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Respiratory alkalosis is a medical condition in which increased respiration elevates the blood pH beyond the normal range (7.35–7.45) with a concurrent reduction in arterial levels of carbon dioxide. [1] [4] This condition is one of the four primary disturbances of acid–base homeostasis. [5]
The brainstem respiratory centers decrease alveolar ventilation (hypoventilation) to create a rise in arterial carbon dioxide (CO 2) tension, resulting in a decrease of plasma pH. [1] However, as there is limitation for decreasing respiration, respiratory compensation is less efficient at compensating for metabolic alkalosis than for acidosis.
Ventilation rate (V) is the total gas volume that enters and leaves the alveoli in a given amount of time, commonly measured per minute. To calculate the ventilation rate, the tidal volume (inhaled or exhaled gas volume during normal breath) is multiplied by the frequency of breaths per minute, which is represented by the formula:
This information determines the average rate of ventilation of the alveoli of the lungs, to keep these pressures constant. The respiratory center does so via motor nerves which activate the diaphragm and other muscles of respiration. The breathing rate increases when the partial pressure of carbon dioxide in the blood increases.
The control of ventilation is the physiological mechanisms involved in the control of breathing, which is the movement of air into and out of the lungs. Ventilation facilitates respiration. Respiration refers to the utilization of oxygen and balancing of carbon dioxide by the body as a whole, or by individual cells in cellular respiration. [1]
The factors that determine the values for alveolar pO 2 and pCO 2 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
While both ventilation and perfusion increase going from the apex to the base, perfusion increases to a greater degree than ventilation, lowering the V/Q ratio at the base of the lungs. The principal factor involved in the creation of this V/Q gradient between the apex and the base of the lung is gravity (this is why V/Q ratios change in ...
An increase in Pi causes extraalveolar blood vessels to reduce in caliber, in turn causing blood flow to decrease (extraalveolar blood vessels are those blood vessels outside alveoli). Intraalveolar blood vessels (pulmonary capillaries) are thin walled vessels adjacent to alveoli which are subject to the pressure changes described by zones 1-3.