Carbon dioxide blood concentration

Probably an example and problems derived from the carbon dioxide-blood buffer system in humans should be in every physical chemistry course. What a rich, complex example this is from Henry s law for the solubility of carbon dioxide in water (blood) to buffer capacity, that is, the rate of change of the law of mass action with proton concentration. The example can be expanded to include nonideal solutions and activities. How many physical chemistry courses use this wonderful and terribly relevant to life example First-year medical students learn this material. 

Gal-Or and Hoelscher (G5) have recently developed a fast and simple transient-response method for the measurement of concentration and volumetric mass-transfer coefficients in gas-liquid dispersions. The method involves the use of a transient response to a step change in the composition of the feed gas. The resulting change in the composition of the liquid phase of the dispersion is measured by means of a Clark electrode, which permits the rapid and accurate analysis of oxygen or carbon dioxide concentrations in a gas, in blood, or in any liquid mixture. 

A Nemstian response of 59 mV per decade change in concentration is commonly observed (at 25°C). Relation to the partial pressure carbon dioxide is accomplished by the use of Henry s law. A catheter sensor configuration has been developed for in-vivo monitoring of blood carbon dioxide (61). 

Hypercapnia (abnormally high concentration of carbon dioxide in the blood) can develop as a result of overfeeding with both dextrose and total calories.1,37 Excess carbon dioxide production and retention can lead to acute respiratory acidosis. The excess carbon dioxide also will stimulate compensatory mechanisms, resulting in an increase in respiratory rate in order to eliminate the excess carbon dioxide via the lungs. This increase in respiratory workload can cause respiratory insufficiency that may require mechanical ventilation. Reducing total calorie and dextrose intake would result in resolution of hypercapnia if due to overfeeding. 

Hypercapnia Abnormally high concentration of carbon dioxide in the blood. 

The carbon dioxide produced during cellular metabolism diffuses out of the cells and into the plasma. It then continues to diffuse down its concentration gradient into the red blood cells. Within these cells, the enzyme carbonic anhydrase (CA) facilitates combination of carbon dioxide and water to form carbonic acid (H2C03). The carbonic acid then dissociates into hydrogen ion (H+) and bicarbonate ion (HC03). 

This entire reaction is reversed when the blood reaches the lungs. Because carbon dioxide is eliminated by ventilation, the reaction is pulled to the left. Bicarbonate ions diffuse back into the red blood cells. The hemoglobin releases the hydrogen ions and is now available to load up with oxygen. The bicarbonate ions combine with the hydrogen ions to form carbonic acid, which then dissociates into carbon dioxide and water. The carbon dioxide diffuses down its concentration gradient from the blood into the alveoli and is exhaled. A summary of the three mechanisms by which carbon dioxide is transported in the blood is illustrated in Figure 17.8. 

Chemoreceptor response to increased arterial hydrogen ion concentration. An increase in arterial hydrogen ion concentration, or a decrease in arterial pH, stimulates the peripheral chemoreceptors and enhances ventilation. This response is important in maintaining acid-base balance. For example, under conditions of metabolic acidosis, caused by the accumulation of acids in the blood, the enhanced ventilation eliminates carbon dioxide and thus reduces the concentration of H+ ions in the blood. Metabolic acidosis may occur in patients with uncontrolled diabetes mellitus or when tissues become hypoxic and produce lactic acid. An increase in arterial hydrogen ion concentration has no effect on the central chemoreceptors. Hydrogen ions are unable to cross the blood-brain barrier. 

Clinical chemistry, particularly the determination of the biologically relevant electrolytes in physiological fluids, remains the key area of ISEs application [15], as billions of routine measurements with ISEs are performed each year all over the world [16], The concentration ranges for the most important physiological ions detectable in blood fluids with polymeric ISEs are shown in Table 4.1. Sensors for pH and for ionized calcium, potassium and sodium are approved by the International Federation of Clinical Chemistry (IFCC) and implemented into commercially available clinical analyzers [17], Moreover, magnesium, lithium, and chloride ions are also widely detected by corresponding ISEs in blood liquids, urine, hemodialysis solutions, and elsewhere. Sensors for the determination of physiologically relevant polyions (heparin and protamine), dissolved carbon dioxide, phosphates, and other blood analytes, intensively studied over the years, are on their way to replace less reliable and/or awkward analytical procedures for blood analysis (see below). 

Unfortunately, chickens have no sweat glands, so they cannot perspire. To dissipate any excess body heat during the warm summer months, they must pant just like a dog. Panting increases the amount of carbon dioxide exhaled, itself decreasing the concentration of CO2 in a chicken s blood. The smaller concentration [CO2 ] during the warm summer causes the reaction in Equation (4.60) to shift further toward the left-hand side than in the cooler winter, i.e. the amount of chalk formed decreases. The end result is a thinner eggshell. 

We also breathe carbon dioxide every day of our lives. Carbon dioxide is manufactured in the body during the process in which the body cells derive energy from the sugar-like substances known as carbohydrates. It is carried to the lungs in the blood and exhaled every time we breathe. Normally, it is totally harmless. In fact, it is only when the concentration of the carbon dioxide in the breathing air is such as to reduce the proportion of available oxygen that a problem arises. This can happen if, for example, you are in a sealed space where the carbon dioxide from your own body builds up in the atmosphere, or if, for some unknown reason,... 

Following a single, oral exposure, most of the 0.5 grams of radioactively labeled chloroform administered to volunteers was exhaled during the first 8 hours after exposure (Fry et al. 1972). A slower rate of pulmonary excretion was observed during the first eight hours in volunteers who had more adipose tissue than the other volunteers. Up to 68.3% of the dose was excreted unchanged, and up to 50.6% was excreted as carbon dioxide. A positive correlation was made between pulmonary excretion and blood concentration. Less than 1% of the radioactivity was detected in the urine. 

Brydon and Roberts- added hemolyzed blood to unhemolyzed plasma, analyzed the specimens for a variety of constituents and then compared the values with those in the unhemolyzed plasma (B28). The following procedures were considered unaffected by hemolysis (up to 1 g/100 ml hemoglobin) urea (diacetyl monoxime) carbon dioxide content (phe-nolphthalein complex) iron binding capacity cholesterol (ferric chloride) creatinine (alkaline picrate) uric acid (phosphotungstate reduction) alkaline phosphatase (4-nitrophenyl phosphate) 5 -nucleotidase (adenosine monophosphate-nickel) and tartrate-labile acid phosphatase (phenyl phosphate). In Table 2 are shown those assays where increases were observed. The hemolysis used in these studies was equivalent to that produced by the breakdown of about 15 X 10 erythrocytes. In the bromocresol green albumin method it has been reported that for every 100 mg of hemoglobin/100 ml serum, the apparent albumin concentration is increased by 100 mg/100 ml (D12). Hemolysis releases some amino acids, such as histidine, into the plasma (Alb). 

If heparin comprises 10% or more of the total volume of a sample for blood gas analysis, errors in measurements of carbon dioxide pressure, bicarbonate concentration, and base excess may occur. 

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