Carbon Dioxide transport and blood buffers

1. Dissolved

   Anotações:

   • Like Dissolved gas in water.
2. Bicarbonate

   Anotações:

   • Bicarbonate is formed in blood in the following reactions, water and carbon dioxide is combined to form hydrogen bicarbonate and it dissociates to hydrogen ion and Hco3. 1st Reaction is very slow in plasma and fast in RBC contains enzyme carbonic anhydrase. 2nd reaction does not need any factors. This case a rise in intracellular concentrations of HCo3 and H and HCo3 is forced to leave with chloride shift via membrane transported Increased osmolar content cause water to enter RBC.
3. Carbamino Compounds

   Anotações:

   • Formed by the combination of Carbon dioxide with amines in the blood proteins. Like Haemaglobin

Anotações:

• Deoxygenated blood can carry more carbondioxide than oxygenated blood. Haldane effect, unloading of the O2 in tissues help blood carry more Co2 while loading of O2 in the lungs help blood to give CO2 to lungs.

1. Amount of Co2

   Anotações:

   • Arterial blood consists of Pco2 of 40mmHg contains 22mM of Co2 90% Hco3 5% dissolved 5% carbamino compounds Venous blood consists of Pco2 of 47mmHg and 23.9mM of Co3 Difference is around 1.9mM. 60% from HCo3 30% carbamino compounds 10% dissolved.

Anotações:

• Carbon dioxide curve is more linear than oxygen curve Blood carries more Co2 than o2

Anotações:

• Measure of acidity. Check chemistry: pH= - log(H+) Normal pH 7.4

1. Weak Acids

   Anotações:

   • Carboxyl groups are weak acids The stronger the acid the Higher the KA Ka= [H+][A-]/[HA]
   1. Henderson-Hasselbalch

      Anotações:

      • pH = pKa + log10 ( [a-]/[HA])

1. Body acid-base balance

   Anotações:

   • Balance is maintained by buffering, respiratory regulation of pH and renal regulation of pH.
   1. Carbonic acid-bicarbonate system

      Anotações:

      • Co2 and bicarbonate can be regulated by the body. I.e Co2 from lungs and bicarbonate in kidneys. It's present in high concentrations (24 mM)
   2. Phosphates

      Anotações:

      • pKa of 6.8 Closer to plasma pH but it consists of very little inorganic phosphates in blood (0.8 to 1.6mM)
   3. Protein Buffering

      Anotações:

      • Major buffer. Buffer by accept/release a protein by a side chain of an amino acid residue usually histidine. Accept/release a proton by terminal amino or carbonate side groups.
   4. Haemoglobin

      Anotações:

      • 6X buffering capacity of plasma proteins. Present in high concentrations and rich in histidine residues.
2. Isohydric Principle

   Anotações:

   • When a solution contains more than one buffer all buffer pairs are in equilibrium with same protons. Any changes will balance all buffer systems.
3. Respiratory Regulation

   Anotações:

   • Hyperventilation PCo2 can be reduced from 40 to mmHg Hypoventilation limited by hypoxia.
4. Renal Regulation

   Anotações:

   • Bicarbonate is important but limited. Kidneys will generate more/new bicarbonate. To lower pH, kidney will generate more bicarbonate

Anotações:

• Acidocis: Plasma pH less than 7.35 Alkalosis: Plasma pH greater than 7.45

1. Respiratory Acidosis

   Anotações:

   • low pH and increased pCO2 Caused by failure to eliminate Co2 Due to inadequate ventilation or inadequate gas exchange. Renal compensation will over several days if sustained Therefore respiratory acidosis is commonly divided into acute and chronic phase
2. Respiratory alkalosis

   Anotações:

   • High pH and low PCo2 Caused by hyperventilation
3. Metabolic Acidosis

   Anotações:

   • low pH and low plasma bicarbonate Caused by addition of non-volatile acid to body. like diabetic ketoacidosis or ingestion of ammonium chloride. Or renal flailure.
4. Metabolic Alkalosis

   Anotações:

   • High pH and High plasma bicarbonate Caused by addition of non-volatile alkali Or loss of non-volatile acid (vomit)