Overview
This lecture explains the derivations of the alveolar ventilation and alveolar gas equations, focusing on their physiological basis and mathematical forms.
Dalton's Law and Partial Pressures
- Dalton's Law states total pressure of a gas mixture equals the sum of partial pressures of each gas.
- In the lungs, barometric pressure (Pb) is the sum of partial pressures of nitrogen, oxygen, carbon dioxide, and water vapor.
- The partial pressure of a gas = its fractional concentration × total pressure.
Alveolar Ventilation Equation
- Based on conservation of carbon dioxide: CO2 production rate = CO2 elimination rate by lungs.
- V̇CO₂ = alveolar ventilation × fractional concentration of CO₂ in alveolar gas.
- PₐCO₂ ≈ PaCO₂ (arterial and alveolar CO₂ are approximately equal).
- Formula: PaCO₂ = (V̇CO₂ × barometric pressure) / alveolar ventilation.
Alveolar Gas Equation
- Based on conservation of oxygen: net O₂ entering lungs equals O₂ consumption by the body.
- Net O₂ in = alveolar ventilation × (fraction of O₂ inspired − fraction in alveolar air).
- FIO₂* (fraction of O₂ in inspired air at alveolar level) accounts for water vapor dilution.
- Respiratory quotient (RQ) = V̇CO₂ / V̇O₂, typically assumed as 0.8.
- Alveolar gas equation (simplified): PAO₂ = PIO₂ − (PaCO₂ / RQ), where PIO₂ is pressure of inspired O₂.*
Alternative Forms & Considerations
- Alternate form: Alveolar O₂ = inspired O₂ − O₂ used for metabolism.
- Additional correction term exists, but is clinically negligible.
- Assumptions: Dalton’s law holds, alveolar gas is saturated with water vapor, alveolar and arterial CO₂ are equal, inspired gas contains negligible CO₂.
Key Terms & Definitions
- Dalton's Law — The total pressure of a gas mixture equals the sum of each gas's partial pressure.
- Partial Pressure (P) — The pressure a single gas contributes to a mixture.
- Alveolar Ventilation — The volume of air reaching the alveoli per minute.
- Respiratory Quotient (RQ) — Ratio of CO₂ produced to O₂ consumed (usually 0.8).
- FIO₂* — Fraction of inspired oxygen at the alveolar level (corrected for water vapor).
- PaCO₂/PAO₂ — Partial pressure of CO₂/O₂ in arterial/alveolar gas.
Action Items / Next Steps
- Review the derivations of alveolar ventilation and gas equations.
- Read about factors influencing the respiratory quotient.
- Prepare for upcoming lectures on ABG interpretation at high altitude.