0:00:02.420,0:00:05.130 Let's say this person is[br]lying here in front of me. 0:00:05.130,0:00:07.870 And I'm thinking[br]about how the air is 0:00:07.870,0:00:10.830 passing through their[br]nose and their mouth 0:00:10.830,0:00:12.840 and entering their lungs. 0:00:12.840,0:00:16.260 And specifically I'm interested[br]this time in how much 0:00:16.260,0:00:20.390 oxygen is actually getting[br]to their alveolar sacs. 0:00:20.390,0:00:23.580 So, deep inside their lungs[br]they have these branches, 0:00:23.580,0:00:26.150 they're conducting in[br]respiratory bronchials. 0:00:26.150,0:00:28.750 But at the end, of course,[br]they have these alveolar 0:00:28.750,0:00:30.430 sacs that we've talked about. 0:00:30.430,0:00:34.010 And I'm interested in thinking[br]about how much oxygen is really 0:00:34.010,0:00:36.120 down there at the very ends. 0:00:36.120,0:00:38.300 And you have to excuse[br]this alveolar sac. 0:00:38.300,0:00:40.200 It really is that. 0:00:40.200,0:00:43.380 It looks a little bit like a[br]three-leaf clover, I guess. 0:00:43.380,0:00:45.100 But that's the issue. 0:00:45.100,0:00:48.972 How much oxygen is deep[br]down in here where the x is? 0:00:48.972,0:00:50.180 So how do we figure this out? 0:00:50.180,0:00:52.630 I want to first[br]think about the air 0:00:52.630,0:00:55.080 this gentleman is breathing in. 0:00:55.080,0:00:57.860 He's breathing in air[br]from the atmosphere. 0:00:57.860,0:01:01.120 So this is atmospheric[br]pressure air. 0:01:01.120,0:01:03.710 And we say ATM for short. 0:01:03.710,0:01:06.480 And we know that atmospheric[br]pressure at sea level 0:01:06.480,0:01:09.130 is 760 millimeters of mercury. 0:01:09.130,0:01:12.520 It's going to be lower[br]at higher altitudes. 0:01:12.520,0:01:14.430 So, if you're at the[br]top of a mountain, 0:01:14.430,0:01:16.140 it would be less than that. 0:01:16.140,0:01:19.540 And this pressure is made up of[br]many, many different molecules 0:01:19.540,0:01:20.680 bouncing around. 0:01:20.680,0:01:23.290 So, I've got some[br]molecules of oxygen. 0:01:23.290,0:01:25.380 Let's say this is about 21%. 0:01:25.380,0:01:27.080 This is my oxygen. 0:01:27.080,0:01:29.760 And before I move on,[br]I should mention FiO2. 0:01:29.760,0:01:31.690 You might come across this. 0:01:31.690,0:01:35.360 And FiO2 stands for the[br]fraction-- which in this case 0:01:35.360,0:01:40.170 was 21% or 0.21--[br]fraction of inspired, 0:01:40.170,0:01:43.140 meaning how much oxygen[br]you took in or air you 0:01:43.140,0:01:46.500 took in-- fraction[br]of inspired oxygen. 0:01:46.500,0:01:50.690 And the fraction happens to be[br]21%, which is, of course, much, 0:01:50.690,0:01:52.904 much lower than the nitrogen. 0:01:52.904,0:01:54.570 Now nitrogen-- when[br]I draw it this way-- 0:01:54.570,0:01:55.550 it's pretty impressive. 0:01:55.550,0:01:57.250 All the purple is nitrogen. 0:01:57.250,0:02:00.810 This is about 78% of[br]what you're breathing in. 0:02:00.810,0:02:02.790 And the last little[br]tiny little bit, 0:02:02.790,0:02:05.190 I'm going to draw[br]the green line. 0:02:05.190,0:02:07.120 This is mostly argon. 0:02:07.120,0:02:09.900 And argon is-- in[br]Greek, it actually 0:02:09.900,0:02:11.850 comes from the term lazy. 0:02:11.850,0:02:14.320 But it basically reminds[br]me when I think of that, 0:02:14.320,0:02:16.340 that argon is not[br]going to do much. 0:02:16.340,0:02:21.171 It's not going to react with[br]anything that is in our body. 0:02:21.171,0:02:22.420 And of course, you have other. 0:02:22.420,0:02:24.210 You have less than 1%. 0:02:24.210,0:02:26.970 And this would be things[br]like carbon dioxide. 0:02:26.970,0:02:29.180 So, this is a[br]breakdown of the air 0:02:29.180,0:02:31.180 that my friend is breathing in. 0:02:31.180,0:02:33.170 This is my friend breathing. 0:02:33.170,0:02:36.530 And if I want to now think[br]about how much oxygen 0:02:36.530,0:02:38.180 they're taking in,[br]all I have to do 0:02:38.180,0:02:40.360 is a little tiny bit of math. 0:02:40.360,0:02:46.560 I can say OK, pO2-- this is the[br]partial pressure of oxygen-- 0:02:46.560,0:02:55.110 is just 0.21, or 21%, times[br]760 millimeters of mercury. 0:02:55.110,0:02:59.930 And this turns out to be[br]160 millimeters of mercury. 0:02:59.930,0:03:03.030 Now, that oxygen kind of[br]goes down in his lungs. 0:03:03.030,0:03:06.740 And it goes through his[br]trachea and into his-- all 0:03:06.740,0:03:10.450 the little bronchials and[br]down into the alveolar sac. 0:03:10.450,0:03:12.950 And when it gets there--[br]on the way over there, 0:03:12.950,0:03:14.200 an interesting thing happens. 0:03:14.200,0:03:17.790 The body temperature here[br]is 37 degrees Celsius. 0:03:17.790,0:03:20.260 He's got a normal[br]body temperature. 0:03:20.260,0:03:23.220 And what that does[br]is-- the air is 0:03:23.220,0:03:27.640 going through these[br]bronchials and trachea. 0:03:27.640,0:03:30.370 And as it does, there's[br]a lot of moisture 0:03:30.370,0:03:32.300 in the respiratory tree. 0:03:32.300,0:03:33.425 There's moisture there. 0:03:33.425,0:03:34.800 And that moisture,[br]when it starts 0:03:34.800,0:03:37.210 heating up-- and of[br]course, 37 degrees 0:03:37.210,0:03:41.340 is pretty warm-- It's going to[br]start leaving the liquid phase 0:03:41.340,0:03:43.180 and going into the gas phase. 0:03:43.180,0:03:45.680 So all of a sudden you[br]have now little molecules. 0:03:45.680,0:03:48.510 I'm going to draw them[br]as little dots of water. 0:03:48.510,0:03:49.660 That's here. 0:03:49.660,0:03:52.660 And it's going to start[br]entering and mingling 0:03:52.660,0:03:54.750 with the gas that's[br]going through. 0:03:54.750,0:03:58.420 So, the gas that got[br]taken in, that he inhaled 0:03:58.420,0:03:59.650 is now mingling. 0:03:59.650,0:04:01.850 And what happens as a[br]result, is that water 0:04:01.850,0:04:06.340 has what we call[br]a vapor pressure. 0:04:06.340,0:04:09.420 And that vapor pressure[br]is going to change 0:04:09.420,0:04:10.740 depending on the temperature. 0:04:10.740,0:04:13.540 But at 37 degrees,[br]that vapor pressure 0:04:13.540,0:04:17.140 ends up being 47[br]millimeters of mercury. 0:04:17.140,0:04:20.760 In other words, if the[br]temperature is 37 degrees, 0:04:20.760,0:04:24.010 then we can expect that some[br]of those water molecules 0:04:24.010,0:04:27.230 will leave the liquid[br]and enter the gas phase. 0:04:27.230,0:04:31.050 And it turns out that[br]the amount of molecules-- 0:04:31.050,0:04:32.680 or the number of[br]molecules-- that leave 0:04:32.680,0:04:35.400 are going to generate[br]a pressure that 0:04:35.400,0:04:37.270 is 47 millimeters of mercury. 0:04:37.270,0:04:39.000 And this is pretty standard. 0:04:39.000,0:04:40.842 This is known off of a table. 0:04:40.842,0:04:42.300 And in fact, if[br]you think about it, 0:04:42.300,0:04:44.720 if you just generated[br]lots of heat-- let's say 0:04:44.720,0:04:47.290 you actually were[br]boiling water-- 0:04:47.290,0:04:49.010 that would be 100[br]degrees Celsius. 0:04:49.010,0:04:51.590 And the vapor pressure[br]there would be very high, 0:04:51.590,0:04:52.520 because it's boiling. 0:04:52.520,0:04:54.970 And it would be 760. 0:04:54.970,0:04:58.360 So boiling is actually 760. 0:04:58.360,0:04:59.530 So just keep that in mind. 0:04:59.530,0:05:06.620 Boiling water has a[br]vapor pressure of-- 0:05:06.620,0:05:08.950 And what do you think[br]760 reminds you of? 0:05:08.950,0:05:11.417 That is atmospheric pressure. 0:05:11.417,0:05:12.250 So it's interesting. 0:05:12.250,0:05:15.510 Vapor pressure is going to[br]equal atmospheric pressure 0:05:15.510,0:05:17.830 when you are boiling water. 0:05:17.830,0:05:20.760 And that's actually exactly[br]what's happening as you boil. 0:05:20.760,0:05:22.610 But I don't want to[br]get too distracted. 0:05:22.610,0:05:26.350 We're not boiling water inside[br]of our bodies or our lungs. 0:05:26.350,0:05:28.120 We're actually much[br]cooler than that. 0:05:28.120,0:05:29.120 But we are warm. 0:05:29.120,0:05:30.150 We're at 37 degrees. 0:05:30.150,0:05:34.280 And so you do have some of these[br]little water molecules that 0:05:34.280,0:05:37.050 have entered the gas phase. 0:05:37.050,0:05:40.190 And so if overall it's got[br]to be-- this whole thing 0:05:40.190,0:05:41.720 has got to be 760. 0:05:41.720,0:05:45.120 So, on average,[br]our lung pressures 0:05:45.120,0:05:47.290 are going to be the same[br]as atmospheric pressure. 0:05:47.290,0:05:51.280 But now you've got[br]water taking up 47. 0:05:51.280,0:05:54.720 So if water's taking up 47,[br]the rest of those little gas 0:05:54.720,0:06:00.070 molecules have got to be 713. 0:06:00.070,0:06:03.180 So this is the rest. 0:06:03.180,0:06:04.450 What was in that rest? 0:06:04.450,0:06:05.950 It's going to be[br]the same as before. 0:06:05.950,0:06:07.845 It's going to be-- and I'm[br]going to try to sketch it 0:06:07.845,0:06:09.303 as best as possible--[br]this is going 0:06:09.303,0:06:11.930 to be my oxygen right here. 0:06:11.930,0:06:16.310 This is 21% of 713. 0:06:16.310,0:06:18.910 And then we have lots and[br]lots of nitrogen still. 0:06:18.910,0:06:21.600 Same kind of break[br]down as before. 0:06:21.600,0:06:25.142 And remember this is all[br]air that is being inhaled. 0:06:25.142,0:06:26.850 So we're not talking[br]about breathing out. 0:06:26.850,0:06:28.590 We're just talking[br]about breathing in. 0:06:28.590,0:06:32.360 And this purple right[br]here-- and this is 78%. 0:06:32.360,0:06:35.206 Again, this is 78%[br]percent of 713. 0:06:35.206,0:06:37.080 And we still have a[br]little bit of that argon, 0:06:37.080,0:06:39.515 and those other gases--[br]I won't write it all out, 0:06:39.515,0:06:40.390 but you get the idea. 0:06:40.390,0:06:42.840 That basically now[br]because water is taking up 0:06:42.840,0:06:45.880 some of the overall pressure,[br]all of the other gases 0:06:45.880,0:06:48.690 are going to have a[br]lower partial pressure. 0:06:48.690,0:06:51.710 So what is the partial[br]pressure of the air that's 0:06:51.710,0:06:54.750 entering into that alveolar sac? 0:06:54.750,0:07:00.850 It's going to be basically[br]FiO2, which is 21%. 0:07:00.850,0:07:02.730 I'll write that here. 0:07:02.730,0:07:04.890 And then we have the[br]atmospheric pressure. 0:07:04.890,0:07:06.960 This is atmospheric[br]pressure over here. 0:07:06.960,0:07:09.510 And we said that was 760. 0:07:09.510,0:07:12.730 We can draw a little arrow so[br]we know what's pointing to what. 0:07:12.730,0:07:15.210 760 millimeters of mercury. 0:07:15.210,0:07:17.960 And then, from that to account[br]for the partial pressure 0:07:17.960,0:07:18.610 of water. 0:07:18.610,0:07:21.550 Because now we have some[br]water vapor in there. 0:07:21.550,0:07:26.230 We have to subtract out 47. 0:07:26.230,0:07:30.620 So, so far, if you've[br]kept up with this math, 0:07:30.620,0:07:33.400 you see that we have-- what[br]does that work out to be? 0:07:33.400,0:07:38.150 About 150 millimeters[br]of mercury. 0:07:38.150,0:07:43.336 Now this is the partial pressure[br]of oxygen, at this spot. 0:07:43.336,0:07:45.210 Let me just make it very[br]clear with my arrow, 0:07:45.210,0:07:48.190 not at this orange x. 0:07:48.190,0:07:49.700 So far, we've[br]figured out that we 0:07:49.700,0:07:53.030 have a partial pressure that's[br]a little bit lower than when 0:07:53.030,0:07:54.280 we started. 0:07:54.280,0:07:56.600 And that was because of the[br]partial pressure of water. 0:07:56.600,0:07:59.630 Let's pick up there[br]in our next video.