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Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Chapter 19 Lecture PowerPoint
2402 Anatomy and Physiology II Chapter 19 Susan Gossett [email_address] Department of Biology Paris Junior College
Hole’s Human Anatomy and Physiology Twelfth Edition Shier    Butler    Lewis  Chapter  19 Respiratory System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
19.1: Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
19.2: Why We Breathe ,[object Object],[object Object],[object Object],[object Object],[object Object]
19.3: Organs of the  Respiratory System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Larynx Bronchus Nostril Right lung Left lung Soft palate Pharynx Epiglottis Esophagus Frontal sinus Nasal cavity Hard palate Oral cavity Trachea
Nose Frontal sinus Nostril Hard palate Uvula Epiglottis Hyoid bone Larynx Superior Middle Inferior Sphenoidal sinus Pharyngeal tonsil Nasopharynx Palatine tonsil Oropharynx Lingual tonsil Laryngopharynx Esophagus Tongue Trachea Nasal conchae Opening of auditory tube Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Nasal Cavity Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Mucus Particle Goblet cell Cilia Nasal cavity Epithelial cell (b) (a) b: © Biophoto Associates/Photo Researchers, Inc.
Sinuses ,[object Object]
19.1 Clinical Application The Effects of Cigarette Smoking on the Respiratory System
Pharynx ,[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Frontal sinus Nostril Hard palate Uvula Epiglottis Hyoid bone Larynx Superior Middle Inferior Sphenoidal sinus Pharyngeal tonsil Nasopharynx Palatine tonsil Oropharynx Lingual tonsil Laryngopharynx Esophagus Tongue Trachea Nasal conchae Opening of auditory tube
Larynx ,[object Object],[object Object],Epiglottic cartilage Hyoid bone Thyroid cartilage Cricoid cartilage Hyoid bone Epiglottic cartilage Thyroid cartilage Cricoid cartilage (b) (a) Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Trachea Trachea False vocal cord Glottis Epiglottis Hyoid bone Thyroid cartilage Cricoid cartilage Hyoid bone Epiglottis Thyroid cartilage Cricoid cartilage (b) (a) False vocal cord True vocal cord Thyroid cartilage Cuneiform cartilage Corniculate cartilage Arytenoid cartilage True vocal cord Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Glottis Corniculate cartilage (a) (b) Epiglottis Glottis (c) Posterior portion of tongue False vocal cord True vocal cord Cuneiform cartilage Inner lining of trachea c: © CNRI/PhotoTake Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Trachea ,[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Larynx Carina Trachea Superior (upper) lobe bronchus Right primary bronchus Middle lobe bronchus Inferior (lower) lobe bronchi Thyroid cartilage Cricoid cartilage Cartilaginous ring Left primary bronchus Superior (upper) lobe bronchus
Hyaline cartilage Ciliated epithelium Smooth muscle Lumen of trachea Connective tissue Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Connective tissue Hyaline cartilage Ciliated epithelium Lumen of trachea Smooth muscle © Ed Reschke  Thyroid gland Incision Trachea Hyoid bone Thyroid cartilage Cricoid cartilage Jugular notch Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Bronchial Tree ,[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Larynx Right middle lobe Right superior (upper) lobe Right primary bronchus Secondary bronchus Right inferior (lower) lobe Alveolar duct Alveolus Respiratory bronchiole Tertiary bronchus Terminal bronchiole Trachea Left superior (upper) lobe Left inferior (lower) lobe
Branches of the Bronchial Tree ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. © Ralph Hutchings/Visuals Unlimited
Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Intralobular bronchiole Blood flow Alveolus Smooth muscle Alveoli Blood flow Blood flow Pulmonary artery Pulmonary vein Terminal bronchiole Respiratory bronchiole Pulmonary arteriole Pulmonary venule Capillary network on surface of alveolus Alveolar duct Alveolar sac Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Capillary Alveolus Simple squamous epithelial cells © McGraw-Hill Higher Education, Inc./Bob Coyle
The Respiratory Tubes ,[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Blood flow Blood flow Arteriole Alveolus Capillary Air O 2 CO 2 CO 2 Alveolar wall Venule O 2
Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Blood vessel Capillary Alveolus Tissues and Organs: A Text-Atlas of Scanning Electron Microscopy, by R.G. Kessel and R.H. Kardon.  © 1979 W.H. Freeman and Company   Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Courtesy of the American Lung Association  Bronchiole Alveolus
Lungs ,[object Object],[object Object],Thyroid cartilage Cricoid cartilage Clavicle Scapula Rib cartilage Sternum Superior (upper) lobe of right lung Middle lobe of right lung Inferior (lower) lobe of right lung Superior (upper) lobe of left lung Inferior (lower) lobe of left lung Trachea Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
19.2 Clinical Application Lung Irritants
19.4: Breathing Mechanism ,[object Object],[object Object]
Inspiration ,[object Object],[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm Air passageway Atmospheric pressure of 760 mm Hg on the outside Atmospheric pressure of 760 mm Hg on the inside Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b)
[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm (a) (b) Intra-alveolar pressure (760 mm Hg) Atmospheric pressure (760 mm Hg) Intra-alveolar pressure (758 mm Hg) Inspiration
Inspiration Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b) External intercostal muscles pull ribs up and out Diaphragm contracts Sternum moves Up and out Sternocleidomastoid elevates sternum Pectoralis minor elevates ribs Diaphragm contracts more
Expiration ,[object Object],[object Object]
Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm Diaphragm (a) (b) Abdominal organs recoil and press diaphragm upward Posterior internal intercostal muscles pull ribs down and inward Abdominal organs force diaphragm higher Abdominal wall muscles contract and compress abdominal organs Expiration
Respiratory Air  Volumes and Capacities ,[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Lung volume in milliliters (mL) 6,000 5,000 4,000 3,000 2,000 1,000 0 Inspiratory reserve volume Tidal volume Residual volume Expiratory reserve volume Vital capacity Inspiratory capacity Total lung capacity Functional residual capacity
Alveolar Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nonrespiratory Air Movements ,[object Object],[object Object]
19.3 Clinical Application Respiratory Disorders That Decrease Ventilation: Bronchial Asthma and Emphysema
19.5: Control of Breathing ,[object Object],[object Object]
Respiratory Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm Medulla oblongata Pons Midbrain Dorsal respiratory group Pontine respiratory group Ventral respiratory group Fourth ventricle Medullary respiratory center Internal (expiratory) intercostal muscles External (inspiratory) intercostal muscles
Respiratory muscles Forceful breathing Nerve impulses Nerve impulses Pontine respiratory group Ventral respiratory group Dorsal respiratory group Medullary respiratory center Respiratory areas Basic rhythm of breathing Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Factors Affecting Breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Carotid bodies Aorta Heart Aortic bodies Medulla oblongata Sensory nerve (branch of glossopharyngeal nerve) Common carotid artery Sensory nerve (branch of vagus nerve) Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Factors Affecting Breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Respiratory center Motor pathways Spinal cord Intercostal nerve Rib Diaphragm Sensory pathway Phrenic nerve Stretch receptors Lung External intercostal muscles Vagus nerve – –
19.4 Clinical Application Exercise and Breathing
19.6: Alveolar Gas Exchanges ,[object Object]
Alveoli Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Courtesy of the American Lung Association
Capillary lumen Alveolus Macrophage Capillary Alveolus Red blood cell Diffusion of CO 2 Diffusion of O 2 Capillary endothelium Interstitial space Alveolar epithelium Type I (squamous epithelial) cell of alveolar wall Type II (surfactant-secreting) cell Fluid with surfactant Respiratory membrane Cell of capillary wall Alveolar fluid (with surfactant) Basement membrane of alveolar epithelium Basement membrane of capillary endothelium Respiratory membrane Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Respiratory Membrane ,[object Object],[object Object],[object Object]
Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. AS AS BM IS RBC EP © Imagingbody.com
Alveolus Diffusion of CO 2 Diffusion of O 2 Capillary Alveolar wall Blood flow (from body tissues) Blood flow (to body tissues) P CO 2   = 45 mm Hg Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. P CO 2   = 40 mm Hg P O 2   = 40 mm Hg P O 2   = 104 mm Hg P O 2   = 104 mm Hg P CO 2   = 40 mm Hg
Diffusion Through the  Respiratory Membrane ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
19.5 Clinical Application Effects of High Altitude
19.6 Clinical Application Disorders That Impair Gas Exchange: Pneumonia, Tuberculosis, and Adult Respiratory Distress Syndrome
19.7: Gas Transport ,[object Object],[object Object]
Oxygen Transport ,[object Object],[object Object],[object Object],[object Object]
Alveolus Capillary 2 2 2 (a) (b) Blood flow (from body tissues) Alveolar wall Oxygen molecules Hemoglobin molecules Diffusion of oxygen Oxyhemoglobin molecule Hemoglobin molecules Diffusion of oxygen Blood flow (to lungs) Blood P O   = 40 mm Hg Blood P O   = 95 mm Hg Tissue cells Tissue P O   = 40 mm Hg Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 10 20 30 40 50 60 70 80 90 100 Oxyhemoglobin dissociation at 38°C % saturation of hemoglobin 10 0 40 50 60 70 90 80 100 1 10 120 130 140 20 30 P O 2 (mm Hg)
[object Object],Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 10 20 30 40 50 60 70 80 90 100 % saturation of hemoglobin 10 0 40 50 60 70 90 80 100 1 10 120 130 140 20 30 Oxyhemoglobin dissociation at 38°C 20 mm Hg 40 mm Hg 80 mm Hg P CO 2  = P O 2  (mm Hg) Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 10 20 30 40 50 60 70 80 90 100 Oxyhemoglobin dissociation at 38°C % saturation of hemoglobin 10 0 40 50 60 70 90 80 100 1 10 120 130 140 20 30 7.6 7.4 7.2 pH = P O 2   (mm Hg) 10 20 30 40 50 60 70 80 90 100 % saturation of hemoglobin 10 0 40 50 60 70 90 80 100 1 10 120 130 140 20 30 43°C 38°C 30°C 20°C 10°C 0°C P O 2   (mm Hg) Oxyhemoglobin dissociation at various temperatures Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Carbon Dioxide Transport ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tissue cell Cellular CO 2 Plasma Red blood cell Capillary wall Blood flow to systemic venule Tissue P CO 2  = 45 mm Hg Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display. CO 2  dissolved in plasma P CO 2  = 40 mm Hg Blood flow from systemic arteriole CO 2  combined with hemoglobin to form carbaminohemoglobin H 2 CO 3 H + combines with hemoglobin P CO 2   = 45 mm Hg HCO 3 -  + H + CO 2  + H 2 O HCO 3 -
HCO 3 - Red blood cell HCO 3 - Cl - Cl - Cl - HCO 3 - Plasma Capillary wall Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
CO 2 CO 2 Alveolus Alveolar wall Capillary wall CO 2 HCO 3 - Carbaminohemoglobin Plasma Red blood cell P CO 2   = 45 mm Hg P CO 2  = 40 mm Hg CO 2 CO 2 dissolved in plasma Blood flow from pulmonary arteriole HCO 3 - + H + H 2 CO 3 H +  released from hemoglobin Blood flow to pulmonary venule P CO 2  = 40 mm Hg + H 2 O CO 2  + hemoglobin Copyright  ©  The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
19.8: Lifespan Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Points in Chapter 19: Outcomes to be Assessed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Points in Chapter 19: Outcomes to be Assessed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Points in Chapter 19: Outcomes to be Assessed ,[object Object],[object Object],[object Object],[object Object],[object Object]
Quiz 19 Complete Quiz 19 now! Read Chapter 20.

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Respiratory System Chapter Summary

  • 1. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Chapter 19 Lecture PowerPoint
  • 2. 2402 Anatomy and Physiology II Chapter 19 Susan Gossett [email_address] Department of Biology Paris Junior College
  • 3. Hole’s Human Anatomy and Physiology Twelfth Edition Shier  Butler  Lewis Chapter 19 Respiratory System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 4.
  • 5.
  • 6.
  • 7. Nose Frontal sinus Nostril Hard palate Uvula Epiglottis Hyoid bone Larynx Superior Middle Inferior Sphenoidal sinus Pharyngeal tonsil Nasopharynx Palatine tonsil Oropharynx Lingual tonsil Laryngopharynx Esophagus Tongue Trachea Nasal conchae Opening of auditory tube Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 8. Nasal Cavity Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Mucus Particle Goblet cell Cilia Nasal cavity Epithelial cell (b) (a) b: © Biophoto Associates/Photo Researchers, Inc.
  • 9.
  • 10. 19.1 Clinical Application The Effects of Cigarette Smoking on the Respiratory System
  • 11.
  • 12.
  • 13.
  • 14. Hyaline cartilage Ciliated epithelium Smooth muscle Lumen of trachea Connective tissue Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Connective tissue Hyaline cartilage Ciliated epithelium Lumen of trachea Smooth muscle © Ed Reschke Thyroid gland Incision Trachea Hyoid bone Thyroid cartilage Cricoid cartilage Jugular notch Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 15.
  • 16.
  • 17. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Intralobular bronchiole Blood flow Alveolus Smooth muscle Alveoli Blood flow Blood flow Pulmonary artery Pulmonary vein Terminal bronchiole Respiratory bronchiole Pulmonary arteriole Pulmonary venule Capillary network on surface of alveolus Alveolar duct Alveolar sac Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Capillary Alveolus Simple squamous epithelial cells © McGraw-Hill Higher Education, Inc./Bob Coyle
  • 18.
  • 19. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Blood vessel Capillary Alveolus Tissues and Organs: A Text-Atlas of Scanning Electron Microscopy, by R.G. Kessel and R.H. Kardon. © 1979 W.H. Freeman and Company Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Courtesy of the American Lung Association Bronchiole Alveolus
  • 20.
  • 21.
  • 22. 19.2 Clinical Application Lung Irritants
  • 23.
  • 24.
  • 25.
  • 26. Inspiration Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b) External intercostal muscles pull ribs up and out Diaphragm contracts Sternum moves Up and out Sternocleidomastoid elevates sternum Pectoralis minor elevates ribs Diaphragm contracts more
  • 27.
  • 28.
  • 29. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm Diaphragm (a) (b) Abdominal organs recoil and press diaphragm upward Posterior internal intercostal muscles pull ribs down and inward Abdominal organs force diaphragm higher Abdominal wall muscles contract and compress abdominal organs Expiration
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. 19.3 Clinical Application Respiratory Disorders That Decrease Ventilation: Bronchial Asthma and Emphysema
  • 37.
  • 38.
  • 39. Respiratory muscles Forceful breathing Nerve impulses Nerve impulses Pontine respiratory group Ventral respiratory group Dorsal respiratory group Medullary respiratory center Respiratory areas Basic rhythm of breathing Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 40.
  • 41.
  • 42.
  • 43. 19.4 Clinical Application Exercise and Breathing
  • 44.
  • 45. Alveoli Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Courtesy of the American Lung Association
  • 46. Capillary lumen Alveolus Macrophage Capillary Alveolus Red blood cell Diffusion of CO 2 Diffusion of O 2 Capillary endothelium Interstitial space Alveolar epithelium Type I (squamous epithelial) cell of alveolar wall Type II (surfactant-secreting) cell Fluid with surfactant Respiratory membrane Cell of capillary wall Alveolar fluid (with surfactant) Basement membrane of alveolar epithelium Basement membrane of capillary endothelium Respiratory membrane Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 47.
  • 48. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. AS AS BM IS RBC EP © Imagingbody.com
  • 49. Alveolus Diffusion of CO 2 Diffusion of O 2 Capillary Alveolar wall Blood flow (from body tissues) Blood flow (to body tissues) P CO 2 = 45 mm Hg Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. P CO 2 = 40 mm Hg P O 2 = 40 mm Hg P O 2 = 104 mm Hg P O 2 = 104 mm Hg P CO 2 = 40 mm Hg
  • 50.
  • 51. 19.5 Clinical Application Effects of High Altitude
  • 52. 19.6 Clinical Application Disorders That Impair Gas Exchange: Pneumonia, Tuberculosis, and Adult Respiratory Distress Syndrome
  • 53.
  • 54.
  • 55. Alveolus Capillary 2 2 2 (a) (b) Blood flow (from body tissues) Alveolar wall Oxygen molecules Hemoglobin molecules Diffusion of oxygen Oxyhemoglobin molecule Hemoglobin molecules Diffusion of oxygen Blood flow (to lungs) Blood P O = 40 mm Hg Blood P O = 95 mm Hg Tissue cells Tissue P O = 40 mm Hg Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 56. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 10 20 30 40 50 60 70 80 90 100 Oxyhemoglobin dissociation at 38°C % saturation of hemoglobin 10 0 40 50 60 70 90 80 100 1 10 120 130 140 20 30 P O 2 (mm Hg)
  • 57.
  • 58.
  • 59. Tissue cell Cellular CO 2 Plasma Red blood cell Capillary wall Blood flow to systemic venule Tissue P CO 2 = 45 mm Hg Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. CO 2 dissolved in plasma P CO 2 = 40 mm Hg Blood flow from systemic arteriole CO 2 combined with hemoglobin to form carbaminohemoglobin H 2 CO 3 H + combines with hemoglobin P CO 2 = 45 mm Hg HCO 3 - + H + CO 2 + H 2 O HCO 3 -
  • 60. HCO 3 - Red blood cell HCO 3 - Cl - Cl - Cl - HCO 3 - Plasma Capillary wall Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 61. CO 2 CO 2 Alveolus Alveolar wall Capillary wall CO 2 HCO 3 - Carbaminohemoglobin Plasma Red blood cell P CO 2 = 45 mm Hg P CO 2 = 40 mm Hg CO 2 CO 2 dissolved in plasma Blood flow from pulmonary arteriole HCO 3 - + H + H 2 CO 3 H + released from hemoglobin Blood flow to pulmonary venule P CO 2 = 40 mm Hg + H 2 O CO 2 + hemoglobin Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67. Quiz 19 Complete Quiz 19 now! Read Chapter 20.