Transcript PPT

Oxygen to the Blood
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Why start here? When is someone dead?
Alveoli—where the action is
Diffusion--Gases and liquids
Red Blood Cells and Hemoglobin
Lung volume and Respiratory Rate
Respiratory Control
Alveoli
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Key to lung function
Where O2 enters blood, CO2 leaves blood
Every alveoli is capillary covered sac
Lining of sac is squamous epithelium
Also cuboidal epithelial cells that secret surfactant (keeps
surfaces from sticking) and cilia (to move mucous and particles
up respiratory tree
• Unfold alveolar membranes in human lungs—tennis court!
Alveoli
Ventilating alveolus with perfusion
of oxygen and non-ventilating
alveolus with no perfusion
Oxygen and CO2
• Blood in capillaries around
alveoli of lungs is:
– Low/high in oxygen?
– Low/high in CO2?
• Why?
• Drawing:
– O2, CO2 molecules
– Inside of alveolus
– Alveolar membrane
– Capillary membrane
– Inside of capillary
– Show net flow of gas molecules
Cells of alveoli
• Type I Pneumocytes—epithelial lining cells
• Type II Pneumocytes—make surfactant
• Dust Cells—macrophages that engulf dust
Diffusion—a reminder
• From higher concentration to lower concentration
• Only way substances can move in or out of a cell
Dissolved Gases
• Why “partial pressures?”
• Open a can of soda…what happens?
• Diffusion of O2 at from inside alveolus into capillary is also
movement from air (gas) into plasma (liquid)
• Mass movement of oxygen into blood works because:
– Differences in partial pressures are great
– Distance is short
– Oxygen is lipid soluble so it passes through membrane and coating
(surfactant)
– Surface area is huge—remember tennis court
Red Blood Cells (RBC) Fun Facts
• One drop of blood has 250 million RBC’s
• Adult human has total of 25 trillion RBC’s—1/3 of all
cells in the body
• Each RBC lives about 120 days and travels 700 miles.
Membrane rupture or other damage is noticed by
phagocytes which then engulf the cell
• One percent of RBC’s are replaced each day at a rate of
about 3 million per second
• Each RBC contains about 250 million Hb molecules
• So, number of Hb molecules in body is about equal to
stars in the universe
Red blood cells and Hemoglobin
• Most O2 binds to Hb
in RBC’s
• Hb is protein with
four Heme groups—
each has iron
molecule at center
which helps bind O2
• Oxygen saturation for
Hb is just right to bind
with O2 in lungs and
release in tissues
• CO binds more
strongly and
permanently with HB
than O2—thus CO
poisoning
• CO2 is carried in
various forms in
blood (see next slide)
Lung Volume and Respiratory Rate
Rate of air exchange
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At rest: 500
ml/breath (tidal
volume) x 12
breaths/min
(resting respiratory
rate) = 6 liters/min.
Peak exercise:
4800 ml/breath
(expanded tidal
volume using most
of reserves) x 50
breaths/min.
(increased
respiratory rate) =
200 liters/min.
Lung Capacity
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Total lung capacity: 4200 ml (f); 6000 ml (m)
Resting tidal volume: 500 ml (f)
Expiratory reserve (amount you can blow out after exhaling normally): 700 ml (f)
Residual volume (amount you can never blow out): 1100 ml (f)
Inspiratory reserve (amount you can breathe in after normal inhalation): 1900 ml (f)
Respiratory control
• Great review of
nervous system
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Brainstem
Cranial nerves
Sensory and motor
Visceral versus
somatic
• CO2 levels have
more input during
normal respiration
• Possible to blow off
enough CO2 to pass
out since low O2
doesn’t kick in on
time—careful divers
and swimmers!