ACID BASE 01 Flashcards

1
Q

too many protons is acidosis or alkalosis

A

acidosis

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2
Q

too little protons is acidosis or alkalosis

A

alkalosis (high pH)

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3
Q

Plasma levels of protons are dependent on what 4 things

A

Metabolism of ingested food
secretions from GI
De novo acid/base generation from metabolism of stored fat and glycogen
changes in CO2 production

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4
Q

What is the approximate concentration of hydrogen in blood

A

40nM

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5
Q

How do we prevent respiratory acidosis?

A

Breathing

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6
Q

What two organs are critical in the acid/base balance

A

Lungs, kidneys

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7
Q

What is the lungs’ job in acid/base balance

A

excrete CO2

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8
Q

in the realm of acids and bases what is CO2

A

a volatile (it is airborne) acid

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9
Q

What do the kidneys do with regard to acid/base balance

A

excrete acids (fixed, due to being in solution) in a process called Renal Net Acid Excretion RNAE)

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10
Q

Intracellular pH

A

7.2

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11
Q

extracellular pH (arterial blood pH)

A

7.35-7.45

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12
Q

The relationship between pH and H is non-linear. Why?

A

It’s logrithmic relationship

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13
Q

If pH is above 7.45 we call this __

A

alkalemia

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14
Q

if pH is below 7.35 we all this ____

A

acidemia

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15
Q

How do we carry CO2 in bodies

A

As bicarb

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16
Q

how do we get bicarb from CO2

A

carbonic anhydrase (found in RBCs)

17
Q

How do we get rid of CO2

A

Breathing .

18
Q

how do we get the fixed acids our body needs to yeet

A

catabolism of proteins and phospholipids generates sulfuric acids and phosphoric acids.

19
Q

Before acids can be excreted by kidneys what must happen

A

they need to be buffered

20
Q

What does a buffered solution do with regard to pH

A

resiss the fuck out of it

21
Q

What kind of acid-base relationshipps are we looking at in this

A

Bronsted lowry

22
Q

For weak acids, the acid form is called ____ and refered to as the proton ____

A

HA, donor

23
Q

For weak bases, the H donor form is called ____ and it’s proton acceptor is called____

A

HB+ , B

24
Q

The base form of a weak acid is ____ and is the proton ___

A

A-, acceptor

25
Q

Henderson hasslebach equation

A
26
Q

What is the pKa of a buffer

A

The equilibrium point where [acid]=[base]

Also, around this point will be the best buffering zone , so therefore a buffer is most effective when pK = environmental pH

27
Q

Dissociation and equilibrium constants of weak acids

A

Less dissociated; high pKs

28
Q

two main buffer systems in ECF

A

Bicarb and phosphate

29
Q

pKa of bicarb and phosphate

A

6.1 and 6.8 respectively

30
Q

Which is the most important intracellular buffer

A

Bicarb/CO2 buffer

31
Q

What do the yellow and blue lines on this chart represent

A

Buffering zones

So the yellow is the best buffering area where we resist pH changes despite different concentrations of CO2 and bicarb. The blue lines is when there is a mismatch and we are in a state of alkalosis or acidosis. If you notice the blue lines for alkalosis are a bit spread out and this is a consquence of pH being in a logrithmic scale

The circle in the yllow line is ideally where we want to be

32
Q

What are some intracellular buffers

A

organic phosphates and proteins

33
Q

most significant intracellular buffer

A

Hemoglobin - it is very high in RBCs