(22.6) Gas Exchange

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1
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Explain Gas Exchange

  • Occurs between lungs and blood as well as blood and tissues

  • Both process are subjected to 

    1. Basic properties of gases 

    2. Composition of alveolar gas 

<ul><li><p>Occurs between <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">lungs and blood</mark></strong></span> as well as <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">blood and tissues</mark></strong></span></p></li><li><p>Both process are subjected to&nbsp;</p><ol><li><p>Basic properties of gases&nbsp;</p></li><li><p>Composition of alveolar gas&nbsp;</p></li></ol></li></ul><p></p>
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Define Dalton’s Law of Partial Pressures

Total pressure exerted by a mixture of gases is the SUM of pressures exerted by each gas in the mixture

  • TELLS US WHICH DIRECTION GASES GO (FROM HIGH TO LOWER PRESSURE) 

<p><strong>Total pressure exerted by a mixture of gases is the SUM of pressures exerted by <u>each</u> gas in the mixture</strong></p><ul><li><p>TELLS US WHICH DIRECTION GASES GO (FROM HIGH TO LOWER PRESSURE)&nbsp;</p></li></ul><p></p>
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Define Partial Pressure 

The pressure exerted by a single component of a mixture of gases

  • Directly proportional to its percentage in mixture 

<p><strong><span>The pressure exerted by a single component of a mixture of gases</span></strong></p><ul><li><p><em><u>Directly proportional to its percentage in mixture&nbsp;</u></em></p></li></ul><p></p>
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Total Patm = ?

760 mmHg 

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How much is Nitrogen in the air?  

78.6% 

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Calculate Partial Pressure of Nitrogen (PN2)

0.786 × 760 mmHg = 597 mmHg N

<p>0.786 × 760 mmHg = 597 mmHg N<sub>2&nbsp;</sub></p>
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How much is Oxygen in the air?  

20.9% 

<p><strong>20.9%&nbsp;</strong></p>
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Calculate Partial Pressure of Oxygen (PO2)

0.209 × 760 mmHg  = 159 mmHg 

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Compare High & Lower Altitudes influence on Partial Pressure

  1. HIGH altitudes → Partial pressure DECLINES

  2. LOWER altitudes (under water)→ Partial pressure INCREASES significantly

<ol><li><p><strong>HIGH</strong> altitudes → <mark data-color="red" style="background-color: red; color: inherit;">Partial pressure DECLINES</mark></p></li><li><p><strong>LOWER</strong> altitudes (under water)→ <mark data-color="green" style="background-color: green; color: inherit;">Partial pressure INCREASES significantly </mark></p></li></ol><p></p>
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Define Henry’s Law

For gas mixtures in contact with liquids: Each gas will dissolve in the liquid in proportion to its partial pressure of that gas

  • At equilibrium → partial pressures in the two phases will be equal

  • HOW MUCH OF GAS DISSOLVES INTO BLOOD

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Amount of each gas that will dissolve depends on =?

  1. Solubility 

    • CO2 is 20x more soluble in water than O2, and little N2 will dissolve 

  2. Temperature 

    • As temperature of liquid rises, solubility decreases 

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Compare Approx % Gas Partial Pressure in the Atmosphere & in the Alveoli (for O2 and CO2)

knowt flashcard image
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Describe how atmospheric and alveolar air differ in composition

Alveoli contain more CO2 and water vapor than atmospheric air 

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Explain why does Alveoli contain more CO2 and water vapor than Atmospheric air

  1. Gas exchanges occurring in the lungs (O2 diffuses from the alveoli into the pulmonary blood and CO2 diffuses in the opposite direction)

  2. Humidification of air by conducting passages

  3. The mixing of alveolar gas that occurs with each breath

<ol><li><p><strong>Gas exchanges occurring in the lungs</strong> (<span><span>O</span><sub><span>2</span></sub></span> diffuses from the alveoli into the pulmonary blood and <span><span>CO</span><sub><span>2</span></sub></span> diffuses in the opposite direction)</p></li><li><p><strong>Humidification of air by conducting passages</strong></p></li><li><p><strong>The mixing of alveolar gas that occurs with each breath</strong></p></li></ol><p></p>
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Define External Respiration 

Pulmonary Gas Exchange

Involves the exchange of O2 (uptake) CO2 (unloading) across respiratory membranes 

<p><code>Pulmonary Gas Exchange</code></p><p>Involves the exchange of<strong> O<sub>2</sub></strong><sub> </sub> (uptake) <strong>CO<sub>2</sub></strong> (unloading) across <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>respiratory membranes&nbsp;</span></mark></strong></span></p>
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List Factors that Influence on External Respiration

  1. Partial pressure gradients and gas solubilities 

  2. Thickness and surface area of the respiratory membrane

  3. Ventilation-perfusion coupling (matching alveolar ventilation with pulmonary blood perfusion)

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Explain Partial pressure gradients and gas solubilities 

Influences on External Respiration (1/3)

  • A STEEP partial pressure gradient exist between blood in the pulmonary arteries and alveoli and O2 diffuses rapidly until it reaches equilibrium at PO2 of 104 mmHg

    • Alveoli → Blood

  • CO2 moves in the opposite direction ALONG a partial pressure that is much LESS steep → reaching equilibrium at 40 mmHg

    • Blood → alveoli 

    • Through gradient is not as steep → CO2 still diffuses in equal amounts with oxygen

    • REASON is that CO2 is 20x MORE soluble in plasma and alveolar fluid than oxygen 

<p><code>Influences on External Respiration (1/3)</code></p><ul><li><p><span style="color: blue;"><strong><span>A STEEP partial pressure gradient exist between blood in the pulmonary arteries and alveoli and O</span><sub><span>2</span></sub><span> diffuses rapidly </span></strong></span> until it reaches equilibrium at P<sub>O2</sub> of 104 mmHg</p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Alveoli → Blood </mark></strong></span></p></li></ul></li><li><p><span style="color: red;"><strong><span>CO</span><sub><span>2</span></sub><span> moves in the opposite direction ALONG a partial pressure that is much LESS steep</span></strong><span> </span></span>→ reaching equilibrium at 40 mmHg</p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Blood → alveoli&nbsp;</mark></strong></span></p></li><li><p>Through gradient is not as steep → CO2 still diffuses in equal amounts with oxygen</p></li><li><p>REASON is that <strong>CO2 is 20x MORE soluble</strong> in plasma and alveolar fluid than oxygen&nbsp;</p></li></ul></li></ul><p></p>
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T/F: PO2 is greater in the alveolus than the blood, so oxygen diffuses into the blood.

→ TRUE

  • During pulmonary gas exchange, oxygen will diffuse down its partial pressure gradient from the alveolus into the blood until the partial pressure is equal in both locations.

<p><strong>→ TRUE</strong></p><ul><li><p>During pulmonary gas exchange, oxygen will <span style="color: purple;"><strong><em><u>diffuse down its partial pressure gradient</u></em></strong></span> from the alveolus into the blood until the partial pressure is equal in both locations.</p></li></ul><p> </p>
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_______ has a greater partial pressure in the pulmonary capillaries than in the alveoli, so it diffuses into the _______.

CO2 has a greater partial pressure in the pulmonary capillaries than in the alveoli, so it diffuses into the alveoli

<p><strong>CO<sub>2</sub> </strong>has a greater partial pressure in the pulmonary capillaries than in the alveoli, so it diffuses into <strong>the alveoli</strong></p>
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Despite the fact that the partial pressure difference is so much smaller for CO2, why is there as much CO2 exchanged between the alveoli and blood as there is O2?

→ CO2 is much more soluble in blood than O2

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How would the partial pressures of Oand CO2 change in an exercising muscle?

→ The partial pressure of Owould decrease, and the partial pressure of CO2would increase

  • Cells use O2 and produce CO2 during cellular respiration to produce ATP. Exercising muscles need more ATP.

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Oxygenation of Blood in the Pulmonary Capillaries @ Rest

  • A STEEP partial pressure gradient exist between blood in the pulmonary arteries and alveoli and O2 diffuses rapidly until it reaches equilibrium at PO2 of 104 mmHg

    • Alveoli → Blood

  • CO2 moves in the opposite direction ALONG a partial pressure that is much LESS steep → reaching equilibrium at 40 mmHg

    • Blood → alveoli 

<ul><li><p><span style="color: blue;"><strong><span>A STEEP partial pressure gradient exist between blood in the pulmonary arteries and alveoli and O</span><sub><span>2</span></sub><span> diffuses rapidly </span></strong></span> until it reaches equilibrium at P<sub>O2</sub> of 104 mmHg</p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Alveoli → Blood </span></mark></strong></span></p></li></ul></li><li><p><span style="color: red;"><strong><span>CO</span><sub><span>2</span></sub><span> moves in the opposite direction ALONG a partial pressure that is much LESS steep</span></strong><span> </span></span>→ reaching equilibrium at 40 mmHg</p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Blood → alveoli&nbsp;</span></mark></strong></span></p></li></ul></li></ul><p></p>
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Partial pressure gradients promoting gas movements in the body

O2

  1. Air enters through the nose or mouth

  2. Air travels down the trachea and then enters the bronchi 

  3. Air travels down smaller and smaller bronchioles

  4. Air reaches small sacs (alveoli)  

CO2

  1. CO₂ is released from the mitochondria 

  2. CO₂ diffuses into a capillary

  3. CO₂ is carried to the lungs

  4. CO₂ diffuses into an alveolus

  5. Air exits through nose or mouth

<p><code>O2</code></p><ol><li><p>Air enters through the <strong>nose or mouth</strong></p></li><li><p>Air travels down the <strong>trachea</strong> and then enters the <strong>bronchi</strong>&nbsp;</p></li><li><p>Air travels down smaller and <strong>smaller bronchioles</strong></p></li><li><p>Air reaches small sacs (<strong>alveoli</strong>)&nbsp;&nbsp;</p></li></ol><p><code>CO2</code></p><ol><li><p>CO₂ is released from the<strong> mitochondria&nbsp;</strong></p></li><li><p>CO₂ diffuses into a <strong>capillary</strong></p></li><li><p>CO₂ is carried to the<strong> lungs</strong></p></li><li><p>CO₂ diffuses into an <strong>alveolus</strong></p></li><li><p><strong>Air exits through nose or mouth</strong></p></li></ol><p></p>
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Explain Thickness and surface area of the respiratory membrane

Influences on External Respiration (2/3)

  • Respiratory membranes are very thin → 0.5-1 um thick 

  • Large total surface area of the alveoli is 40x the surface area of the skin 

<p><code>Influences on External Respiration (2/3)</code></p><ul><li><p>Respiratory membranes are <strong><u>very thin</u></strong> → 0.5-1 um thick&nbsp;</p></li><li><p><strong><em><u>Large total surface area</u></em></strong> of the alveoli is 40x the surface area of the skin&nbsp;</p></li></ul><p></p>
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Explain Ventilation-perfusion coupling

Influences on External Respiration (3/3)

  • Ventilation (amount of gas reaching alveoli) and perfusion (amount of blood flowing through pulmonary capillaries) must be coupled for optimal, efficient gas exchange 

    • VENTILATION = how much air reaches the alveoli

    • PERFUSION = how much blood reaches the alveoli

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How is Ventilation-perfusion coupling controlled?

  • Both controlled by local auto regulatory mechanisms 

    1. Alveolar PO2 → controls perfusion by changing arteriolar diameter 

    2. Alveolar PCO2 controls ventilation by changing bronchiolar diameter

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Explain Influence of local PO2 on Perfusion 

Changes in local alveolar PO2 cause changes in diameters of local arterioles 

  1. If PO2 is low (from poor ventilation) → arterioles constrict to decrease perfusion 

    • Directs blood to go to well ventilated alveoli → where O2 is high (and CO2 is low), so blood can pick up more oxygen (and remove more CO2) 

  2. If PO2 is high (from good ventilation) → arterioles dilates to increase perfusion 

Opposite mechanism, seen in systemic arterioles that dilate when oxygen is low and constrict with high 

<p><strong><em>Changes in local alveolar P<sub>O2</sub> cause changes in diameters o</em></strong><span style="color: purple;"><strong><em><mark data-color="purple" style="background-color: purple; color: inherit;"><span>f local arterioles&nbsp;</span></mark></em></strong></span></p><ol><li><p><span style="color: red;"><strong><span>If P</span><sub><span>O2</span></sub><span> is low </span></strong></span>(from poor ventilation) →<mark data-color="green" style="background-color: green; color: inherit;"> arterioles </mark><strong><em><u><mark data-color="green" style="background-color: green; color: inherit;">constrict</mark></u></em></strong><mark data-color="green" style="background-color: green; color: inherit;"> to&nbsp;</mark><span style="color: red;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>decrease </span></mark></strong></span><span style="color: purple;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>perfusion</span></mark></strong></span><span style="color: red;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>&nbsp;</span></mark></strong></span></p><ul><li><p><strong>Directs blood to go to well ventilated alveoli </strong>→ where O2 is high (and CO2 is low), so blood can pick up more oxygen (and remove more CO2)&nbsp;</p></li></ul></li><li><p><span style="color: green;"><strong><span>If P</span><sub><span>O2 </span></sub><span>is high</span></strong></span> (from good ventilation) →<mark data-color="green" style="background-color: green; color: inherit;"> arterioles </mark><strong><em><u><mark data-color="green" style="background-color: green; color: inherit;">dilates</mark></u></em></strong><mark data-color="green" style="background-color: green; color: inherit;"> to</mark><span style="color: green;"><mark data-color="green" style="background-color: green; color: inherit;"><span> </span></mark><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>increase </span></mark></strong></span><span style="color: purple;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>perfusion</span></mark></strong></span><span style="color: green;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>&nbsp;</span></mark></strong></span></p></li></ol><p><strong>Opposite mechanism, seen in systemic arterioles that dilate when oxygen is low and constrict with high&nbsp;</strong></p><p></p>
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Explain Influence of local PCO2 on Ventilation  

Poor alveolar ventilation results in low alveolar PO2 (high PCO2)

  1. Pulmonary arterioles constrict → less blood goes to this poorly ventilated alveolus

  2. Bronchioles dilate→ to bring more air in and wash out the extra CO₂

    • To improve the match by sending less blood and more air.

Good alveolar ventilation results in high alveolar PO2 (low PCO2)

  1. Pulmonary arterioles dilate → more blood is sent to this well-ventilated alveolus

  2. Bronchioles constrict→ because not as much extra airflow is needed

    • To match plenty of air with plenty of blood.

<p><span style="color: rgb(0, 0, 0);"><strong><mark data-color="red" style="background-color: red; color: inherit;"><span>Poor alveolar ventilation results in </span></mark></strong></span><span style="color: red;"><strong><span>low alveolar PO2 </span></strong></span><span style="color: green;"><strong><span>(high PCO2)</span></strong></span><span style="color: red;"><strong><span> </span></strong></span>→ </p><ol><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Pulmonary arterioles </mark></strong></span><span style="color: red;"><strong>constrict</strong></span> → less blood goes to this poorly ventilated alveolus</p></li><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Bronchioles</mark></strong></span><span style="color: red;"><strong> </strong></span><span style="color: blue;"><strong>dilate</strong></span>→ to bring <strong>more air</strong> in and wash out the extra CO₂</p><ul><li><p>To improve the match by sending <strong>less blood</strong> and <strong>more air</strong>.</p><p></p></li></ul></li></ol><p><strong><mark data-color="green" style="background-color: green; color: inherit;">Good alveolar ventilation results</mark></strong> in <span style="color: green;"><strong><span>high alveolar PO2 </span></strong></span><span style="color: red;"><strong><span>(low PCO2)</span></strong></span></p><ol><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Pulmonary arterioles</mark></strong></span><span style="color: blue;"><strong> dilate</strong></span> → more blood is sent to this well-ventilated alveolus</p></li><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Bronchioles</mark></strong></span><span style="color: red;"><strong> constrict</strong></span>→ because not as much extra airflow is needed</p><ul><li><p>To match <strong>plenty of air</strong> with <strong>plenty of blood</strong>.</p><p></p></li></ul></li></ol><p></p>
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What would occur if lung cancer restricts the airflow to a group of alveoli?

→ PO2 in the affected alveoli would decrease, and their arterioles would vasoconstrict

  • If PO2 is low (from poor ventilation) → arterioles constrict to decrease perfusion

    • Directs blood to go to well ventilated alveoli → where O2 is high (and CO2 is low), so blood can pick up more oxygen (and remove more CO2) 

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SUMMARY of Factors that Influence on External Respiration

  1. Partial pressure gradients and gas solubilities 

    • A STEEP partial pressure gradient exist between blood in the pulmonary arteries and alveoli and O2 diffuses rapidly until it reaches equilibrium at PO2 of 104 mmHg

      • Alveoli → Blood

    • CO2 moves in the opposite direction ALONG a partial pressure that is much LESS steep → reaching equilibrium at 40 mmHg

      • Blood → alveoli 

  2. Thickness and surface area of the respiratory membrane

    • Very thin

    • Huge surface area for efficient gas exchange

  3. Ventilation-perfusion coupling

    • Ensures a close match between the amount of gas reaching that alveoli and the blood flow in the pulmonary capillaries

      • VENTILATION = how much air reaches the alveoli

      • PERFUSION = how much blood reaches the alveoli

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Explain Cause and Effect of Pneumonia

  • CAUSE

    • Effective thickness of respiratory membrane INCREASES dramatically if the lungs become waterlogged and edematous

  • EFFECT

    • Pneumonia

<ul><li><p><strong>CAUSE</strong></p><ul><li><p><span style="color: red;"><strong><span>Effective </span><u><span>thickness</span></u></strong></span> <span style="color: red;"><strong>of respiratory membrane</strong></span> <strong>INCREASES</strong> dramatically if the lungs become <strong>waterlogged and edematous</strong></p></li></ul></li><li><p><strong>EFFECT</strong></p><ul><li><p>Pneumonia</p></li></ul></li></ul><p></p>
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Explain Cause, Effect, and Treament of Emphysema 

  • CAUSE

    • Reduce the alveolar surface area

  • EFFECT

    • Walls of adjacent alveoli break down and the alveolar chambers enlarge

  • TREATMENT

    • Administering supplemental oxygen → Increase the PO2 in the alveoli to increase the diffusion of oxygen across the respiratory membrane

 

<ul><li><p><strong>CAUSE</strong></p><ul><li><p><span style="color: red;"><strong><span>Reduce the </span><u><span>alveolar surface area</span></u></strong></span></p></li></ul></li><li><p><strong>EFFECT</strong></p><ul><li><p>Walls of adjacent alveoli break down and the alveolar chambers enlarge</p></li></ul></li><li><p><strong>TREATMENT</strong></p><ul><li><p>Administering supplemental oxygen →  Increase the P<sub>O2</sub>&nbsp;<span><span>in the alveoli to increase the diffusion of oxygen across the respiratory membrane</span></span></p></li></ul></li></ul><p>&nbsp;</p><p></p>
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Name other examples of Pulmonary Diseases that REDUCE Alveolar Surface Area 

  1. Tumors 

  2. Mucus 

  3. Inflammatory material 

Reduce surface area by blocking gas flow into alveoli

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Define Internal Respiration 

Involves capillary gas exchange in body tissues

<p>Involves capillary gas exchange in <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">body tissues</mark></strong></span></p>
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T/F: Diffusion gradients for O2 and CO2 are reversed from those from external respiration and pulmonary gas exchange, the factors promoting has are identical 

→ TRUE 

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Compare Partial pressure and diffusion gradients between Internal Respiration vs External Respiration 

Partial pressures and diffusion gradients in Internal Respiration are REVERSED compared to External Respiration

  1. Tissue PO2 is ALWAYS LOWER than in arterial blood PO2 (40 vs 100 mmHg) → so O2 moves from blood to tissues

  2. Tissue PCO2 is ALWAYS HIGHER than arterial blood PCO2 (45 vs 40 mmHg) → so CO2 moves from tissues into blood

  3. Venous blood returning to heart has PO2 of 40mmHg and PCO2 of 45 mmHg

<p><strong><em>Partial pressures and diffusion gradients in Internal Respiration are REVERSED compared to External Respiration</em></strong></p><ol><li><p>Tissue P<sub>O2</sub> is ALWAYS LOWER than in arterial blood P<sub>O2</sub> (40 vs 100 mmHg) → so<strong> O<sub>2</sub> </strong><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">moves from blood to tissues</mark></strong></span></p></li><li><p>Tissue P<sub>CO2</sub> is ALWAYS HIGHER than arterial blood P<sub>CO2</sub> (45 vs 40 mmHg) → so<strong> CO<sub>2</sub> </strong><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">moves from tissues into blood</mark></strong></span></p></li><li><p>Venous blood returning to heart has P<sub>O2</sub> of 40mmHg and P<sub>CO2</sub> of 45 mmHg</p></li></ol><p></p>
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Which way would O2 and COdiffuse during internal respiration?

Owould diffuse into the cells, and COwould diffuse into the systemic capillaries.

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Relate Dalton’s and Henry’s laws to events of pulmonary and tissue gas exchange.

  1. Dalton’s Law Total pressure exerted by a mixture of gases is the SUM of pressures exerted by EACH gas in the mixture

    • How gas behaves in a mixture of gasses (from higher pressure to lower pressure)

  2. Henry’s Law For gas mixtures in contact with liquids: Each gas will dissolve in the liquid in proportion to its partial pressure of that gas

    • How gases move into and out of solution