Page 140 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
P. 140

A.  CO 2  dissociation curve
         CO 2  concentration       O 2  saturation = 0.00
         of blood (mmol/L)
         30                   -
                    Normal range: a–v
                                  v -
         25                                          Total CO 2  in blood
                 mixed venous                           (=100%)
                  arterial          O 2  saturation = 1.00  –
         20                                         Plasma-HCO 3  CO 2
                            a                                          CO 2 Binding in Blood, CO 2 in CSF
         15                      mixed venous     Bound CO 2  60%
                              arterial                      29%
         10

                                      Dissolved CO 2
         5                                             Carbamate
                                                                  –
                                                            RBC-HCO 3
         0
          0      2      4       6      8     10                        Plate 5.11
                                   kPa          P CO 2
          0    10  20   30   40   50   60  70   80
                                 mmHg
         B.  Effect of CO 2  on pH of CSF
        Example:             1  Acute
        Respiratory acidosis                             2  Chronic
                                               Renal
                                               compensation
                               –
          CO 2              HCO 3                            –
                                         CO 2             HCO 3
             H 2 O
                         +
                        H
           Rapid diffusion  Blood-CSF  pH  NBB  Blood  H 2 O  pH H +  NBB  Slow diffusion
              barrier


                               –
          CO 2              HCO 3
                                                             –
                                         CO 2             HCO 3
             H 2 O      H +      CSF
                                           H 2 O       H +
                       pH    NBB
                                                           pH (   )
            Central
          chemoreceptors                  Central
                                       chemoreceptors
                        Strong signal for                            127
                        respiratory regulation       Weak signal
                                                     (adaptation)
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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