Wednesday, 16 December 2015

COMEDK MDS entrance preparations | oxygen binding affinity of hemoglobin


What effect does hyperventilation have on the oxygen binding affinity of hemoglobin-

A.P02 and 02 affinity decrease 
B.PO, and O, affinity increase
C.PO, decreases and O, affinity increases 
D.P02 increases and 02 affinity decreases

Ans. (B) 
          During hyperventilation C02 washes out, PC02 falls, P02 increases. As a result, Hb does not release oxygen and the affinity of Hb for oxygen increases.
          Cheyne-Stokes breathing is seen in voluntary hyperventilation.
-          Cheyne-Stokes breathing is caused by a fall of PC02 in blood feeding the medullary respiratory centre.
-          Blood C02 is low, there is no stimulation of central chemoreceptor cells in medulla and apnea follows.

-          PC02 rises again and the respiration resumes, but if the PC02 now is even slightly higher than normal, there will be a short phase of hyperpnoea followed by apnea.

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