Canonical Question

Gas Transport – Oxygen

V5 C7.i Historical V4 F8.i, F8.iii 2 appearances

Master answer

Carbon Dioxide

Total CO2 in arterial blood: 480ml/L
Total CO2 in venous blood: 520ml/L

Oxygen

CaO2 = (1.34 x [Hb] x SpO2) + 0.03 paO2
= 200ml/L
Approx 150ml/L in venous blood

Carried in 4 forms:

Carried in 2 forms:

Dissolved CO2

CO2 has 20 times solubility compared with O2
PaCO2 ~40mmHg
PvCO2 ~46mmHg
Dissolved O2

Minor component
According to Henry’s law:
– Dissolved O2 proportional to partial pressure of O2 in gas phase.
– Solubility coefficient 0.24
PaO2 ~100mmHg
PvO2 ~45mmHg
Carbamino compounds

Minor component of CO2 carriage in blood, however 30% of the A-V difference in CO2 carriage
Hb is major protein for CO2 carriage
Reduced Hb has 3.5x CO2 binding capacity and this is the major factor for the Haldane Effect

Haldane effect
Increased CO2 carrying capacity in deoxygenated blood
– Due to increased buffering capacity of reduced Hb
Haemoglobin bound O2

Major component of O2 carriage
According to oxyhaemoglobin dissociation curve

Curve altered by pH, pCO2 and 2,3 BPG
– Right shift (decreased affinity) due to increased CO2 and 2,3 BPG
– Left shift (increased affinity) due to increased pH
– CO2 effect on Hb is the Bohr Effect: In presence of CO2, there is decreased oxygen carrying capacity in blood
Bicarbonate
Major component of CO2 carriage in blood
Carbonic acid
Negligible

Sakurai 2016

Exam appearances

ExamExact wordingRelationshipSuccess
2012B Q01 Compare and contrast the carriage of oxygen and carbon dioxide in blood. historical_member
2024A Q11 Compare and contrast the carriage of oxygen in the blood with the carriage of carbon dioxide. historical_member