Renal Lec 7 Flashcards

(49 cards)

1
Q

high [H+]= …. pH

A

low pH (acidic)

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2
Q

low [H+]= …. pH

A

high pH (basic/alkaline)

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3
Q

pH= (equation)

A

=log (1/[H+])= -log [H+]

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4
Q

pH for ECF is between

A

7.35 to 7.45

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5
Q

acidosis

A

arterial plasma pH < 7.35

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6
Q

alkalosis

A

arterial plasma pH > 7.45

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7
Q

why is balance of H+ important for body functions?

A

small changes in pH causes porteins to change shape

  • enzymes: shape changes can alter their activity
  • changes in neuronal activity
  • coupled to K+ imbalances
  • irregular cardiac beats
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8
Q

pH of ECF that lead to death

A

pH< 6.8

pH> 7.8

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9
Q

acid (def.)

A

release H+ in solution

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10
Q

Base (def.)

A

accepts H+ in solution

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11
Q

volatile acid (body)

A

carbon dioxide

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12
Q

volatile (def.)

A

exporative at normal temperatures

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13
Q

nonvolatile acids (body)

A

-organic and inorganic acids from other sources than CO2

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14
Q

nonvolatile acids (examples)

A

phosphoric acid

sulfuric acid

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15
Q

what produces sulfuric acid in body?

A

metabolism of sulfur-containing a.a (cysteine, methionine)

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16
Q

what produces hydrochloric acid in body?

A

metabolism of lysine, arginine and histidine

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17
Q

buffer (def.)

A

-any substance that binds to H+

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18
Q

buffer is composed of

A

weak acid and its conjugate base

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19
Q

buffers modify/adjust

A

-the change in pH following the addition of acids or bases

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20
Q

extracellular buffer system

21
Q

intracellular buffer system

A

phosphate ions/proteins

22
Q

example of intracellular buffer (blood)

23
Q

H+ is buffered by both

A

extracellular/ intracellular fluid

24
Q

organs responsible for balancing hydrogen ion concentration within narrow range

A

kidneys and lungs

25
lungs (short-term/long-term) balancing hydrogen ion concentration
short-term
26
kidneys (short-term/long-term) balancing hydrogen ion concentration
long-term
27
respiratory H+ imbalances
- hyperventilation - hypoventilation - respiratory malfunction
28
↑ {H+] ... ventilation
stimulates
29
↓ [H+] ... ventilation
inhibits
30
alkalosis decrease of plasma [H+] -kidneys
kidneys excrete more bicarbonate
31
acidosis increase of plasma [H+] -kidneys
kidneys synthesize new bicarbonate and send it to blood
32
reabsorption of HCO3- is dependent on
H+ secretion
33
most of HCO3- is .... in normal conditions
reabsorbed
34
reabsorption of HCO3- (location)
proximal tubule, ascending loop of henle, CCD
35
H+ secretion is an
active process
36
transport of H+ is different depending on tubule segments (3 types)
1. H+/ATPase 2. H+/K+ ATPase 3. Na+/H+ ATPase
37
reabsorption of HCO3- mechanism 1
in tubular cell: water + carbon dioxide through carbonic anhydrase = carbonic acid-- dissociates H+, HCO3- H+ secreted into tubular lumen (forms carbonic acid with HCO3- in lumen), HCO3- secreted into interstitial fluid
38
no HCO3- in lumen to bind H+ - mechanism 1
extra H+ binds to HPO42- | still net gain of HCO3- in plasma
39
reabsorption of HCO3- mechanism 2
- cells from proximal tubule are only involved - uptake of glutamine from filtrate or plasma - NH4+/HCO3- are formed inside the cells - NH4+ is actively secreted via the Na+/NH4+ counter transport into the lumen - HCO3- added to plasma
40
Respiratory acidosis (def.)
– increased blood PCO2
41
Respiratory acidosis occurs
– as a result of decreased ventilation | – occurs in emphysema
42
kidney compensates by (Respiratory acidosis)
- secreting H+ and lowers plasma [H+]
43
Respiratory alkalosis (def.)
decreased blood PCO2
44
Respiratory alkalosis occurs
–as a result of hyperventilation | - happens in high altitude
45
kidney compensates by (Respiratory alkalosis)
– excreting HCO3
46
Metabolic acidosis occurs
– in diarrhea (loss of bicarbonate ions) – severe exercise – diabetes mellitus
47
Metabolic acidosis results
-- results in increased ventilation | – results in increased H+ secretion
48
Metabolic alkalosis occurs
after prolonged vomiting
49
Metabolic alkalosis results
-- in decreased ventilation | – in increased HCO3- excretion