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Lectures on respiratory physiology
Blood gas transport
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DRY AIR: 21% IS OXYGEN [O2] = 21 ml/dl FO2 = 0.21
CONCENTRATION AND PARTIAL PRESSURE O2 MOLECULES IN AIR DRY AIR: 21% IS OXYGEN [O2] = 21 ml/dl FO2 = 0.21 As PB = mm Hg PO2 = x mm Hg = mm Hg
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37oC PO2 = 0.21 x 713 mm Hg EFFECT OF WATER VAPOR PB = 760 mm Hg
PH2O = mm Hg PDRY = mm Hg PO2 = x mm Hg = mm Hg
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O2 IN PHYSICAL SOLUTION 37oC AFTER EQUILIBRATION, AIR: PO2 = 150 mm Hg
WATER AFTER EQUILIBRATION, AIR: PO2 = 150 mm Hg AIR WATER: PO2 = 150 mm Hg AIR: [O2] = 21 ml/dl WATER: [O2] = ml/dl 37oC SOLUBILITY = 0.45 / 150 = ml/(dl.mmHg)
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SOLUTION DURING EXERCISE
TRANSPORT OF O2 IN SOLUTION DURING EXERCISE Solubility = ml/(dl.mmHg) PO2 in arterial blood = 100 mm Hg [O2] = 0.3 ml/dl = 3 ml/liter Cardiac output = 30 liters/min Maximum O2 available = 90 ml/min But O2 requirement is 3000 ml/min
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Structure of hemoglobin
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Normal cells Sickle cells
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Oxygen dissociation curve
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ARTERIAL BLOOD VENOUS BLOOD P50 27
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TOTAL O2 IN BLOOD IS THE SUM
OF Hb-BOUND AND DISSOLVED O2 TOTAL [O2] = x [Hb] x % SATURATION/100 x PO2
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TOTAL O2 IN ARTERIAL BLOOD
(1.39 x 15 x 0.97) ( x 100) = 20.5 ml/dl
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Effects of changing hemoglobin concentration
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Shifting the O2 dissociation curve
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CO-Hb DISSOCIATION CURVE
SATURATION, % O2 PARTIAL PRESSURE, mm Hg
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Effects of CO on the O2 dissociation curve
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Carbon dioxide is carried in the
blood in three forms Dissolved As bicarbonate 3. As carbamino compounds
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Solubility of Oxygen 0.003 ml/(dl.mmHg)
Solubility of Carbon Dioxide ml/(dl.mmHg)
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Carriage of CO2 in the blood
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Formation of bicarbonate
CO2 + H2O H2CO3 H2CO H+ + HCO3-
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Formation of carbamino compounds
Hb.NH2 + CO Hb.NH.COOH
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Uptake of CO2 in systemic capillaries
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Carriage of CO2 in the blood
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CO2 dissociation curves
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Comparison of O2 and CO2 dissociation curves
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