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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