lecture 3. Figure 17.4 Allied Science Physiology. Respiratory System. Lecture 3. 7 • Actual amount of oxygen and carbon dioxide that is exchanged in any given vascular bed depends on metabolic activity of tissue – Greater rate of metabolism Greater exchange • Normally: PO2=40mmHg and PCO2=46mmHg • Strenuous exercise: PO2<40mmHg and PCO2>46mmHg • PO2 and PCO2 in different systemic veins varies, but all the venous blood mixes together before reaching the right atria Allied Science Physiology. Respiratory System. Lecture 3. • Equilibration occurs in 0.25 seconds (blood has traveled 1/3 of the length of the capillary): margin of safety • Rapid because of thinness of the resp membrane Figure 17.5 Allied Science Physiology. Respiratory System. Lecture 3. 8 • O2 & CO2 equilibrate at similar rates • At rest: blood spends 0.75 sec in the capillary • Normal equilibration within 1/3 of capillary transit (0.25 sec) • During intense exercise: time reduced to 0.25 sec • Diffusion process affected by: • Exercise • Thickening of blood-gas barrier Allied Science Physiology. Respiratory System. Lecture 3. • Fluid accumulation in alveoli and/or interstitial space • Impairs diffusion (higher distance from alveoli to blood) • Increases work of breathing (decreased lung compliance) • Arterial blood: lower P02 and higher PCO2 • Causes: • Increased capillary pressure – Via left heart failure • Reduced atmospheric pressure – At altitude • Treatment: • Administering oxygen and diuretics Allied Science Physiology. Respiratory System. Lecture 3. 9 • Factors affecting alveolar partial pressures – PO2 and PCO2 of inspired air – Minute alveolar ventilation – Rates at which respiring tissue use O2 and produce CO2 • Most critical is rate of alveolar ventilation relative to rate of oxygen use and carbon dioxide production Allied Science Physiology. Respiratory System. Lecture 3. • Hyperpnea = increased ventilation due to increased demand – Minimal changes in arterial PO2 and PCO2 • Hypoventilation = ventilation does not meet demands of tissues – Arterial PO2 decreases – Arterial PCO2 increases • Hyperventilation = ventilation exceeds demands of tissues – Arterial PO2 increases – Arterial PCO2 decreases Allied Science Physiology. Respiratory System. Lecture 3. 10
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