
Suzanne O. answered 12/06/19
International Experience and Multiple State Certifications
Hi Basma. A good question!
Imagine a blood substitute in which the binding of O2 to its carrier protein is not altered by pH. How would the use of such a blood substitute affect breathing? Describe/discuss/explain briefly.
This is the key phrase:
the binding of O2 to its carrier protein is not altered by pH
In your body, the pH of your blood determines whether or not your hemoglobin is going to pick up O2 or release it. Near your lungs, the CO2 concentration is lower, so the pH rises and your hemoglobin picks up O2. In your tissues, the CO2 concentration is higher, so the pH drops and causes your hemoglobin to release O2 into your tissues, It is only because your hemoglobin is pH sensitive that the oxygen can be picked up in your lungs, transported in the bloodstream and finally released into your tissues so that cellular respiration can occur.
Think about it: If the blood substitute is not affected by pH, then it will neither pick nor release O2. You could breathe all you want (pumping air in and out of your lungs), but you would still suffocate as your cells died from a lack of oxygen.

Suzanne O.
Hi again Basma. Your level beats mine for recognizing spirometry. But I'm not sure that this is what it really is. Five cm is 2 inches, 25 cm is 10 inches, actually wider and shorter than the average snorkel. A moderately trained, normal adult can snorkel for 10 minutes with no adverse effects. This abstract on tube breathing for respiratory muscle training in healthy subjects (https://www.sciencedirect.com/science/article/pii/S0954611105002933) supports that statement. If you are thinking that the tube would eventually cause airway resistance, this article might help (https://books.google.com/books?id=1A7hCgAAQBAJ&pg=PA7&lpg=PA7&dq=forced+breathing+through+a+5+cm+by+25+cm+tube+for+15+minutes&source=bl&ots=A2TRWmZjgH&sig=ACfU3U0hbPouPJHKKDbLQZCtVSq-4OaxjQ&hl=en&sa=X&ved=2ahUKEwjcup_2mKLmAhUiSN8KHSDHB98Q6AEwCXoECA0QAQ#v=onepage&q=forced%20breathing%20through%20a%205%20cm%20by%2025%20cm%20tube%20for%2015%20minutes&f=false). Calculating FEV1 / FVC does not seem necessary, only because we were told this is a "normal" adult, so we don't expect any disorders. However, if you want to be able to list the possible effects of hypoxia, inadequate oxygenation from airway resistance, then this is the document you want to read, starting at around page 12 (http://www.emtb.com/9e/DOCS/47386_Ch07_208-255.pdf). Hope this helps.12/07/19
Basma H.
Thank you very much , awesome explnation. I have a question that really took alot of my time to try to figure the answer out, your help is much appreciate it What would be the short term (within 15 minutes or less) effect(s) on the initially at-rest breathing of a “normal” adult if their nose was clamped closed and they were required to mouth-only breathe through a cylindrical tube 5 centimeters in 1 diameter and 25 centimeters long? Explain briefly. You might find some calculations to be helpful; if so, show them. i know that this is a spirometer test which is used to measure lung volume. From this question, we can measure the volume of the cylinder, and i know if we are able to get the value of FEV 1 /FVC we will be able to determine the pulmonary function in % and from there decide the pulmonary disorder but i can't figure it out in this question? can you help me please12/06/19