The output of carbon dioxide by the lungs is primarily dependent upon the oxidative metabolism of the organism, and may, indeed, be used as a measure of oxidative processes under appropriate conditions (1 to 3). It is well recognized, however, that augmentation or depletion of the large quantity of CO2 stored within the body, which occurs during alkalosis or acidosis, may produce alterations in respiratory CO2 output, independent of oxidative metabolism (4 to 7). Some attempts have been made to establish quantitative relationships between such changes in the output of CO2 by the lungs and fluctuations of acid-base equilibrium within the organism. Shaw (8) measured the respiratory exchange of cats subjected to artificial ventilation with C02-rich mixtures, and correlated the CO2 exchange of the whole animal with variations in blood CO2 content. From such observations, the amount of CO2 absorbed by the tissues could be estimated. Irving and his coworkers (9, 10) made direct determinations of the CO2 content of various tissues of dogs and cats overventilated with air and with CO2 enriched-mixtures. They attempted to account for the net CO2 exchange of the whole organism in terms of altered CO2 content of blood, muscle, bone, and viscera. Applications of Shaw's technique in an effort to determine the CO2 capacity of the human body has been reported by Adolph, Nance, and Shiling (11). Their results were inconclusive, as were those of similar studies by Brocklehurst and Henderson (12)
EXPERIMENTAL PROCEDURES AND METHODSThe experiments involving measurement of respiratory exchange were carried out on normal male adults (the same subject was used in all but 2 experiments). The fasting subject came to the laboratory at about 8 a.m. and rested for one-half hour under basal conditions. The basal respiratory exchange was determined over a 10-minute period by the open circuit method, with the subject breathing through a rubber mouthpiece into a Tissot spirometer. Analyses of the expired air for CO2 and oxygen were carried out in duplicate by means of a modified Haldane apparatus. The usual precautions were taken to avoid leaks and the apparatus was checked from time to time by analyses of atmospheric air.Venous blood samples for determination of serum CO2content were obtained anaerobically, without stasis, immediately before the initiation of the procedure designed to alter acid-base equilibrium. In the overventilation experiments, as soon as the blood was in the syringe, the subject began to breathe into the spirometer at a ventilation rate about twice normal. After 5 to 10 minutes of overbreathing, a second venepuncture was made and the spirometer disconnected as soon as the blood sample had been obtained.
CALCULATIONSThe magnitude of change in respiratory C02 output produced by altered acid-base equilibrium was calculated as follows:1. The respiratory quotient of the basal period was calculated from the C02 output and oxygen consumption of that period.2. The oxygen consumed during the period of acid-base change was mult...