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Diffusing capacity for carbon monoxide

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D LCO or T LCO ( d iffusing capacity or t ransfer factor of the l ung for carbon monoxide (CO),) is the extent to which oxygen passes from the air sacs of the lungs into the blood . Commonly, it refers to the test used to determine this parameter. It was introduced in 1909.

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37-436: This test involves measuring the partial pressure difference between inspired and expired carbon monoxide. It relies on the strong affinity and large absorption capacity of red blood cells for carbon monoxide and thus demonstrates gas uptake by the capillaries that are less dependent on cardiac output . The measurement of D LCO is affected by atmospheric pressure and/or altitude and correction factors can be calculated using

74-416: A barrier to enter). There is no universally recognized reference value range for DLCO as of 2017, but values in the 80%-120% of predicted range based on instrument manufacturer standards are generally considered normal. A D LCO of less than 60% predicted portends a poor prognosis for lung cancer resection. FEV 1 is of lesser prognostic value for lung resection survival. Partial pressure In

111-460: A function of partial pressure. Using diving terms, partial pressure is calculated as: For the component gas "i": For example, at 50 metres (164 ft) underwater, the total absolute pressure is 6 bar (600 kPa) (i.e., 1 bar of atmospheric pressure + 5 bar of water pressure) and the partial pressures of the main components of air , oxygen 21% by volume and nitrogen approximately 79% by volume are: The minimum safe lower limit for

148-424: A mixture of gases , each constituent gas has a partial pressure which is the notional pressure of that constituent gas as if it alone occupied the entire volume of the original mixture at the same temperature . The total pressure of an ideal gas mixture is the sum of the partial pressures of the gases in the mixture ( Dalton's Law ). The partial pressure of a gas is a measure of thermodynamic activity of

185-676: A particular gas in a mixture is the volume of one component of the gas mixture. It is useful in gas mixtures, e.g. air, to focus on one particular gas component, e.g. oxygen. It can be approximated both from partial pressure and molar fraction: V X = V t o t × p X p t o t = V t o t × n X n t o t {\displaystyle V_{\rm {X}}=V_{\rm {tot}}\times {\frac {p_{\rm {X}}}{p_{\rm {tot}}}}=V_{\rm {tot}}\times {\frac {n_{\rm {X}}}{n_{\rm {tot}}}}} Vapor pressure

222-396: A reversible reaction involving gas reactants and gas products, such as: a A + b B ↽ − − ⇀ c C + d D {\displaystyle {\ce {{{\mathit {a}}A}+{{\mathit {b}}B}<=>{{\mathit {c}}C}+{{\mathit {d}}D}}}}

259-458: A risk when these oxygen partial pressures and exposures are exceeded. The partial pressure of oxygen also determines the maximum operating depth of a gas mixture. Narcosis is a problem when breathing gases at high pressure. Typically, the maximum total partial pressure of narcotic gases used when planning for technical diving may be around 4.5 bar absolute, based on an equivalent narcotic depth of 35 metres (115 ft). The effect of

296-461: A toxic contaminant such as carbon monoxide in breathing gas is also related to the partial pressure when breathed. A mixture which may be relatively safe at the surface could be dangerously toxic at the maximum depth of a dive, or a tolerable level of carbon dioxide in the breathing loop of a diving rebreather may become intolerable within seconds during descent when the partial pressure rapidly increases, and could lead to panic or incapacitation of

333-720: Is a quotient of amount to volume (in units of moles per litre). Other ways of expressing the composition of a mixture as a dimensionless quantity are mass fraction and volume fraction are others. Mole fraction is used very frequently in the construction of phase diagrams . It has a number of advantages: Differential quotients can be formed at constant ratios like those above: or The ratios X , Y , and Z of mole fractions can be written for ternary and multicomponent systems: These can be used for solving PDEs like: or This equality can be rearranged to have differential quotient of mole amounts or fractions on one side. or Mole amounts can be eliminated by forming ratios: Thus

370-418: Is given by: where M̄ is the average molar mass of the mixture. The conversion to molar concentration c i is given by: where M̄ is the average molar mass of the solution, c is the total molar concentration and ρ is the density of the solution. The mole fraction can be calculated from the masses m i and molar masses M i of the components: In a spatially non-uniform mixture,

407-455: Is often called the normal boiling point . The higher the vapor pressure of a liquid at a given temperature, the lower the normal boiling point of the liquid. The vapor pressure chart displayed has graphs of the vapor pressures versus temperatures for a variety of liquids. As can be seen in the chart, the liquids with the highest vapor pressures have the lowest normal boiling points. For example, at any given temperature, methyl chloride has

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444-500: Is quite often referred to as the Henry's law constant. Henry's law is sometimes written as: where k ′ {\displaystyle k'} is also referred to as the Henry's law constant. As can be seen by comparing equations ( 1 ) and ( 2 ) above, k ′ {\displaystyle k'} is the reciprocal of k {\displaystyle k} . Since both may be referred to as

481-431: Is the pressure of a vapor in equilibrium with its non-vapor phases (i.e., liquid or solid). Most often the term is used to describe a liquid 's tendency to evaporate . It is a measure of the tendency of molecules and atoms to escape from a liquid or a solid . A liquid's atmospheric pressure boiling point corresponds to the temperature at which its vapor pressure is equal to the surrounding atmospheric pressure and it

518-515: Is true across a very wide range of different concentrations of oxygen present in various inhaled breathing gases or dissolved in blood; consequently, mixture ratios, like that of breathable 20% oxygen and 80% Nitrogen, are determined by volume instead of by weight or mass. Furthermore, the partial pressures of oxygen and carbon dioxide are important parameters in tests of arterial blood gases . That said, these pressures can also be measured in, for example, cerebrospinal fluid . The symbol for pressure

555-429: Is usually p or pp which may use a subscript to identify the pressure, and gas species are also referred to by subscript. When combined, these subscripts are applied recursively. Examples: Dalton's law expresses the fact that the total pressure of a mixture of ideal gases is equal to the sum of the partial pressures of the individual gases in the mixture. This equality arises from the fact that in an ideal gas,

592-476: The mole fraction or molar fraction , also called mole proportion or molar proportion , is a quantity defined as the ratio between the amount of a constituent substance, n i (expressed in unit of moles , symbol mol), and the total amount of all constituents in a mixture, n tot (also expressed in moles): It is denoted x i (lowercase Roman letter x ), sometimes χ i (lowercase Greek letter chi ). (For mixtures of gases,

629-409: The equilibrium so as to favor either the right or left side of the reaction in accordance with Le Chatelier's Principle . However, the reaction kinetics may either oppose or enhance the equilibrium shift. In some cases, the reaction kinetics may be the overriding factor to consider. Gases will dissolve in liquids to an extent that is determined by the equilibrium between the undissolved gas and

666-676: The mole percent or molar percentage (unit symbol %, sometimes "mol%", equivalent to cmol/mol for 10 ). The mole fraction is called amount fraction by the International Union of Pure and Applied Chemistry (IUPAC) and amount-of-substance fraction by the U.S. National Institute of Standards and Technology (NIST). This nomenclature is part of the International System of Quantities (ISQ), as standardized in ISO 80000-9 , which deprecates "mole fraction" based on

703-435: The Henry's law constant, readers of the technical literature must be quite careful to note which version of the Henry's law equation is being used. Henry's law is an approximation that only applies for dilute, ideal solutions and for solutions where the liquid solvent does not react chemically with the gas being dissolved. In underwater diving the physiological effects of individual component gases of breathing gases are

740-446: The diver. The partial pressures of particularly oxygen ( p O 2 {\displaystyle p_{\mathrm {O_{2}} }} ) and carbon dioxide ( p C O 2 {\displaystyle p_{\mathrm {CO_{2}} }} ) are important parameters in tests of arterial blood gases , but can also be measured in, for example, cerebrospinal fluid . Mole fraction In chemistry ,

777-606: The effective alveolar surface area: However, many modern devices compensate for the hemoglobin value of the patient (taken by blood test), and excludes it as a factor in the DLCO interpretation. Factors that can increase the D LCO include polycythaemia , asthma (can also have normal D LCO ) and increased pulmonary blood volume as occurs in exercise. Other factors are left to right intracardiac shunting, mild left heart failure (increased blood volume) and alveolar hemorrhage (increased blood available for which CO does not have to cross

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814-422: The equilibrium constant of the reaction would be: K p = p C c p D d p A a p B b {\displaystyle K_{\mathrm {p} }={\frac {p_{C}^{c}\,p_{D}^{d}}{p_{A}^{a}\,p_{B}^{b}}}} For reversible reactions, changes in the total pressure, temperature or reactant concentrations will shift

851-401: The following isotherm relation: V X V t o t = p X p t o t = n X n t o t {\displaystyle {\frac {V_{\rm {X}}}{V_{\rm {tot}}}}={\frac {p_{\rm {X}}}{p_{\rm {tot}}}}={\frac {n_{\rm {X}}}{n_{\rm {tot}}}}} The partial volume of

888-417: The gas that has dissolved in the liquid (called the solvent ). The equilibrium constant for that equilibrium is: where: The form of the equilibrium constant shows that the concentration of a solute gas in a solution is directly proportional to the partial pressure of that gas above the solution . This statement is known as Henry's law and the equilibrium constant k {\displaystyle k}

925-403: The gas's molecules . Gases dissolve, diffuse, and react according to their partial pressures but not according to their concentrations in gas mixtures or liquids. This general property of gases is also true in chemical reactions of gases in biology. For example, the necessary amount of oxygen for human respiration, and the amount that is toxic, is set by the partial pressure of oxygen alone. This

962-415: The highest vapor pressure of any of the liquids in the chart. It also has the lowest normal boiling point (−24.2 °C), which is where the vapor pressure curve of methyl chloride (the blue line) intersects the horizontal pressure line of one atmosphere ( atm ) of absolute vapor pressure. At higher altitudes, the atmospheric pressure is less than that at sea level, so boiling points of liquids are reduced. At

999-402: The letter y is recommended. ) It is a dimensionless quantity with dimension of N / N {\displaystyle {\mathsf {N}}/{\mathsf {N}}} and dimensionless unit of moles per mole ( mol/mol or mol ⋅ mol ) or simply 1; metric prefixes may also be used (e.g., nmol/mol for 10 ). When expressed in percent , it is known as

1036-494: The method recommended by the American Thoracic Society. Expected D LCO is also affected by the amount of hemoglobin, carboxyhemoglobin , age and sex. The correction for hemoglobin is based on the method of Cotes as recommended by the American Thoracic Society. Generally D LCO is measured in "ml/min/ kPa " and T LCO is measured in "mmol/min/kPa". D LCO is decreased in any condition which affects

1073-426: The mole fractions of the components will be: The amount ratio equals the ratio of mole fractions of components: due to division of both numerator and denominator by the sum of molar amounts of components. This property has consequences for representations of phase diagrams using, for instance, ternary plots . Mixing binary mixtures with a common component gives a ternary mixture with certain mixing ratios between

1110-493: The molecules are so far apart that they do not interact with each other. Most actual real-world gases come very close to this ideal. For example, given an ideal gas mixture of nitrogen (N 2 ), hydrogen (H 2 ) and ammonia (NH 3 ): p = p N 2 + p H 2 + p NH 3 {\displaystyle p=p_{{\ce {N2}}}+p_{{\ce {H2}}}+p_{{\ce {NH3}}}} where: Ideally

1147-424: The partial pressure of an individual gas component in an ideal gas can be obtained using this expression: p i = x i ⋅ p {\displaystyle p_{\mathrm {i} }=x_{\mathrm {i} }\cdot p} The mole fraction of a gas component in a gas mixture is equal to the volumetric fraction of that component in a gas mixture. The ratio of partial pressures relies on

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1184-602: The partial pressures of oxygen in a breathing gas mixture for diving is 0.16 bars (16 kPa) absolute. Hypoxia and sudden unconsciousness can become a problem with an oxygen partial pressure of less than 0.16 bar absolute. Oxygen toxicity , involving convulsions, becomes a problem when oxygen partial pressure is too high. The NOAA Diving Manual recommends a maximum single exposure of 45 minutes at 1.6 bar absolute, of 120 minutes at 1.5 bar absolute, of 150 minutes at 1.4 bar absolute, of 180 minutes at 1.3 bar absolute and of 210 minutes at 1.2 bar absolute. Oxygen toxicity becomes

1221-527: The ratio of chemical potentials becomes: Similarly the ratio for the multicomponents system becomes The mass fraction w i can be calculated using the formula where M i is the molar mass of the component i and M̄ is the average molar mass of the mixture. The mixing of two pure components can be expressed introducing the amount or molar mixing ratio of them r n = n 2 n 1 {\displaystyle r_{n}={\frac {n_{2}}{n_{1}}}} . Then

1258-559: The ratio of partial pressures equals the ratio of the number of molecules. That is, the mole fraction x i {\displaystyle x_{\mathrm {i} }} of an individual gas component in an ideal gas mixture can be expressed in terms of the component's partial pressure or the moles of the component: x i = p i p = n i n {\displaystyle x_{\mathrm {i} }={\frac {p_{\mathrm {i} }}{p}}={\frac {n_{\mathrm {i} }}{n}}} and

1295-552: The three components. These mixing ratios from the ternary and the corresponding mole fractions of the ternary mixture x 1(123) , x 2(123) , x 3(123) can be expressed as a function of several mixing ratios involved, the mixing ratios between the components of the binary mixtures and the mixing ratio of the binary mixtures to form the ternary one. Multiplying mole fraction by 100 gives the mole percentage, also referred as amount/amount percent [abbreviated as (n/n)% or mol %]. The conversion to and from mass concentration ρ i

1332-413: The top of Mount Everest , the atmospheric pressure is approximately 0.333 atm, so by using the graph, the boiling point of diethyl ether would be approximately 7.5 °C versus 34.6 °C at sea level (1 atm). It is possible to work out the equilibrium constant for a chemical reaction involving a mixture of gases given the partial pressure of each gas and the overall reaction formula. For

1369-477: The unacceptability of mixing information with units when expressing the values of quantities. The sum of all the mole fractions in a mixture is equal to 1: Mole fraction is numerically identical to the number fraction , which is defined as the number of particles ( molecules ) of a constituent N i divided by the total number of all molecules N tot . Whereas mole fraction is a ratio of amounts to amounts (in units of moles per moles), molar concentration

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