202 - Acid-Base Balance, a Flashcards

1
Q

carbon dioxide is ________ acid

A

respiratory

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2
Q

lactic and keto-acids are _______ acids

A

metabolic

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3
Q

alkaline is another way to say . . .

A

basic

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4
Q

sodium bicarbonate and phosphate, proteins (hemoglobin), ammonia in the urine are all examples of . . .

A

buffers

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5
Q

sodium chloride is not a buffer, but sodium bicarbonate is, this is because HCl is a _____ acid and H2CO3 is a _____ acid

A

strong; weak

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6
Q

typically the body has too much acid, unless someone’s a . . .

A

vegetarian

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7
Q

carbon dioxide is typically blown off in the ____

A

lungs

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8
Q

incomplete oxidation of carbs and fatty acids produces _______ acids that can’t be blown off by the lungs

A

metabolic

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9
Q

lactic acid accumulation (exercise or circ. shock) due to inadequate oxygen delivery is known as ______ ________

A

lactic acidosis

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10
Q

accumulation of acetoacetic acid and beta-hydroxy butyric acid (due to diabetes mellitus) due to accelerated fat metabolism, results in _______ __________

A

diabetic ketoacidosis

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11
Q

metabolism of dietary proteins and phospholipids and nucleic acids produces acids that CAN / CANNOT be blown off by the lungs

A

cannot

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12
Q

the chemical buffers, lungs, and kidneys all do what?

A

stabilize pH

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13
Q

4 chemical buffer systems

A

phosphate (body), proteins (body), bicarbonate-carbon dioxide (body and respiratory), ammonia (urine)

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14
Q

cannot protect body from CO2 changes, only functions when respiratory system is working, limited by amiability of its ions are limitations of the . . . buffer system

A

bicarbonate-carbon dioxide buffer system

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15
Q

place of action of buffer systems:

  • phosphate
  • proteins
  • bicarbonate-carbon dioxide
A
  • phosphate - body fluids
  • proteins - body fluids
  • bicarbonate-carbon dioxide - respiratory / body fluids
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16
Q

ammonium system is used in the . . .

A

urine

17
Q

Henderson Hasselbach equation

A

pH = pKa +log( [A-] / [HA] )

18
Q

the respiratory regulation of CO2 pH has the negative side effect of . . .

A

depleting bicarbonate ions from body fluids

19
Q

order the following in pH response:

renal, chemical buffers, respiratory

A

chemical buffers, respiratory, renal

20
Q

the kidneys are important in protect (thru reabsorption) and generating . . .

A

bicarbonate

21
Q

the renal system excretes ______ ions that associate with phosphate and ammonium buffers in the urine

A

hydrogen

22
Q

bicarbonate is reabsorbed in the proximal convoluted tubule of the _______

A

nephron

23
Q

the hydrogen ions (1/3 of total) associated with phosphate buffer are _______

A

titratable

24
Q

2/3 of hydrogen ions from rentals are bound to ______ in urine

A

ammonia

25
Q

excess carbon dioxide accumulation in the body called ________ _______

A

respiratory acidosis

26
Q

pneumonia, emphysema, airway obstruction, stroke, narcotics, poliomyelitis all causes of . . .

A

respiratory acidosis