ch 26 fluid balance p2 Flashcards

(56 cards)

1
Q

optimal pH of arterial blood is

A

7.4

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2
Q

Alkalosis is a pH of

A

7.45 or higher

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3
Q

acidosis

A

pH of 7.35 of lower

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4
Q

where we get H+ from

A

ingested food and metabolic processes, like lactic acid or loading of co2 or phosphoric acid

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5
Q

how do we regulate H+ concentration

A

chemical buffer systems, respiratory H+ regulation, renal regulation,

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6
Q

chemical buffer systems are

A

one or more compounds that resist pH change when strong acids or bases are introduced

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7
Q

when is H+ released, when is it bound

A

release when pH rises. bound when pH drops

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8
Q

bicarbonate buffer system

A

important for ECF, mixture of carbonic acid and bicarbonate salt

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9
Q

bicarbonate salt ties up free H+ from a strong acid to covert to what

A

carbonic acid

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10
Q

so what happens in a bicarbonate buffer system

A

existing carbonic acid remains intact, conversion of strong acid to weak acid lower pH just a LITTLE. carbonic acid ties up the free OH- from strong base and releases some H+ in the process, gets converted to bicarbonate salt. sodium bicarnbomaye remains intact and strong base to weak base raises pH just a little

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11
Q

chemical example of converting strong acid to weak acid using bicarbonate salt

A

HCl plus NaHCO3 goes to H2CO3 + NaCl

pH would decrease a little

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12
Q

example of converting strong base to weak base using carbonic acid

A

NaOH + H2CO3 goes to NaHCO3 + H2O

this would contribute to water formation

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13
Q

phosphate buffer system

A

important for ICF and urine, similar to bicarbonate buffer system, but with dif weak acids and bases. still there to prevent any drastic pH changes

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14
Q

salts of a phosphate buffer system

A

dihydrogen phosphate (weak acid) and monohydrogen phosphate (weak base)

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15
Q

converts strong acid to weak acid in phosphate buffer system

A

HCl + Na2H2PO4 goes to carbonic + NaCl

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16
Q

converting a stromg base to weak base in phosphate buffer system

A

NaOH + NaH2PO4 goes to Na2HPO4 + H2O

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17
Q

protein buffer system

A

important for ICF and blood plasma, carboxyl groups (-COOH) can release H+ when pH rises
NH2 groups bind the free H+ when pH decreases

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18
Q

amphoteric molecules are

A

a single protein can function as either an acid or a base depending on envi pH

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19
Q

proteins that act as an acid

A

R-COOH goes to R-COO- + H+

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20
Q

proteins that act as a base

A

R-NH2 + H+ goes to R-NH3

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21
Q

proteins that act as an acid do so bc

A

released its own H+ ion, alkalosis occurs, brings pH back down

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22
Q

proteins that act as a base do so bc

A

acidosis- like process. ties up excess H+ w the N group and acts as a base with the acidosis.

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23
Q

respiratory regulation of H+

A

this happens fast in a few mins we don’t even notice change.

24
Q

CO2 accumulating means what for blood pH

A

lowering of blood pH

25
rising PCO2 does what to respiratory centers,
activates them so resp rate and depth increase, pH rises as CO2 leaving BREATH MUST BE DEEP AND FAST
26
decreasing PCO2 does what to respiratory centers
respiratory rate and depth decrease, pH decreases as CO2 accumulates. BREATH SHALLOW AND LESS FREQUENT
27
understanding resp regulation
look at graph on slide25 !!!
28
renal regulation of pH balance
important for long term acid base balance
29
primary mechanism of acid base balance is
adjusting amount of bicarbonate in blood
30
3 parts of renal regulation
reabsorbing HCO3-, generates new bicarbonate, or secretes the bicarbonate
31
reabsorbing HCO3- does what
kidney tubule cannot reabsorb bicarbonate directly from filtrate, so H2CO3 in tubule cell broken down into H+ and HCO3- (tubule cells don't do this directly), H+ is secretes into filtrate and HCO3- generated in tubule cell is pumped into peritubular capillary
32
reabsorption of HCO3- is depending on
secretion of H+ into the filtrate
33
more H+ secreted into filtrate means
more bicarbonate reabsorbed
34
why is it true that when more H+ is secreted into filtrate, more bicarbonate is reabsorbed
bc H+ and bicarbonate move in opposite directions
35
generating new bicarbonate
PCT and type A Intercalated cells of collecting ducts can generate new bicarbonate ions to be pumped into blood plasma.
36
so if pH is too low, in Renal regulation, what happens
bring bicarbonate in and also secrete the H+
37
secretion of bicarbonate in renal regulation
type B intercalated cells in collecting ducts can secrete bicarbonate ions while reclaiming H+ from filtrate
38
secretion of bicarbonate is efficient or no
no its inefficient even in alkalosis, more bicarbonate will be reabsorbed than secreted.
39
type A intercalated
secrete H+ and reabsorb bicarbonate
40
type B intercalated
reabsorb H+ secrete bicarb but not very well
41
respiratory acidosis
pH decrease af PCO2 over 45 mmHg, slow and shallow respiration (hypoventiltion) caused by respiratory diseases or conditions
42
respiratory alkalosis
pH increase af PCO2 less than 35 mmHg, respiration is deep and fast (hyperventilation) caused by stress or anxiety/pain
43
metabolic acidosis and alkalosis are
any acid base imbalance that does not include CO2, typically bicarbonate issue
44
metabolic acidosis
low bicarbonate levels, caused by lots of alcohol or long term diarrhea, pH too low
45
metabolic alkalosis
high bicarbonate levels, caused by excessive vomiting (HCl leaves and H+ left behind) or too many bases intake (tums example), pH too high
46
effects of acidosis and alkalosis
blood pH limits are 6.8 nd 7.8
47
below 6.8 as blood pH
CNS depression leading to coma and death ion severe acidosis bc neurons do not function right
48
above 7.8 as blood pH
overstimulated CNS, bad muslce tetanus (lock jaw, bones break cuz so much contraction), restless or nervous and convulsions (skeletal muscle tissue goes crazy), even death
49
what occurs to compensate for alkalosis and acidosis
kidneys or lungs act to restore pH when one system fails
50
respiratory compensation
changes in respiratory rate and depth evident when lungs have to compensate for metabolic imbalances.
51
what happens to respiratory in metabolic acidosis
bicarbonate is under 22 mEq/L, respiratory rate and depth will increase, blows off excess CO2 so blood pH can increase again
52
what happens to respiratory in metabolic alkalosis
bicarbonate is over 26 mEq/L respiratory rate and depth decrease, conserves CO2 to decrease blood pH to be desirable
53
renal compensation
kidneys can compensate for acid base imbalances of respiratory origins
54
kidneys do what with respiratory acidosis
kidneys will conserve the bicarbonate
55
kidneys do what with respiratory alkalosis
kidneys will secrete bicarbonate or jus not absorb it
56
ROME acronym
respiratory opposite, metabolic equal co2 high then pH low (respiratory is opposite) co2 low then pH high (metabolic =) bicarbonate low, pH low bicarbonate high, pH high