ACID BASE 01 Flashcards

1
Q

too many protons is acidosis or alkalosis

A

acidosis

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2
Q

too little protons is acidosis or alkalosis

A

alkalosis (high pH)

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3
Q

Plasma levels of protons are dependent on what 4 things

A

Metabolism of ingested food
secretions from GI
De novo acid/base generation from metabolism of stored fat and glycogen
changes in CO2 production

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4
Q

What is the approximate concentration of hydrogen in blood

A

40nM

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5
Q

How do we prevent respiratory acidosis?

A

Breathing

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6
Q

What two organs are critical in the acid/base balance

A

Lungs, kidneys

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7
Q

What is the lungs’ job in acid/base balance

A

excrete CO2

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8
Q

in the realm of acids and bases what is CO2

A

a volatile (it is airborne) acid

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9
Q

What do the kidneys do with regard to acid/base balance

A

excrete acids (fixed, due to being in solution) in a process called Renal Net Acid Excretion RNAE)

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10
Q

Intracellular pH

A

7.2

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11
Q

extracellular pH (arterial blood pH)

A

7.35-7.45

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12
Q

The relationship between pH and H is non-linear. Why?

A

It’s logrithmic relationship

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13
Q

If pH is above 7.45 we call this __

A

alkalemia

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14
Q

if pH is below 7.35 we all this ____

A

acidemia

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15
Q

How do we carry CO2 in bodies

A

As bicarb

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16
Q

how do we get bicarb from CO2

A

carbonic anhydrase (found in RBCs)

17
Q

How do we get rid of CO2

A

Breathing .

18
Q

how do we get the fixed acids our body needs to yeet

A

catabolism of proteins and phospholipids generates sulfuric acids and phosphoric acids.

19
Q

Before acids can be excreted by kidneys what must happen

A

they need to be buffered

20
Q

What does a buffered solution do with regard to pH

A

resiss the fuck out of it

21
Q

What kind of acid-base relationshipps are we looking at in this

A

Bronsted lowry

22
Q

For weak acids, the acid form is called ____ and refered to as the proton ____

23
Q

For weak bases, the H donor form is called ____ and it’s proton acceptor is called____

24
Q

The base form of a weak acid is ____ and is the proton ___

A

A-, acceptor

25
Henderson hasslebach equation
26
What is the pKa of a buffer
The equilibrium point where [acid]=[base] Also, around this point will be the best buffering zone , so therefore a buffer is most effective when pK = environmental pH
27
Dissociation and equilibrium constants of weak acids
Less dissociated; high pKs
28
two main buffer systems in ECF
Bicarb and phosphate
29
pKa of bicarb and phosphate
6.1 and 6.8 respectively
30
Which is the most important intracellular buffer
Bicarb/CO2 buffer
31
What do the yellow and blue lines on this chart represent
Buffering zones So the yellow is the best buffering area where we resist pH changes despite different concentrations of CO2 and bicarb. The blue lines is when there is a mismatch and we are in a state of alkalosis or acidosis. If you notice the blue lines for alkalosis are a bit spread out and this is a consquence of pH being in a logrithmic scale The circle in the yllow line is ideally where we want to be
32
What are some intracellular buffers
organic phosphates and proteins
33
most significant intracellular buffer
Hemoglobin - it is very high in RBCs