|
ITEM |
NORMAL VALUE |
COMMENTS |
General Stuff
|
| Pleural Pressure:
Beginning of Inspiration
(At Functional Residual Capacity) |
-5 cm H2O |
5 cm H2O less than
atmospheric pressure |
| Pleural Pressure:
End of Inspiration |
-8 cm H2O |
With normal inspiration, the change in
pleural pressure is very small. |
| Total Alveolar Surface Area for Gas
Exchange |
75 m2 |
|
| Normal alveolar diffusion barrier |
1 micron |
|
|
|
Airway Resistance and Flow
|
| Overall Airway Resistance |
0.5 - 1.5 cm H2O / mL / sec |
 |
| Fraction of Vital Capacity in the First
second of a forced maximal exhalation
(FEV1 / FVC) |
70% - 80% |
The FVC test is used to measure airway
resistance. Subnormal value indicates COPD. |
Gas Exchange
|
| Atmospheric PO2 |
21% of 760 mm Hg
160 mm Hg |
|
| Inspired PO2
PIO2 |
= (21%) x (747 - 47 mm Hg)
= 147 mm Hg |
Air becomes saturated with water which
has partial pressure of 47 mm Hg.
Thus we take the PO2 of dry air =
(21%)(700) |
| Inspired PCO2
PICO2 |
Virtually 0 |
Atmospheric air contains virtually no
CO2 |
| Alveolar PO2
PAO2 |
100 mm Hg |
O2 has gone down from 147 mm
Hg because some O2 moves to the blood. |
| Alveolar PCO2
PACO2 |
40 mm Hg |
This is the amount of CO2
that enters alveoli from blood in a healthy lung. |
| Mixed Venous PO2
PVO2 |
40 mm Hg |
40 torr is the standard O2
concentration of mixed venous blood, as determined by
how much O2 the tissues need. |
| Mixed Venous PCO2
PVCO2 |
46 mm Hg |
The CO2 gradient for gas
transport is only 6 mm Hg -- difference between 46 and
40. |
| Arterial PO2
PaO2 |
90 - 95 mm Hg |
It is slightly less than PAO2
due to contribution of venous admixture. |
| Arterial PCO2
PaCO2 |
40 mm Hg |
It is virtually the same as PACO2
but theoretically higher due to venous admixture. |
|
|
Dead Space
|
| Tidal Volume |
450 - 500 mL |
Volume of air during normal inspiration |
| Anatomical Dead Space |
150 mL |
The individual's weight in lbs =
anatomical dead space in mL |
| VD / VE Ratio
Ratio of dead space to expired air |
0.2 to 0.3, i.e. 20% - 30% of expired
air is dead space.
When VD/VE ------> 0.6,
patients are put on a ventilator. |
High
dead space occurs with pulmonary embolism, and with low
VA/Q ratios. |
| Respiratory Quotient
VCO2 / VO2 |
0.8
We exchange about 80% as much CO2 as O2
with each inspiration |
The reciprocal is 1.2, the fudge-factor
for the alveolar ventilation equation. |
Gas Transport and Acid-Base Balance
|
| Plasma Solubility Coefficient of O2
(SO2) |
0.003 mL O2 / dL plasma, or
0.003 Vol-% |
|
| Plasma Solubility Coefficient of CO2
(SCO2) |
0.03 mL CO2 / dL plasma, or
0.03 Vol-% |
CO2(g) is thus 10x more
soluble than O2(g) |
| O2 Carrying-Capacity of
Hemoglobin |
1.34 mL O2 / g Hb
One gram of Hb holds 1.34 mL of O2. |
Thus:
Maximum HbO2 = (Hematocrit)(1.34) |
| Hematocrit |
15 g Hb / dL blood |
|
| HbO2
Normal O2-Carrying Capacity of hemoglobin |
20 vol-% |
(Hematocrit)(1.34) =
(15 g Hb / dL)(1.34) =
20 mL O2 / dL |
| Arterial Hb-Saturation
Arterial PaO2 (Oxygen partial
pressure)
Arterial CaO2 (Oxygen Content) |
100% saturation
PaO2 = 100 mm Hg
CaO2 = 20 mL / dL |
Arterial:
100% saturation ------>
100 mm Hg ------>
20 mL / dL O2 content |
| Venous Hb-Saturation
Venous PvO2 (Oxygen partial
pressure)
Venous CvO2 (Oxygen content) |
75% saturation
PVO2 = 40 mm Hg
CvO2 = 15 mL / dL |
Venous:
75% saturation ------>
40 mm Hg ------>
15 mL / dL O2 content |
| P50 |
50% saturation
P50 = 26 mm Hg |
P50 is the PO2 required to
achieve 50% hemoglobin saturation |
| Normal plasma HCO3- |
24 mM |
|
| Normal blood pH |
7.4 |
A 0.1 decrease in pH corresponds to
a 1 mM increase in HCO3-, in
healthy, uncompensated hypoventilation. |
Ventilation / Perfusion of the Lung
|
| VA/Q Ratio,
Lung Apex (Top) |
3.0 |
Apex of lung gets less ventilation and
less perfusion, but perfusion is substantially less than
at base. |
| VA/Q Ratio,
Lung Base (Bottom) |
0.5 - 0.6 |
Base of lung gets greater perfusion and
ventilation, but perfusion is substantially greater than
at apex. |
| VA/Q Ratio, Overall |
1.0 |
Overall ventilation / overal perfusion
1 |
| Overall Perfusion of Lung |
5.0 - 6.0 L / min |
That is, overall lung perfusion =
Cardiac Output |
| Overall Ventilation of Lung |
5.0 - 6.0 L / min |
This is equal to (respiratory rate) x
(tidal volume) |