B1 Test 1 Flashcards
(245 cards)
Alveolar hyperventilation can cause what pH imbalance?
Respiratory alkalosis; concentration of C02 becomes too small and concentration of bicarbonate overwhelms it
Be able to tell the difference between a strong acid and a weak acid. What roles does the Ka play in determining this?
Strong acid has a Ka value over 1. A weak acid has a Ka value less than 1.
Define diabetic ketoacidosis. What are common symptoms of ketoacidosis.
_____________ is caused when the is insufficient insulin to usher glucose into the cells, so they start to starve. Since cells are starving the liver starts to metabolize fatty acids and produce ketone bodies. However none of these are able to be used as energy without insulin. Patients will often present as sluggish, comatose, rapid deep breathing, high glucose levels, ketone bodies present in urine and bloodstream.
Define molality?
moles of solute/ 1 kg of solvent (moles/mass)
Define molarity?
Moles of solute/ 1 liter of solution. (mass/volume)
Define osmotic diuresis. What causes this condition?
____________ occurs when there is an extremely high osmolality of the glomerular filtrate (using due to the presence of glucose, ketone bodies, or other solutes in colllecting duct) that cause water to be brought across the concentration gradient and to be excreted in urine. This will lead to extreme dehydration.
How do you calculate the pH of any solution?
pH= -log [H+]
How does bicarbonate act as an effective buffer?
Bicarbonate acts as an effective buffer by providing a weak acid and its conjugate base to help stabilize the change in pH around the pKa of the weak acid. The pKa defines the pH where 50% conjugate base and 50% weak acid is present. Stabilization occurs as hydrogen ions can either be accepted by the conjugate base if pH drops to low or donated by the weak acid if pH climbs too high.
How is the partial pressure of C02 related to the pH? What is the equation that explains this phenomenon?
The higher [CO2] the more acidic the pH will become. Increase in [CO2] lowers pH.
How many liters of blood is contained within the normal human body?
5 liters
In terms of pH stabilization, why is heavy breathing needed during exercise?
Heavy breathing is needed due to the accumulation of lactic acid and CO2. Heavy breathing exhales CO2 and lessens the concentration of H+ in solution, thus raising the pH back to normal levels.
Water is a good type of solvent for what compounds?
ionic solvents, polar compounds
What are 3 examples that can lead to a high anion gap? Why?Normal range of anion gap b/w 10-20mEq/L
1) Diabetic ketoacidosis 2) Heart Failure 3) Prolonged lack of oxygen (lactic acidosis)
What are the major ways that the body regulates pH? List the main two respiratory mechanisms.
- Exhilation of CO2 will raise the pH as less free hydrogen ion are available. 2. Excretion of ammonium (NH4+)through pee raise the pH.
What does is mean for a saline solution to be designated as D5?
5% Dextrose. Do not give to a diabetic patient.
What enzyme is responsible for the conversion of CO2 + H20 to H2CO3 (Carbonic acid)?
carbonic anhydrase
What is isotonic saline given to dehydrated patients instead of water?
To match the body fluid osmolality and not make cells explode from trying to match the concentration gradient.
What is metabolic acidosis and what does it cause?
___________ is caused by a decrease in bicarbonate concentration and thus lowers the pH.
What is respiratory acidosis and what can it be caused by?
_____________ is the accumulation of CO2 concentration in lungs/body which will decrease the pH. Can be caused by COPD, asthmapneumonia, and sleep apnea. (NOT BREATHING WELL)
What is the equation for the anion gap? What is the normal range?
Anion gap= (Na + K) - (Cl- + HCO3-). Normal range is 10-20mEq/L or 8-16 when K is excluded. Potassium can often be excluded due to its small concentration.
What is the Henderson-Hasselbach Equation and what is it used to find?
pH= pKa + log (base/acid)
What is the major way that carbon dioxide is created in the body?
Major by-product of the Krebs cycle
What is the name of rapid breathing caused by diabetic ketoacidosis?
Kussmaul respirations
What is the normal pH reference range of blood? What is classified as acidosis/alkalosis?
The normal pH of blood is between 7.36-7.44