Pulmonary gas pressures
The factors that determine the values for alveolar pO2 and pCO2 are:
- The pressure of outside air
- The partial pressures of inspired oxygen and carbon dioxide
- The rates of total body oxygen consumption and carbon dioxide production
- The rates of alveolar ventilation and perfusion
Partial pressures
Partial pressure of oxygen (at sea level)
The alveolar oxygen partial pressure is lower than the atmospheric O2 partial pressure for two reasons.- Firstly, as the air enters the lungs, it is humidified by the upper airway and thus the partial pressure of water vapour reduces the oxygen partial pressure to about 150 mmHg.
- The rest of the difference is due to the continual uptake of oxygen by the pulmonary capillaries, and the continual diffusion of CO2 out of the capillaries into the alveoli.
Partial pressure of carbon dioxide
Pathology
The partial pressure of carbon dioxide, along with the pH, can be used to differentiate between metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis.Hypoventilation exists when the ratio of carbon dioxide production to alveolar ventilation increases above normal values – greater than 45mmHg. If pH is also less than 7.35 this is respiratory acidosis.
Hyperventilation exists when the same ratio decreases – less than 35mmHg. If the pH is also greater than 7.45 this is respiratory alkalosis.