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RESPIRATION
Gas Exchange
PARTIAL PRESSURES
In a mixture of gasses, the total pressure
distributes among the constituents
proportional to their percent of the total
The concentration of a gas can therefore
be expressed as its partial pressure
Partial Pressures in air
Oxygen = 21%
Po2
Nitrogen = 79%
PN2 = 600 mm Hg
=
160 mm Hg
Total Pressure (at sea
level) = 760mm Hg
Effect of water vapor
As fresh air enters the nose and mouth it
is immediately mixed with water vapor
Since the total pressure remains constant,
the water vapor lowers the partial
pressure of all other gases
For this reason, the PO2 is lowered to
about 149 mmHg
DEAD SPACE VOLUME
At the height of expiration, about 150ml
of gas still occupies the respiratory tree
This “old gas” is necessarily mixed with
the incoming fresh air and further lowers
the PO2 to about 100 mmHg
GAS EXCHANGE ACROSS
PULMONARY CAPILLARIES
Both oxygen and
carbon dioxide diffuse
down their
concentration (partial
pressure) gradients
Inspired Air PO2 = 160mmHg
PCO2 = 0.03mmHg
LUNG
PO2 = 100mmHg
PCO2 = 40mmHg
PULMONARY CAPILLARIES
PO2 = 40mmHg
PCO2 = 46mmHg
PO2 = 100mmHg
PCO2 = 40mmHg
GAS EXCHANGE ACROSS
SYSTEMIC CAPILLARIES
Both oxygen and
carbon dioxide diffuse
down their
concentration (partial
pressure) gradients
TISSUE
PO2 < 40mmHg
PCO2 > 46mmHg
SYSTEMIC CAPILLARIES
PO2 = 40mmHg
PCO2 = 46mmHg
PO2 = 100mmHg
PCO2 = 40mmHg
Carbon dioxide/Bicarbonate
Relationship
CO2 + H2O <---> H2CO3 <---> H+ + HCO3-
Carbon dioxide dissolved in water readily combines with
water to form carbonic acid. The carbonic acid then
dissociates into the hydrogen ion and bicarbonate ion.
The former reaction is catalized by and enzyme called
Carbonic Anhydrase in many tissues.
GAS TRANSPORT IN BLOOD
Oxygen physically dissolved = 1.5%
Oxygen bound to hemoglobin = 98.5%
Carbon dioxide physically dissolved =
10%
Carbon dioxide bound to hemoglobin =
30%
Carbon dioxide as bicarbonate = 60%
HEMOGLOBIN/OXYGEN DISSOCIATION
Resting PO2
Systemic
Normal PO2
Capillaries
% Hemoglobin
Saturation
PO2 of blood (mmHg)
Agents which shift the Hb/O
Dissociation curve: The Bohr Effect
UNDERSTANDING THE HB/O
DISSOCIATION CURVE
The plateau: Provides a margin of safety
in the oxygen carrying capacity of the
blood
The steep portion: Small changes in
Oxygen levels can cause significant
changes in binding. This promotes
release to the tissues.
Agents which shift the Hb/O
Dissociation curve: The Bohr Effect
Carbon dioxide/Bicarbonate
Relationship
CO2 + H2O <---> H2CO3 <---> H+ + HCO3-
Carbon dioxide dissolved in water readily combines with
water to form carbonic acid. The carbonic acid then
dissociates into the hydrogen ion and bicarbonate ion.
The former reaction is catalized by and enzyme called
Carbonic Anhydrase in many tissues.
Carbon Dioxide Transport
in the Blood: At the tissues
Tissue Cell
Carbonic Anhydrase
CO2 + H2O ---> H2CO3 ---> H+ + HCO3
+ Hb --->HbH
+ Hb ---> HbCO
2
HbO2 -----> Hb + O2
Red Blood Cell
Carbon Dioxide Transport
in the Blood: At the lungs
Alveolus
Carbonic Anhydrase
CO2 + H2O <--- H2CO3 <--- H+ + HCO3+ Hb <---HbH
+ Hb <--- HbCO
2
HbO2 <--- Hb + O2
Red Blood Cell
The Haldane Effect
Removal of oxygen from hemoglobin
increases hemoglobin’s affinity for carbon
dioxide
This allows carbon dioxide to “ride” on the
empty hemoglobin
RESPIRATORY CONTROL
Pons: Pneumotactic center
Pons: Apneustic center
Medulla: Dorsal respiratory group
Medulla: Ventral respiratory group
Medulla: Dorsal respiratory
group
Inspiratory neurons
Pacemaker activity
Expiration occurs when these cease firing
Medulla: Ventral
respiratory group
Both inspiratory and expiratory neurons
Inactive during normal quiet breathing
Rev up inspiratory activity when demands
for ventilation are high
Pons: Pneumotactic center
Fine tuning over medullary centers
Switches off inspiration
Pons: Apneustic center
Fine tuning over medullary centers
Blocks switching off of inspiritory neurons
CARBON DIOXIDE
CONTROLLS RESPIRATION
High carbon dioxide generates acidity of blood
in brain
Acidity of blood in systemic circulation is
prevented from directly influencing the brain
due to the blood/brain barrier’s impermeability
to H+
CO2 + H2O <---> H2CO3 <---> H+ + HCO3
OXYGEN LEVELS MUST FALL DRASTICALLY
TO AFFECT BREATHING
Receptors in carotid bodies
Below 60 mmHg for oxygen partial
pressure, breathing is stimulated
This is a last-ditch, fail-safe mechanism
only!