Acid-Base Regulation Flashcards

(42 cards)

1
Q

pH=

A

pH = -log[H+]

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2
Q

1 numerical change in pH =

A

10 fold change in the concentration of H+

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3
Q

pH = 7 when H+ and OH- ions are…

A

equal
1:1 proportion

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4
Q

physiological pH is

A

7.4

slightly alkaline

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5
Q

acids _____ protons
bases ______ protons

A

acids donate protons
bases accept protons

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6
Q

strong acids and bases _____ in solution

A

completely disassociate

HCl and NaOH

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7
Q

weak acids ____ in solution

A

Donate relatively few of their H+/OH- ions

depending
on Ka (the disassociation constant)
- hight Ka = more disassociation

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8
Q

biological systems involve mostly ____ acids

A

weak acids

strong acids would be hard to buffer

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9
Q

biological pH fluctuations from 7.4 of ____

A

+/- 0.5

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10
Q

acidemia

A

too many H+ ions in the bloodstream

arterial blood pH < 7.35

Acidosis: conditions leading to acidemia

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11
Q

alkalemia

A

too low H+ ions in the bloodstream

arterial blood pH > 7.45

alkalosis: conditions leading to alkalemia

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12
Q

pH regulation systems

A

Buffers (1st line of defense, resist change in pH, does NOT remove H+)

Lungs (removed CO2, fast acting)

Kidneys (removed H+, slow acting, can retain HCO3- bicarbonate)

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13
Q

pKa

A

The pH at which the concentrations of the two components of a
buffer are equal

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14
Q

pKa =

A

pKa = -log[Ka]

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15
Q

Buffer Chemistry

A
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16
Q

Henderson-Hasselbalch

A

pH=pKa + log [A-]/[HA]

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17
Q

bicarbonate buffer

A

key buffer in the extracellular fluid

18
Q

phosphate buffer

A

important in buffering the intracellular fluid and in kidney tubules

19
Q

proteins (buffer)

A

have a negative charge that can absorb H+ ions to maintain pH in both extracelular matrix and ICF

histidine side chains
hemoglobin in RBCs

20
Q

carbonic anhydrase

A

works on red blood cells to dissolve CO2 into the blood

21
Q

medulla oblongate

A

rapidly detects an increase in systematic H+

22
Q

what does faster/deeper respiration do?

A

blowing off more CO2
drop in H+
raise pH

23
Q

what does breathing slower/lighter respiration do?

A

blow off less CO2
raise H+
lower pH

24
Q

lungs only deal with ____ acids

A

volatile acid (carbonic acid/CO2)

volatility = measure of how likely substance is to vaporize

25
kindeys - buffer
slow acting buffer deals with non-volatile acids (everything but CO2 and carbonic acid) retaining HCO3- is main method of increasing pH excreting/retaining acids to manage pH
26
respiratory acidosis/alkalosis
changes in the blood CO2 levels (carbonic acid, only volatile acid) kidneys will try and compensate
27
metabolic acidosis/alkalosis
changes from all other acids (non-volatile or "fixed") lungs will compensate (fast acting) by altering rate/depth of respiration
28
metabolic acidosis causes and compensations
pH less than 7.37 (too many H+, acidic) decrease in [bicarbonate] causes: - increased non-volatile acids - loss of excess bicarbonate from body - kidney failure- decreased H+ secretion and bicarbonate loss compensations: - buffering - increase alveolar ventilation (decreases pCO2 and H+) - kidneys: increase hydrogen secretion and bicarbonate recovery/synthesis
29
metabolic alkalosis causes and compensations
pH greater than 7.42 (too few H+, basic) increase in [bicarbonate] causes: - loss of acid due to shallow vomiting (stomach acid is acidic) - ingestion of excess bicarbonate - abnormal retention of bicarbonate compensations: - buffering - decreased ventilation (fast-acting): increases CO2 and H+ - kidneys (slow-effect): decreased H+ secretion and bicarbonate recovery/synthesis
30
respiratory acidosis causes and compensations
pH less than 7.37 (too many H+, low pH) increase pCO2 causes: - damage to respiratory organs (lungs, nerves, chest wall) - damage to respiratory centers of brain (inhibition by drugs/toxins) compensations: - kidneys: increase H+ secretion and bicarbonate recovery/synthesis
31
respiratory alkalosis causes and compensations
pH greater than 7.42 (too few H+, high pH) decrease pCO2 (hyperventilation) causes: - damage to the brain - stimulants (speed) - "fainting game" voluntary hyperventilation compensation: - Kidneys: decrease H+ secretion and bicarbonate recovery/synthesis
32
mixed acid-base disorders
heavy vomiting (loss of stomach acid --- metabolic alkalosis, increase lactic acid --- metabolic acidosis) Salicylate poisoning (stimulation of respiratory center --- respiratory alkalosis, increase of endogenous, non-volatile acids --- metabolic acidosis)
33
7.4 pH
34
carbonic acid
35
increase pH
36
metabolic
37
bicarbonate
38
metabolic vs respiratory acidosis/alkalosis
respiratory: volatile acids (blood CO2 levels) metabolic: non-volatile acids
39
metabolic or respiratory acidosis or alkalosis: decreased pH decrease in blood bicarbonate kidney failure (decreased H+ secretion) compensated by increased ventilation
metabolic acidosis
40
metabolic or respiratory acidosis or alkalosis: increased pH increased blood bicarbonate shallow vomiting retention of bicarbonate compensated by decreased ventilation and kidneys decreasing H+ secretion
metabolic alkalosis
41
metabolic or respiratory acidosis or alkalosis: decreased pH (acidic) increased pCO2 damage to lungs or resp. centers of the brain via drugs/toxins compensated by kidneys increasing H+ secretion
respiratory acidosis
42
metabolic or respiratory acidosis or alkalosis: increase pH (basic) decrease in CO2 damage to brain stimulants (speed) voluntary hyperventilation compensated by kidneys decreasing H+ secretion
respiratory alkalosis