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53 Cards in this Set

  • Front
  • Back
Partial pressure concept
need to know gas's fractional concentration and Pb
Dalton's law
each gas in mix exers it's own partial pressure as if others weren't present. Partial press of indiv gases in a mix are additive
Comp of air
alveolar air: less o2 than room or expired because o2 unloaded during gas exchange. exhaled has more o2 bc dead space.
partial pressure gradient
high to low.
pressure >1atm
hyperbaric oxygenation, forces o2 into tissues
external respiration
air from outside, coming into lungs, exchnaging gas at alveoli with blood o2 into rbc
factors affecting external expiration
partial pressure of gases, struc of resp membr, ventilation/perfusion matching
internal resiration
conversion oxygenated->deoxygenated
diffusion o2
inward: at rest 25% available o2 enters cells. during exercise more o2 absorbed
diffusion of co2 outward
o2 out of rbc into cell, co2 out of cell and onto rbc
major factors affecting rate of diffusion of gases
partial pressure of gases in air, large surface area of alveoli, thin membrane, molec weight and solubility of gas
gas transport concepts
transport o2/co2, move about role of hemoglobin, oxy-hemoglobin dissociation curve, chemoreceptor control of resp
transport of o2 in blood
1. dissolved in plasma-1.5
2. bound to hemoglobin-98.5
Hbo2 inside rbc
oxyhemoglobin
major roles of hemoglobin
o2 transport, co2 transport, reg bf/bp
modes of transport co2 in the blood
1. dissolved in plasma-9
2. bound to hemoglobin-13
3. bicarbonate-78
amount of bco2 depends on
percent saturation of hb with o2
lower % hbo2 saturation, higher capacity for forming hbco2
oxygen saturation of hb molec
sat level can vary, 1 site bound-25, , normal oxygen saturation of arterial blood>95
level of saturation controlled
po2- more po2 more saturation
measurement of oxygen saturation
arterial blood gas(invasive)
pulse oximeter
oxyhemoglobin dissociation curve
small cahnge in tissue level causes large change in % saturation
takes great loss of po2 to drastically affect %saturation
factors that can change the hbo2 dissociation curve
po2(most imp), other factors affect affinity for which hb binds o2
4 factors
ph, pco2, temp, 2,3-dpg
ateriovenous oxygen difference (a-VO2)
arterial: wahts going in tissue
venous: what going out tissue
a-VO2 whats left
fick equation
links cv o resp systems to describe tissue metabolism
carbon monoxide posioning
co binds hb heme group more successfully than o2
cortical nephron
short loop of henle doesn't go into medulla
juxtamedullary nephron
long loops of henle, go into medulla
renal blood supply
20-25% resting cardiac output. 2 arterioles, 2 capillary bed
vasa reta
specialized pertubular capillaries
glomerular
unique because between 2 arterioles, not arteriole and venule
function of kidneys
reg blood ionic comp, reg blood pH, reg blood vol and BP, maintain blood osmolarity, hormone production, reg blood glucose, excretion of wastes in urine
filtration
1st step in urine formation, movement water and solutes from blood plasma across the wall of the glomerular capillaries and into glomerular capsule into renal tubule
GFR increases
substances pass too quickly through renal tubules and aren't reabsorbed.
GFR decreases
all filtrate reabsorbed and certain waste products aren't excreted.
clearance=
Ux * V/Px
factors regulate GFR
renal autoregulation, neural regulation, hormonal regualtion
renal autoregualtion
myogenic, tubuloglomerular
myogenic
increased bloodflow stretch afferent arteriole
tubuloglomerular
increase blood flow, increase GFR, fluid flows too rapidly through renal tubule not reabsorbed. Vasoconstrict relased from juxtaglomerular appparatus, afferent arterioles constric, decrease GFR
Hormonal regulation of GFR-ANP
ANP: (increases GFR) increase blood volume cause atria to stretch and ANP is released- relax glom cells- increase capillary surface- increase GFR
Hormonal regulation of GFR-Angiotensin II
decrease GFR, vasoconstriction narrows afferent/efferent decrease in GFR
reabsorption
movement of substances from renal tubule to blood stream
secretion
removal of substances from blood to renal tubule-dumping waste, drug residues, excess ions
proximal tubule
reabsorption- largest amount water and solutes most reabs na and gluc, also AA, K, Cl, bicarbonate
Secretion-H ions and durg residue
loop of henle: descending
reabsorbs: water
secretes:NaCl
loop of henle: ascending
water impermeable
reabsorbs: NaCl
Distal Tubule and collecting duct
secretion: k and h
reabsorption: NaCl and water
dependent on ADH and aldosterone
osmolarity
solutes that don't cross freely-exert force (osmotic pressure) causes water movement across cells.
colloid osmotic pressure
osmolarity of plasma proteins.
steady state
intake=output
renal failure
output<intake= positive balance
excessive increase in body fluid and salt
endocrine defect
output>intake=negative balance
causing excessive salt/water loss in urine or water excretion