Physiology notebook
notes you can play with.
02 Alveoli · capillaries · cellular metabolism

A little gas exchange.
A lot of understanding.

Follow the oxygen. Follow the carbon dioxide. See what moves them across the line.

Across one very thin wall.

Inlet diffusion snapshot + magnified loading / unloading bars

Normal gradients
Alveolar and Diffusionchange one thing. watch what happens.
Blood & loading modesroom to carry ≠ loaded cargo ↘

Two separate problems: the combined mode adds a diffusion barrier. Polycythemia alone does not mean poor membrane diffusion. Hb values are illustrative, in g/dL.

O₂CO₂
Hb 15.0 g/dLReference carrier amountMembrane 1.00×
Oxygen and carbon dioxide diffuse between an alveolus and capillary.At the starting settings oxygen has a net movement from alveolar air at 100 mmHg to incoming capillary blood at 40 mmHg. Carbon dioxide moves from blood at 46 mmHg to air at 40 mmHg. Large labeled symbols indicate net movement; small faint symbols illustrate ongoing molecular motion. Alveolus the air side fresh air ↔ The air-side depot fresh oxygen supply · carbon dioxide exit PAO₂ · AIR100mmHg PACO₂ · AIR40mmHg thinmembrane CO₂to air ↑ O₂to blood ↓ The blood-side delivery route → incoming bloodtoward the heart → Pulmonary capillary · blood keeps moving →

Follow the two bars under each moving carrier: green grows as O₂ loads; pink shrinks as CO₂ unloads. Free gas symbols still show the inlet-pressure snapshot.

O₂ loading · green growsCO₂ unloading · pink shrinks

Watch the change, not the total. The green bar starts small on the left. These bars magnify exchange during the pass, not total Hb saturation or total CO₂ content. Actual O₂ content and saturation stay in the panel below.

Inlet O₂ pressure difference
60 mmHg
100 air − 40 blood = +60
↓ Net oxygen: air → blood
Inlet CO₂ pressure difference
6 mmHg
46 blood − 40 air = +6
↑ Net carbon dioxide: blood → air

Having room ≠ getting loaded.

A separate, simplified O₂-loading model follows one blood sample through one reference capillary pass.

Capacity ≠ saturation
Available Hb capacity
20.1
mL O₂/dL · at 100% Hb saturation
O₂ actually carried
19.9
mL O₂/dL · bound + dissolved
Modeled exit saturation
97.7%
of available Hb sites occupied
Modeled exit PO₂: 100.0 mmHg O₂ gained this pass: +4.8 mL/dLDissolved O₂: 0.30 mL/dL
The size of the rack = carrying capacity.100% of the Hb 15 reference
0Hb 15 reference: 20.129.5 mL O₂/dL
Hb-bound O₂Unfilled Hb capacityDissolved O₂ is not inside the rack.
Oxygen content during a reference capillary passThe solid curve follows the selected blood sample. A dashed reference uses hemoglobin 15 and a normal membrane at the same incoming and alveolar oxygen pressures.Progress through one reference pass →

Read this as a teaching model, not an arterial blood gas. Blood enters with oxygen already on board. The exit values assume a fixed reference contact opportunity, the same normal-affinity curve for every Hb level, and no shunt or flow compensation. RQ and CO₂ chemistry remain separate.

Meanwhile, down at the cells…

The RQ story happens here, not inside the alveolus.

Metabolism consumes oxygen and produces carbon dioxide.For the default respiratory quotient of 0.8, every 10 volume units of oxygen consumed corresponds to 8 volume units of carbon dioxide produced. This illustrates a whole-body metabolic ratio, not a measured local lung flux. O₂ used by the cells250 mL/min CO₂ made by the cells200 mL/min Cellsfuel → energy not a 1-for-1 swap!

For every 10 O₂ used → 8 CO₂ produced.

Tokens represent proportional gas volumes, not literal molecule counts. The moving arrows summarize delivery; RQ does not measure how easily a lung membrane lets gas through.

01 / the driving force

Pressure picks the direction.

Compare the same gas on both sides. Oxygen does not follow the CO₂ gradient. Equal partial pressures mean no net diffusion, not motionless molecules.

higher P → lower P
02 / the transport story

The road is not the wall.

Blood flow carries gases along the capillary; diffusion moves them across its wall. Most O₂ rides on hemoglobin. Much CO₂ travels as bicarbonate, then becomes CO₂ again for exhalation.

CO₂ + H₂O ⇌ H₂CO₃ ⇌ H⁺ + HCO₃⁻
03 / the metabolic story

RQ is not a pressure ratio.

RQ relates gas production to gas consumption. It is not PCO₂/PO₂, not V̇/Q̇, and not the fraction of inhaled oxygen converted to exhaled carbon dioxide.

200 ÷ 250 = 0.80. That’s the idea.