Page 382 - Anatomy and Physiology of Farm Animals, 8th Edition
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The Respiratory System / 367

                                                       Erythrocyte
  VetBooks.ir

                                                                CO 2  dissolved in plasma
                                                                       (7%)
                                    Carbaminohemoglobin
                                          (23%)


                                                                       CO 2  from cellular
                                  H 2 O + CO 2          CO 2           metabolism
                              Carbonic  anhydrase
                                                    Hemoglobin
                                         H 2 CO 3

                                      –           +
                                   HCO 3        H


                               –
                           HCO 3
                           dissolved in
                           plasma (70%)
               Figure  19-16.  Gas exchange in systemic tissues and transport of carbon dioxide in the blood.
               Percentages reflect the different modes by which carbon dioxide is transported from systemic tissues to
               the lungs.


               important neural input is from  central   reduced. The low blood carbon dioxide
               chemoreceptors in the medulla of the     concentration means that the primary
               brainstem. These receptors respond to    stimulus for normal ventilation is lost.
               hydrogen ion concentration changes in the   These animals may undergo a period of
               interstitial fluid of the brain and stimulate   apnea (cessation of breathing) until
               the inspiratory center to increase ventila-  blood carbon dioxide levels are restored
               tion when the hydrogen ion concentration   by metabolism.
               increases. Carbon dioxide from the blood    Another group of chemoreceptors, the
               readily diffuses into the interstitial fluids of   carotid and aortic bodies, also provide
               the brain, and in body fluids is in equilib-  neural input to the respiratory center.
               rium with carbonic acid; therefore, an   These  peripheral chemoreceptors detect
               increase in blood carbon dioxide increases   changes in arterial blood hydrogen ion
               the hydrogen ion concentration in the    concentration  and   oxygen   content.
               brain and stimulates ventilation. The    Increases in hydrogen ion concentration or
               effects of changes in blood carbon dioxide   reductions in blood O  content initiate
                                                                              2
               on  ventilation  are  so  pronounced  that   neural inputs to increase ventilation.
               blood carbon dioxide is considered to be   However,  the  effects  of  these peripheral
               the most important regulator of ventilation   chemoreceptors are less pronounced than
               in most conditions.                      those of the central chemoreceptors, so
                  During general anesthesia, mechani-   changes in blood hydrogen ion concentra-
               cal hyperventilation often occurs during   tion or oxygen content must be severe to
               induction of anesthesia as the anesthe-  override the effect of blood carbon
               tist attempts to fill the patient’s lungs   dioxide.
               with anesthetic gas. As a result of this    Further regulating the respiratory center
               hyperventilation, the patient’s  blood   and breathing rhythmicity is a reflex arc
               carbon dioxide may be significantly      involving stretch receptors in the lung
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