1 00:00:02,420 --> 00:00:05,130 Let's say this person is lying here in front of me. 2 00:00:05,130 --> 00:00:07,870 And I'm thinking about how the air is 3 00:00:07,870 --> 00:00:10,830 passing through their nose and their mouth 4 00:00:10,830 --> 00:00:12,840 and entering their lungs. 5 00:00:12,840 --> 00:00:16,260 And specifically I'm interested this time in how much 6 00:00:16,260 --> 00:00:20,390 oxygen is actually getting to their alveolar sacs. 7 00:00:20,390 --> 00:00:23,580 So, deep inside their lungs they have these branches, 8 00:00:23,580 --> 00:00:26,150 they're conducting in respiratory bronchials. 9 00:00:26,150 --> 00:00:28,750 But at the end, of course, they have these alveolar 10 00:00:28,750 --> 00:00:30,430 sacs that we've talked about. 11 00:00:30,430 --> 00:00:34,010 And I'm interested in thinking about how much oxygen is really 12 00:00:34,010 --> 00:00:36,120 down there at the very ends. 13 00:00:36,120 --> 00:00:38,300 And you have to excuse this alveolar sac. 14 00:00:38,300 --> 00:00:40,200 It really is that. 15 00:00:40,200 --> 00:00:43,380 It looks a little bit like a three-leaf clover, I guess. 16 00:00:43,380 --> 00:00:45,100 But that's the issue. 17 00:00:45,100 --> 00:00:48,972 How much oxygen is deep down in here where the x is? 18 00:00:48,972 --> 00:00:50,180 So how do we figure this out? 19 00:00:50,180 --> 00:00:52,630 I want to first think about the air 20 00:00:52,630 --> 00:00:55,080 this gentleman is breathing in. 21 00:00:55,080 --> 00:00:57,860 He's breathing in air from the atmosphere. 22 00:00:57,860 --> 00:01:01,120 So this is atmospheric pressure air. 23 00:01:01,120 --> 00:01:03,710 And we say ATM for short. 24 00:01:03,710 --> 00:01:06,480 And we know that atmospheric pressure at sea level 25 00:01:06,480 --> 00:01:09,130 is 760 millimeters of mercury. 26 00:01:09,130 --> 00:01:12,520 It's going to be lower at higher altitudes. 27 00:01:12,520 --> 00:01:14,430 So, if you're at the top of a mountain, 28 00:01:14,430 --> 00:01:16,140 it would be less than that. 29 00:01:16,140 --> 00:01:19,540 And this pressure is made up of many, many different molecules 30 00:01:19,540 --> 00:01:20,680 bouncing around. 31 00:01:20,680 --> 00:01:23,290 So, I've got some molecules of oxygen. 32 00:01:23,290 --> 00:01:25,380 Let's say this is about 21%. 33 00:01:25,380 --> 00:01:27,080 This is my oxygen. 34 00:01:27,080 --> 00:01:29,760 And before I move on, I should mention FiO2. 35 00:01:29,760 --> 00:01:31,690 You might come across this. 36 00:01:31,690 --> 00:01:35,360 And FiO2 stands for the fraction-- which in this case 37 00:01:35,360 --> 00:01:40,170 was 21% or 0.21-- fraction of inspired, 38 00:01:40,170 --> 00:01:43,140 meaning how much oxygen you took in or air you 39 00:01:43,140 --> 00:01:46,500 took in-- fraction of inspired oxygen. 40 00:01:46,500 --> 00:01:50,690 And the fraction happens to be 21%, which is, of course, much, 41 00:01:50,690 --> 00:01:52,904 much lower than the nitrogen. 42 00:01:52,904 --> 00:01:54,570 Now nitrogen-- when I draw it this way-- 43 00:01:54,570 --> 00:01:55,550 it's pretty impressive. 44 00:01:55,550 --> 00:01:57,250 All the purple is nitrogen. 45 00:01:57,250 --> 00:02:00,810 This is about 78% of what you're breathing in. 46 00:02:00,810 --> 00:02:02,790 And the last little tiny little bit, 47 00:02:02,790 --> 00:02:05,190 I'm going to draw the green line. 48 00:02:05,190 --> 00:02:07,120 This is mostly argon. 49 00:02:07,120 --> 00:02:09,900 And argon is-- in Greek, it actually 50 00:02:09,900 --> 00:02:11,850 comes from the term lazy. 51 00:02:11,850 --> 00:02:14,320 But it basically reminds me when I think of that, 52 00:02:14,320 --> 00:02:16,340 that argon is not going to do much. 53 00:02:16,340 --> 00:02:21,171 It's not going to react with anything that is in our body. 54 00:02:21,171 --> 00:02:22,420 And of course, you have other. 55 00:02:22,420 --> 00:02:24,210 You have less than 1%. 56 00:02:24,210 --> 00:02:26,970 And this would be things like carbon dioxide. 57 00:02:26,970 --> 00:02:29,180 So, this is a breakdown of the air 58 00:02:29,180 --> 00:02:31,180 that my friend is breathing in. 59 00:02:31,180 --> 00:02:33,170 This is my friend breathing. 60 00:02:33,170 --> 00:02:36,530 And if I want to now think about how much oxygen 61 00:02:36,530 --> 00:02:38,180 they're taking in, all I have to do 62 00:02:38,180 --> 00:02:40,360 is a little tiny bit of math. 63 00:02:40,360 --> 00:02:46,560 I can say OK, pO2-- this is the partial pressure of oxygen-- 64 00:02:46,560 --> 00:02:55,110 is just 0.21, or 21%, times 760 millimeters of mercury. 65 00:02:55,110 --> 00:02:59,930 And this turns out to be 160 millimeters of mercury. 66 00:02:59,930 --> 00:03:03,030 Now, that oxygen kind of goes down in his lungs. 67 00:03:03,030 --> 00:03:06,740 And it goes through his trachea and into his-- all 68 00:03:06,740 --> 00:03:10,450 the little bronchials and down into the alveolar sac. 69 00:03:10,450 --> 00:03:12,950 And when it gets there-- on the way over there, 70 00:03:12,950 --> 00:03:14,200 an interesting thing happens. 71 00:03:14,200 --> 00:03:17,790 The body temperature here is 37 degrees Celsius. 72 00:03:17,790 --> 00:03:20,260 He's got a normal body temperature. 73 00:03:20,260 --> 00:03:23,220 And what that does is-- the air is 74 00:03:23,220 --> 00:03:27,640 going through these bronchials and trachea. 75 00:03:27,640 --> 00:03:30,370 And as it does, there's a lot of moisture 76 00:03:30,370 --> 00:03:32,300 in the respiratory tree. 77 00:03:32,300 --> 00:03:33,425 There's moisture there. 78 00:03:33,425 --> 00:03:34,800 And that moisture, when it starts 79 00:03:34,800 --> 00:03:37,210 heating up-- and of course, 37 degrees 80 00:03:37,210 --> 00:03:41,340 is pretty warm-- It's going to start leaving the liquid phase 81 00:03:41,340 --> 00:03:43,180 and going into the gas phase. 82 00:03:43,180 --> 00:03:45,680 So all of a sudden you have now little molecules. 83 00:03:45,680 --> 00:03:48,510 I'm going to draw them as little dots of water. 84 00:03:48,510 --> 00:03:49,660 That's here. 85 00:03:49,660 --> 00:03:52,660 And it's going to start entering and mingling 86 00:03:52,660 --> 00:03:54,750 with the gas that's going through. 87 00:03:54,750 --> 00:03:58,420 So, the gas that got taken in, that he inhaled 88 00:03:58,420 --> 00:03:59,650 is now mingling. 89 00:03:59,650 --> 00:04:01,850 And what happens as a result, is that water 90 00:04:01,850 --> 00:04:06,340 has what we call a vapor pressure. 91 00:04:06,340 --> 00:04:09,420 And that vapor pressure is going to change 92 00:04:09,420 --> 00:04:10,740 depending on the temperature. 93 00:04:10,740 --> 00:04:13,540 But at 37 degrees, that vapor pressure 94 00:04:13,540 --> 00:04:17,140 ends up being 47 millimeters of mercury. 95 00:04:17,140 --> 00:04:20,760 In other words, if the temperature is 37 degrees, 96 00:04:20,760 --> 00:04:24,010 then we can expect that some of those water molecules 97 00:04:24,010 --> 00:04:27,230 will leave the liquid and enter the gas phase. 98 00:04:27,230 --> 00:04:31,050 And it turns out that the amount of molecules-- 99 00:04:31,050 --> 00:04:32,680 or the number of molecules-- that leave 100 00:04:32,680 --> 00:04:35,400 are going to generate a pressure that 101 00:04:35,400 --> 00:04:37,270 is 47 millimeters of mercury. 102 00:04:37,270 --> 00:04:39,000 And this is pretty standard. 103 00:04:39,000 --> 00:04:40,842 This is known off of a table. 104 00:04:40,842 --> 00:04:42,300 And in fact, if you think about it, 105 00:04:42,300 --> 00:04:44,720 if you just generated lots of heat-- let's say 106 00:04:44,720 --> 00:04:47,290 you actually were boiling water-- 107 00:04:47,290 --> 00:04:49,010 that would be 100 degrees Celsius. 108 00:04:49,010 --> 00:04:51,590 And the vapor pressure there would be very high, 109 00:04:51,590 --> 00:04:52,520 because it's boiling. 110 00:04:52,520 --> 00:04:54,970 And it would be 760. 111 00:04:54,970 --> 00:04:58,360 So boiling is actually 760. 112 00:04:58,360 --> 00:04:59,530 So just keep that in mind. 113 00:04:59,530 --> 00:05:06,620 Boiling water has a vapor pressure of-- 114 00:05:06,620 --> 00:05:08,950 And what do you think 760 reminds you of? 115 00:05:08,950 --> 00:05:11,417 That is atmospheric pressure. 116 00:05:11,417 --> 00:05:12,250 So it's interesting. 117 00:05:12,250 --> 00:05:15,510 Vapor pressure is going to equal atmospheric pressure 118 00:05:15,510 --> 00:05:17,830 when you are boiling water. 119 00:05:17,830 --> 00:05:20,760 And that's actually exactly what's happening as you boil. 120 00:05:20,760 --> 00:05:22,610 But I don't want to get too distracted. 121 00:05:22,610 --> 00:05:26,350 We're not boiling water inside of our bodies or our lungs. 122 00:05:26,350 --> 00:05:28,120 We're actually much cooler than that. 123 00:05:28,120 --> 00:05:29,120 But we are warm. 124 00:05:29,120 --> 00:05:30,150 We're at 37 degrees. 125 00:05:30,150 --> 00:05:34,280 And so you do have some of these little water molecules that 126 00:05:34,280 --> 00:05:37,050 have entered the gas phase. 127 00:05:37,050 --> 00:05:40,190 And so if overall it's got to be-- this whole thing 128 00:05:40,190 --> 00:05:41,720 has got to be 760. 129 00:05:41,720 --> 00:05:45,120 So, on average, our lung pressures 130 00:05:45,120 --> 00:05:47,290 are going to be the same as atmospheric pressure. 131 00:05:47,290 --> 00:05:51,280 But now you've got water taking up 47. 132 00:05:51,280 --> 00:05:54,720 So if water's taking up 47, the rest of those little gas 133 00:05:54,720 --> 00:06:00,070 molecules have got to be 713. 134 00:06:00,070 --> 00:06:03,180 So this is the rest. 135 00:06:03,180 --> 00:06:04,450 What was in that rest? 136 00:06:04,450 --> 00:06:05,950 It's going to be the same as before. 137 00:06:05,950 --> 00:06:07,845 It's going to be-- and I'm going to try to sketch it 138 00:06:07,845 --> 00:06:09,303 as best as possible-- this is going 139 00:06:09,303 --> 00:06:11,930 to be my oxygen right here. 140 00:06:11,930 --> 00:06:16,310 This is 21% of 713. 141 00:06:16,310 --> 00:06:18,910 And then we have lots and lots of nitrogen still. 142 00:06:18,910 --> 00:06:21,600 Same kind of break down as before. 143 00:06:21,600 --> 00:06:25,142 And remember this is all air that is being inhaled. 144 00:06:25,142 --> 00:06:26,850 So we're not talking about breathing out. 145 00:06:26,850 --> 00:06:28,590 We're just talking about breathing in. 146 00:06:28,590 --> 00:06:32,360 And this purple right here-- and this is 78%. 147 00:06:32,360 --> 00:06:35,206 Again, this is 78% percent of 713. 148 00:06:35,206 --> 00:06:37,080 And we still have a little bit of that argon, 149 00:06:37,080 --> 00:06:39,515 and those other gases-- I won't write it all out, 150 00:06:39,515 --> 00:06:40,390 but you get the idea. 151 00:06:40,390 --> 00:06:42,840 That basically now because water is taking up 152 00:06:42,840 --> 00:06:45,880 some of the overall pressure, all of the other gases 153 00:06:45,880 --> 00:06:48,690 are going to have a lower partial pressure. 154 00:06:48,690 --> 00:06:51,710 So what is the partial pressure of the air that's 155 00:06:51,710 --> 00:06:54,750 entering into that alveolar sac? 156 00:06:54,750 --> 00:07:00,850 It's going to be basically FiO2, which is 21%. 157 00:07:00,850 --> 00:07:02,730 I'll write that here. 158 00:07:02,730 --> 00:07:04,890 And then we have the atmospheric pressure. 159 00:07:04,890 --> 00:07:06,960 This is atmospheric pressure over here. 160 00:07:06,960 --> 00:07:09,510 And we said that was 760. 161 00:07:09,510 --> 00:07:12,730 We can draw a little arrow so we know what's pointing to what. 162 00:07:12,730 --> 00:07:15,210 760 millimeters of mercury. 163 00:07:15,210 --> 00:07:17,960 And then, from that to account for the partial pressure 164 00:07:17,960 --> 00:07:18,610 of water. 165 00:07:18,610 --> 00:07:21,550 Because now we have some water vapor in there. 166 00:07:21,550 --> 00:07:26,230 We have to subtract out 47. 167 00:07:26,230 --> 00:07:30,620 So, so far, if you've kept up with this math, 168 00:07:30,620 --> 00:07:33,400 you see that we have-- what does that work out to be? 169 00:07:33,400 --> 00:07:38,150 About 150 millimeters of mercury. 170 00:07:38,150 --> 00:07:43,336 Now this is the partial pressure of oxygen, at this spot. 171 00:07:43,336 --> 00:07:45,210 Let me just make it very clear with my arrow, 172 00:07:45,210 --> 00:07:48,190 not at this orange x. 173 00:07:48,190 --> 00:07:49,700 So far, we've figured out that we 174 00:07:49,700 --> 00:07:53,030 have a partial pressure that's a little bit lower than when 175 00:07:53,030 --> 00:07:54,280 we started. 176 00:07:54,280 --> 00:07:56,600 And that was because of the partial pressure of water. 177 00:07:56,600 --> 00:07:59,630 Let's pick up there in our next video.