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Ventilation/Perfusion Ratios in the Lung

Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

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Page 1: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Ventilation/Perfusion Ratios in the Lung

Page 2: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

O2 Transport in the Blood

• O2 is bound to hemoglobin (Hb) for transport in the blood

– Oxyhemoglobin: O2 bound to Hb

– Deoxyhemoglobin: O2 not bound to Hb

Page 3: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Oxyhemoglobin Dissociation Curve

Page 4: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

O2-Hb Dissociation Curve: Effect of pH

• Blood pH declines during heavy exercise

• Results in a “rightward” shift of the curve– Bohr effect

– Favors “offloading” of O2 to the tissues

Page 5: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

pH and O2-Hem Diss. Curve

Page 6: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

O2-Hb Dissociation Curve: Effect of Temperature

• Increased blood temperature results in a weaker Hb-O2 bond

• Rightward shift of curve– Easier “offloading” of O2 at tissues

Page 7: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Temp. and O2-Hem Diss. Curve

Page 8: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

O2 Transport in Muscle

• Myoglobin (Mb) shuttles O2 from the cell membrane to the mitochondria

• Higher affinity for O2 than hemoglobin

– Even at low PO2

– Allows Mb to store O2

Page 9: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Diss. Curve - Myoglobin vs. Hemoglobin

Page 10: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

CO2 Transport in Blood

• Dissolved in plasma (10%)

• Bound to Hb (20%)

• Bicarbonate (70%)– CO2 + H2O H2CO3 H+ + HCO3

-

– Also important for buffering H+

Page 11: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

3 Forms of CO2 Transport in Blood

Page 12: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

CO2 Exchange in Lung

Page 13: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Ventilation and Acid-Base Balance

• Blood pH is regulated in part by ventilation

• An increase in ventilation causes exhalation of additional CO2

– Reduces blood PCO2

– Lowers H+ concentration

Page 14: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Transition from Rest to Steady State

Page 15: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Exercise in a Hot Environment

• During prolonged submaximal exercise:– Ventilation tends to drift upward

– Little change in PCO2

– Higher ventilation not due to increased PCO2

Page 16: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Ventilation vs. Hot/Humid

Page 17: Ventilation/Perfusion Ratios in the Lung. O 2 Transport in the Blood O 2 is bound to hemoglobin (Hb) for transport in the blood –Oxyhemoglobin: O 2 bound

Respiratory Parameters (Elite vs. Untrained)