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20 Cards in this Set

  • Front
  • Back

-each heme group has what


-Hb two forms

a porphyrin ring that contains an iron atom in the ferrous form (Fe2+)


-deoxyhemoglobin, hemoglobin

O2 + Hb ↔ HbO2 can be explained by what

oxygen dissociation curve

O2 capacity


Hb saturation


determinants of Hb saturation

-max amount of O2 that can be bound to Hb


-amount of Hb binding sites bound to O2


-arterial pO2 (most important) and cooperative binding (results in a sigmoidal dissociation curve) also pH, temp, PCO2

cooperative binding

-When O2 binds to heme, it deforms the shape of the heme whichchanges the shape of its


associated globin chain from tense (T) to relaxed (R) state


-The change in the shape of one globin chain deforms the others, exposing the ironin their hemes and facilitates binding of additional O2 molecules.


-This action produces the characteristic


sigmoidal oxygenbinding curve of Hb.

sigmoidal dissociation curve


-plateau meaning


-steep slope meaning

- many conditions result inreduced alveolar PO2 and thereforearterial PO2 (pulmonary diseases,altitude). Due to the plateau,saturation stays high over a widerange of alveolar PO2


- Because PO2 in the capillary ofperipheral


tissue is on steep portion, small changes in shape ofdissociation curve due tocompounds produced in tissues (pH, temperature) enhance O2 unloading

change to the right and left in dissociation curve


-an increase in DPG means what for the curve and what is it

-right- O2 affinity for Hb reduced= more unloading


left-opposite




-shifts it to the right, an end product in RBC metabolism

CO2 in peripheral tissue


CO2 at respiratory membrane

- remain in plasma as dissolved CO2, enter RBC and remain as dissolved CO2, bind to deoxyHb, or react with water and produce HCo3- and H+


-dissolved co2 in blood diffuses to alveoli,

Hb has a key role in buffering H+ production in periphery, how

deoxyHb higher affinity for H+ than oxyHb


most H will bind to Hb, so keeps it less acidic

-hypoventilation


-hyperventilation


-metabolic alkalosis


-metabolic acidosis

- Co2 production > co2 elimination. PCO2/H+ increase= respiratory acidosis


- opposite, respiratory alkalosis


- higher H+ in blood, independant of PCO2


- opposite

breathing is initiated in..


modified in...

-medulla


- higher structuresof the CNS & inputs from


central& peripheral chemoreceptors &mechanoceptors in the lung andchest wall

neuronal networks must adjust breathing rhythm to accommodate changes in

-metabolic demands (changes in PO2, PCO2, pH)


-mechanical conditions (posture)


-non ventilatory behaviours (speaking)


-pulmonary and non-pulmonary diseases

-chemical control of ventilation

- Hypoxia (low PO2), hypercapnia(high PCO2), and acidosis (low pH in blood) all cause an


increase inventilation, which tends to raise PO2, to lower PCO2, and to raise pH

PERIPHERAL CHEMORECEPTORS:CAROTID AND AORTIC BODIES.

sense hypoxia, but also pH

carotid bodies physical structure


two types of cells

-small, chemosensitive, highly vascularized, high metabolic rate


-pO2, pCO2, pH same as systemic arteries




- type I: chemosensitive, glomus


-type II: sustentacular, for support

-carotid bodies neuron characteristics


- how to stimulate it

-voltage gates ion channels, depolarization triggers AP, vesicles that have neurotransmitters


-low arterial PO2, below 60 mmHg (also CO2 and pH though)= higher firing rate

central chemoreceptors responsible for what

70% hypercapnia (at dorsal and ventral


respiratorygroup)

peripheral chemoreceptors

H+ because it does notcross easily bbb (as CO2does).

groups of respiratory neurons

-pontine, ventral, dorsal

-in ventral respiratory group, the preBotC


responsible for what


-pFRG for what

-excitatory inspiratory rhythmic activity


-excitatory active expiratory rhythmic activity

-Rhythm of breathing isgenerated in the____.


-________ and _______ neurons drive activity inpremotor neurons, which _______.

-VRG


-preBOTc, pFRG


-excite motoneurons thatactivate rhythmicallyrespiratory muscles