Oxygen PDF 2
Oxygen PDF 2
Oxygen PDF 2
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INTRODUCTION
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It is a graph which shows the relationship between the
partial pressure of oxygen and oxygen saturation of
haemoglobin.
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EXPLANATION
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The O2 – Hb dissociation curve is a sigmoid curve.
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It represents the relationship between O2 concentration and the saturation of Hb.
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This curve describes the relationship between available oxygen and amount of oxygen carried by haemoglobin.
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In this the partial pressure of SaO2 oxygen is on (X-axis) and the oxygen saturation is on (Y-axis) .
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The horizontal axis is PO2, or the amount of oxygen available.
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The vertical axis is SaO2, or the amount of haemoglobin saturated with oxygen.
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Once the PO2 reaches 60mm Hg, the curve is almost flat. So, PO 2 of 60mm or more is usually considered
adequate.
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But, at less than 60mm Hg the curve is very steep and small changes in the PO 2 greatly reduce the SaO2.
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Traditionally the curve starts with:
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pH at 7.4,
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Temperature at 37o C, and
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PaCO2 at 40.
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Changes from these values are called shifts.
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The term ‘affinity’ is used to describe oxygen attraction to
haemoglobin binding sites. Affinity changes with:
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Variation in pH
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Temperature
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CO2 and
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2,3,-DPG.
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When the curve shifts to the left, haemoglobin has an increased affinity for oxygen and release less to the tissues. It is
easier to load oxygen but difficult to unload.
Conditions that caused the curve to shift left includes alkalosis, decreased
PCO2, decreased temperature, low levels of 2,3-DPG, carboxy haemoglobin,
Methaemoglobin, and abnormal haemoglobin.
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Variation of the hydrogen ion concentration
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Effects of carbon monoxide
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Effects of carbondioxide
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Effects of 2,3-DPG (Di phospho glycerate)
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Temperature
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Fetal haemoglobin
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Thank you!
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