Alveolar gas equation

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The alveolar gas equation is the method for calculating partial pressure of alveolar oxygen (p_{A}O2). The equation is used in assessing if the lungs are properly transferring oxygen into the blood. The alveolar air equation is not widely used in clinical medicine, probably because of the complicated appearance of its classic forms. The partial pressure of oxygen (pO2) in the pulmonary alveoli is required to calculate both the alveolar-arterial gradient of oxygen and the amount of right-to-left cardiac shunt, which are both clinically useful quantities. However, it is not practical to take a sample of gas from the alveoli in order to directly measure the partial pressure of oxygen. The alveolar gas equation allows the calculation of the alveolar partial pressure of oxygen from data that is practically measurable. It was first characterized in 1946.

Assumptions

The equation relies on the following assumptions:

Equation

If F_{i}O2 is small, or more specifically if then the equation can be simplified to: where: Sample Values given for air at sea level at 37 °C. Doubling F_{i}O2 will double p_{i}O2. Other possible equations exist to calculate the alveolar air.

Abbreviated alveolar air equation

p_{A}O2, p_{E}O2, and p_{i}O2 are the partial pressures of oxygen in alveolar, expired, and inspired gas, respectively, and VD/VT is the ratio of physiologic dead space over tidal volume.

Respiratory quotient (R)

Physiologic dead space over tidal volume (VD/VT)

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