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What does hemoglobin binding depend on?
blood PO2 and the affinity between hemoglobin and O2
What can shift the oxyhemoglobin curve and in what direction?
pH: decrease shifts curve to the right
temperature: increase shifts curve to the right
How does exercise benefit hemoglobin loading and unloading? What mechanism causes this?
more O2 is unloaded at a given PO2 at the tissues, increasing O2 loading at the lungs
increased acidity due to H+ accumulation and higher core body temperature during exercise
What is O2 carrying capacity? What does it depend on?
the maximal amount of O2 the blood can transport
hemoglobin concentration
How does anemia, blood doping, and dehydration have an effect on O2 carrying capacity?
anemia → less RBC lowers carrying capacity
blood doping → more RBC increases carrying capacity
dehydration → higher % of hematocrit can increase carrying capacity
How can O2 content of the blood be calculated?
ContentO2 = [Hb](g/dL of blood) O2 capacity of Hb (mL/g) % saturation
In what three ways can CO2 be transported through the body? What percentage is each?
as bicarbonate ions 60-70%
bound to hemoglobin 20-30%
dissolved in blood plasma 7-10%
How does CO2 become bicarbonate?
increasing CO2 levels also increases the PCO2 in tissues, speeding up the reaction that produces bicarbonate and H+ ions, where bicarbonate is dissolves into the plasma and H+ binds to Hb
How is CO2 released from the lungs?
by recombining with H+ to form CO2 that can be exhaled from the lungs
CO2 binding with Hb creates ___?
carbaminohemoglobin
What determines CO2 binding to Hb?
blood PCO2 and the affinity between Hb and CO2
Which effects occur at the tissues and lungs to determine O2 and CO2 transport?
at tissues → Bohr effect increases O2 delivery and number of CO2 and H+
at lungs → Haldane effect increases O2 delivery and CO2 removal at the lungs
What is the a-vO2 difference?
the difference in O2 content between arterial and venous blood
What can be assumed about O2 use based on the a-vO2 difference?
the amount of O2 taken up at the tissues
At rest, what would O2 content at the lungs be in a normal healthy adult? a-vO2 difference? % saturation used?
O2 content at the lungs: 20 mL O2/dL of blood
a-vO2 difference: 4-5 mL O2/dL of blood
% saturation: about 25% used at the tissues
During exercise, what would O2 content at the lungs be in a normal healthy adult? a-vO2 difference? % saturation used?
O2 content at the lungs: 20 mL O2/dL of blood
a-vO2 difference: 10-15 mL O2/dL of blood
% saturation: about 65% used at the tissues
What factors impact O2 delivery and uptake?
oxygen content of blood
blood flow
pH
temperature
What involuntary centers are responsible for regulation of pulmonary ventilation?
the medulla oblongata and the pons
Where are the VRG, DRG, and PRGs located?
medulla: VRG and DRG
pons: PRG
What centers determine respiratory rate at rest?
regular stimulation from DRG to inspiratory muscles
What centers determine respiratory rate during exercise?
regular stimulation from DRG to inspiratory muscles AND VRG to expiratory muscles
How does the PRG determine respiratory rate?
pneumotaxic: inhibits the DRG, slowing respiratory rate
apneustic: stimulates the DRG, increasing respiratory rate
What can cortex control do for respiratory rate?
override involuntary mechanisms to allow voluntary control of breathing
How do chemoreceptors determine rate and depth of breathing?
central chemoreceptors in the medulla respond to changes in H+ and PCO2, while peripheral chemoreceptors in the aortic arch and common carotids respond to changes in PO2 levels
What blood characteristics are primarily responsible for rate and depth of breathing?
PCO2 and pH of blood
What is the Hering-Breuer reflex?
when stretch receptors in the lungs protect against over-inflation by restricting duration of breath
What is true of afferent feedback from exercising limbs and ventilation?
greater frequency of limb movement can stimulate an increasing in ventilation during exercise
Emotional distress and abrupt changes in temperature can impact respiratory rate and depth? T/F
true