Lecture 6a: Acid Base Balance I Flashcards
Why is Acid-Base Balance
in the Body Important? (4 points)
- Our diets contain many acids and bases; cellular catabolism of foodstuffs produces the majority of acids and bases in our bodies.
- Bases normally lost in feces; the net effect of accumulation of acid in body fluids.
- Cellular functions are sensitive to pH.
- Acid must be excreted for the normal physiological function of cells and organs.
Acids ____ H+ ions. Bases ____ H+ ions
donate, receive
____ dissociate completely or almost completely into H+ and their conjugate base.
Strong acids
____ are only slightly ionized in aqueous solution
Weak acids
What is a buffer?
A mixture of substances in an aqueous solution that can resist changes in H+ ion concentration when strong acids or bases are added.
Buffers are usually a combination of a weak acid and its conjugate base
Acidity is determined by what?
The activity of H+ ions in a solution
What is the pH scale?
A convenient way to express a wide range of acidities
pH=
-log(H+ activity)
In the body, H+ activity is equal to _________. Therfore pH= _________
- H+ concentration
- pH=-log[H+]
pH of arterial blood is normally close to?
7.40
[ ]=40 nM
What is the normal range for pH of arterial blood?
7.35 to 7.45
Under pathologic conditions, the arterial blood pH can range from ____________.
6.9 to 7.8
What is the arterial blood pH w/ Acidemia?
pH<7.35
What is the arterial blood pH w/ Alkalemia?
pH>7.45
What are the sources of Acid in the body?
- Cellular metabolism (main source)
- Accidentally Ingested Fixed Acids
- Abnormally High Fixed Acid Production (e.g. Diabetic Ketoacidosis)
What are the 5 types of cellular metabolism occuring in our body that serves as a source of acid?
1. Oxidation of glucose and fatty acids (major)
2. Oxidation of sulfur-containing amino acids
3. Oxidation of phosopholipids/phosphoprotein
4. Conversion of NH4Cl to Urea
5. Anaerobic metabolism of glucose
Cellular Metabolism
Oxidation of glucose and fatty acids (major)
- Produces?
- Removed by lungs or kidneys?
- Volatile or Fixed acid?
- Produces CO2
- CO2 removed by lungs
- Volatile Acid
Cellular Metabolism
Oxidation of sulfur-containing amino acids
- Produces?
- Removed by lungs or kidneys?
- Volatile or Fixed acid?
- Produces sulfuric acid (H2SO4)
- Removed by kidneys
- Fixed Acid
Cellular Metabolism
Oxidation of phosopholipids/phosphoproteins
- Produces?
- Removed by lungs or kidneys?
- Volatile or Fixed acid?
- Produces phosphoric acid (H3PO4)
- Removed by kidneys
- Fixed Acid
Cellular Metabolism
Conversion of NH4Cl to Urea
- Produces?
- Removed by lungs or kidneys?
- Volatile or Fixed acid?
- Produces HCl
- Removed by kidney
- Fixed Acid
Urea comes from liver
Cellular Metabolism
Anaerobic metabolism of glucose
- Produces?
- Conversion?
- Volatile or Fixed acid?
- Produces Lactic Acid
- May be converted to CO2
- Can be Volatile or Fixed
Which two organs use alot of bicarbonate?
Liver and Kidney
Liver uses bicarb + aluminum chloride to create urea
Regulation of body pH is acheives by what 3 mechanisms?
Acid-Base Balance
- Chemical Buffering (immediate)
Respiratory Compensation (fastest)
Renal Compensation (Long-term)
What does the graph below show?
- Distilled water has no buffer system and you see the pH decrease very fast wehn around 25mEq H+ were added.
- In vivo there is a buffering system so it can maintain pH and resist change in acidity