110 likes | 244 Views
Determinants of Diffusion. Rate of Diffusion = (P 1 -P 2 ) * Area * Solubility. Distance * MW. Pressure Gradient Area Distance Solubility and MW are fixed. Changes in Alveolar Gas Composition. Figure 39-3; Guyton & Hall. Partial Pressure of Oxygen in Alveoli.
E N D
Determinants of Diffusion Rate of Diffusion = (P1-P2 ) * Area * Solubility Distance * MW • Pressure Gradient • Area • Distance • Solubility and MW are fixed
Changes in Alveolar Gas Composition Figure 39-3; Guyton & Hall
Partial Pressure of Oxygen in Alveoli Figure 39-4: Guyton & Hall
Partial Pressure of CO2 in Alveoli Figure 39-5; Guyton & Hall
Alveolar and Blood Gases PO2 = 159 PCO2= 0 PO2 = 149 PCO2 = 0 PO2 = 100 PCO2= 40 PO2 = 100 PO2 = 40 PCO2= 40 PCO2= 45
Diffusion Capacity 120 • Oxygen • Diff capacity 21 ml/min/mmHg * gradient of 11 mmHg • 230 ml/min diffusion of oxygen 100 80 60 in blood 40 2 Po 20 0 0 0.25 0.5 0.75 Pulmonary Capillary Length %
Diffusion Capacity • Carbon Dioxide • Diff capacity 400 ml/min/mm Hg * gradient < 1 mmHg • 200 ml/min diffusion of carbon dioxide 46 45 44 43 blood Pco2 42 41 40 0 0.2 0.4 0.6 0.8 Pulmonary Capillary Length %
Ventilation/Perfusion • Relationship between adequate flow and adequate ventilation • Defined as V/Q • V/Q = (4 L/min)/ (5 L/min) = 0.8
pO2=? pO2=? pO2=? pCO2=? pCO2=? pCO2=? Ventilation/Perfusion V/Q = ¥ V/Q = 0 Shunt Dead space Normal Figure 39-11; Guyton & Hall
Regional Gas Exchange blood flow Va/Q ventilation Top lung Bottom lung Blood flow and ventilation are not evenly matched
Ventilation/Perfusion • Physiologic shunt • Va/Q < normal • low ventilation • Physiologic dead space • Va/Q > normal • wasted ventilation • Abnormalities • Upper lung Va/Q ~ 2.5 • Lower lung Va/Q ~ .5