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Alveolar Gas Equation Calculator — Free Online Calculator

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Alveolar PO₂ (PAO₂)

About This Calculator

The alveolar gas equation calculates the partial pressure of oxygen in the alveoli (PAO₂). It is fundamental to understanding gas exchange and is used to calculate the A-a gradient. PAO₂ depends on the fraction of inspired oxygen (FiO₂), atmospheric pressure, water vapor pressure, PaCO₂, and the respiratory quotient (RQ).

Formula

PAO₂ = FiO₂ × (Patm − PH₂O) − (PaCO₂ / RQ)
PH₂O = 47 mmHg (water vapor pressure at 37°C)
RQ = Respiratory Quotient (typically 0.8 on mixed diet)
At sea level, room air: PAO₂ = 0.21 × (760 − 47) − (40 / 0.8) ≈ 100 mmHg

Interpretation

PAO₂ (mmHg)Interpretation
≥ 80Normal
60 – 79Mildly reduced
< 60Significantly reduced

References

  1. West JB. Respiratory Physiology: The Essentials. 10th ed. Wolters Kluwer; 2015.
  2. Curran-Everett D. A classic learning opportunity from Fenn, Rahn, and Otis (1946): the alveolar gas equation. Adv Physiol Educ. 2006;30(2):58-62.

Frequently Asked Questions

What does the alveolar gas equation calculate?

The alveolar gas equation calculates the partial pressure of oxygen in the alveoli (PAO₂): PAO₂ = FiO₂ × (Patm − PH₂O) − (PaCO₂ ÷ RQ). At sea level on room air: PAO₂ ≈ 0.21 × (760 − 47) − (PaCO₂ ÷ 0.8).

What is the respiratory quotient (RQ)?

The respiratory quotient is the ratio of CO₂ produced to O₂ consumed. A standard value of 0.8 is used for a mixed diet. RQ varies with substrate metabolism: carbohydrates = 1.0, proteins = 0.8, fats = 0.7. It affects the calculated PAO₂.

How does altitude affect the alveolar gas equation?

At higher altitudes, atmospheric pressure (Patm) decreases, which directly reduces PAO₂. For example, at 5,000 feet (Patm ≈ 632 mmHg), the PAO₂ on room air drops to approximately 80 mmHg, compared to ~100 mmHg at sea level.

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⚠ Medical Disclaimer

This tool is for educational and informational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional for clinical decisions.