chapter 26 Flashcards

(33 cards)

1
Q

potassium secretion depends on

A

plasma concentration
aldosterone

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2
Q

plasma concentration

A

high K+ in ECF drives K+ into principal cells
increased secretion and excretion
low K+ in ECF drives reabsorption

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3
Q

Aldosterone

A

Stimulates K+ secretion
adrenal cortex secretes aldosterone when K+ high in ECF

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4
Q

optimal ph of arterial blood

A

7.4
7.45 or higher: alkalosis
7.35 or lower : physiological acidosis

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5
Q

sources of H+ in diet

A
  1. ingested food
  2. metabolic processes: lactic acid, loading of CO2, phosphoric acid
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6
Q

chemical buffer systems

A

one or more compounds that resist changes in pH when strong acids or bases are introduced
release H+ when pH rises
binds H+ when pH drops

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7
Q

three important buffer systems

A

bicarbonate buffer system
phosphate buffer system
protein buffer system

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8
Q

bicarbonate buffer system

A

-important for ECF
-mixture of carbonic acid (weak acid) and bicarbonate salt (weak base)

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9
Q

what does bicarbonate salt do in chemical buffer system

A

-bicarbonate salts ties H+ -from a strong acid:
-converted to carbonic acid
-conversion of strong acid to weak acid lowers pH only slightly

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10
Q

what does carbonic acid do in chemical buffer system

A

-carbonic acid ties up OH- from a strong base and also releases H+ in the process
-converted to bicarbonate salt
-conversion of a strong base to weak base raises pH slightly

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11
Q

phosphate buffer system

A

important for ICF and urine
similar to the bicarbonate buffer system but uses diff weak acids and bases

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12
Q

what acid and base is used in phosphate buffer system

A

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

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13
Q

protein buffer system

A

important for ICF and blood plasma
carboxyl groups can release H+ when pH rises
NH2 can bind H+ when pH decreases

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14
Q

amphoteric molecule

A

a single protein can function as either an acid or base
depends on the pH of the environment

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15
Q

respiratory regulation of H+ rising PCO2

A

activates the respiratory centers
respiratory rate and depth increases
pH rises as more CO2 is blown off

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16
Q

respiratory regulation of H+ decreasing PCO2

A

depress respiratory centers
respiratory rate and depth decreases
pH decreases as CO2 accumulates

17
Q

renal regulation

A

important for long term acid base balance
primary mechanism of acid base balance: adjusting amount of bicarbonate in blood

18
Q

A.reabsorbing HCO3-

A
  • kidney tubule cells cannot reabsorb bicarbonate directly from the filtrate
    -H2CO3 in tubule cell broken down into H+ and HCO3-
19
Q

what happens to H+ and HCO3-

A

H+ secreted into filtrate
HCO3- generated in tubule cell is pumped into peritubular capillary

20
Q

B.generating new bicarbonate

A

PCT and type A intercalated cells of collecting ducts can generate new bicarbonate ions to be pumped into plasma

21
Q

C. secretion of bicarbonate

A

-Type B intercalated cells in collecting ducts can secrete bicarbonate ions while reclaiming H+ from the filtrate
- secretion of bicarbonate is not efficient : even in alkalosis, more bicarbonate reabsorbed than secreted

22
Q

respiratory acidosis

A

PCO2> 45 mm Hg
Respiration is shallow/slow (hypoventilation)
caused by: many respiratory diseases/conditions

23
Q

respiratory alkalosis

A

PCO2< 35 mm Hg
respiration is deep and fast
causes: stress/anxiety, pain

24
Q

metabolic acidosis and alkalosis

A

any acid base imbalance that doesnt involve CO2
bicarbonate ions especially

25
metabolic acidosis
low bicarbonate levels low pH excessive alcohol intake, long term diarrhea
26
metabolic alkalosis
high bicarbonate high pH excessive vomiting, excessive base intake
27
effects of acidosis and alkalosis
blood pH limits are 6.8 and 7.8 below 6.8: CNS depression come and death above 7.8: overstimulated CNS muscle tetany, restlessness, nervousness, convulsions, death
28
respiratory compensation
changes in respiratory rate/depth evident when lungs must compensate for metabolic imbalances
29
respiratory compensation for metabolic acidosis
bicarbonate <22 mEq/L respiratory rate/depth increases blows off excess CO2 to increase blood pH
30
espiratory compensation for metabolic alkalosis
bicarbonate > 26 mEq/L respiratory rate/depth decreases hold onto CO2 to decrease pH
31
renal compensation
kidneys can compensate for acid base imbalances of respiratory organs
32
renal compensation for respiratory acidosis
kidneys conserve more bicarbonate to increase blood pH
33
renal compensation for respiratory alkalosis
kidneys either secrete or do not reabsorb bicarbonate ions