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O2 Transport
O2 transport by blood can be accomplished in 2 stages: diffusion of O2 through a blood-gas barrier, reaction with hemoglobin within the red blood cell.
Can be transported in 2 forms: by plasma as dissolved product, carried by red blood cells.
Oxygen-Hemoglobin Binding Factors
Flat Upper Portion: a substantial drop in PO2 of the alveolar gas does not affect the saturation of the arterial blood.
Steep Middle Portion: rapid oxygen dissociation from hemoglobin with only a small decrease in partial pressure, therefore peripheral tissues can extract large amounts of oxygen with a small drop in capillary PO2
CO2 Transport
3 forms:
Dissolved - obey Henry’s Law, 20x more soluble than O2, 8-10% of CO2.
Bicarbonate Ions - 60% of CO2.
Carbamino Compound - 30% of CO2
Central Chemoreceptors
Located near the surface of the medulla.
Increase in PCO2 stimulates ventilation
Decrease in PCO2 inhibits ventilation
In both, increase the frequency and depth of respiration.
Peripheral Chemoreceptors
Located at the carotid bodies of the common carotid arteries.
Responds to decrease in arterial PO2 and pH or increase in arterial PCO2
In both, increase the frequency and depth of respiration.
Lung Receptors
Pulmonary Stretch Receptors - discharge in response to distention of lungs, prevent over-inflation of lungs.
Irritant Receptors - stimulated by noxious gases, inhaled dust, and cold air; can abnormally increase in depth and rate of respiration.
Juxta-Capillary Receptors - activated when there is engorgement of pulmonary capillaries or increase in interstitial fluid volume; induces rapid shallow breathing.
Joint and Muscle Receptors
Activated upon moving; helps increase ventilation during exercise.
Arterial Baroreceptors
Increased arterial blood pressure can cause hypoventilation.
Pain and Temperature
Pain often causes a period of apnea, followed by hyperventilation.
Heating of the skin may result in hyperventilation.