acid-base Flashcards

(34 cards)

1
Q

pH and [H+]

A

inversely related

increase [H+], decrease pH (acidotic) - donate H+
decrease [H+], increase pH (alkalotic) - accept H+, give up OH-

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2
Q

strong acids vs. weak acids

A

strong: dissociate completely in soln
weak: dissociate partially

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3
Q

hydrogen functions

A

maintain cell membranes
helps with enzyme activity
component of H2O and keeps body hydrated
helps in energy production

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4
Q

hydrogen is a component of

A

sugars, proteins, starch, fats

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5
Q

where is the most acidic place in the body? why?

A

stomach bc HCl acid

*if HCl out of stomach - major damage
*duodenum has defense mechanisms to neutralize acid
*LES prevents movement of gastric acid into esophagus

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6
Q

what does acid-base balance affect?

A

electrolytes (Na, K, Cl)
hormones
oxygen transport and delivery

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7
Q

oxyhemoglobin dissociation curve

A

measures Hgb O2 saturation % (Y axis) to O2 partial pressure mmHg (x axis)

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8
Q

the human body can function for a short period of time out of what pH range before it becomes incompatible with life? survivable range?

A

pH < 6.8 or > 7.8 –> incompatible

7.2 -7.5 –> survivable

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9
Q

2 types of acids in the body

A

volatile and non-volatile acids

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10
Q

volatile acids

A

can be converted to gas
excreted by lungs

*carbonic acid (H2CO3)
*CO2 + H2O <–> H2CO3

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11
Q

non-volatile acids

A

cannot be converted to gas
excreted by kidneys
*phosphoric acid
*sulfuric acid
*acetoacetic acid
*beta-hydroxybutyric acid

*LACTIC ACID metabolized by body (liver + kidney)

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12
Q

buffers

A

chemicals in body that combine with acid or base to change pH
accept or release a H+
almost instantaneous, but short-lived

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13
Q

3 main buffer systems

A
  1. bicarbonate - carbonic acid buffer
  2. phosphate buffer
  3. protein buffers (Hgb)
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14
Q

bicarbonate

A

main ECF buffer
byproduct of cellular metabolism
combines with H2O = carbonic acid

in lungs: H2O + CO2
in kidneys: H + HCO3

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15
Q

what breaks down carbonic acid

A

carbonic anhydrase
^in many tissues of the body (esp. lungs+kidneys)

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16
Q

lungs

17
Q

kindeys

18
Q

phosphate buffer

A

main ICF buffer

19
Q

protein buffers

A
  1. carboxyl group (COOH) - weak acid, gives up H+
    *amino acid
    *acetic acid
  2. amino group (NH2) - accept H+
    *amino acids: carboxyl + amino group
    *ammonia (NH3)
  3. Hgb: picks up CO2 at cellular level
20
Q

when H+ concentration increases…

A

pH decreases (acidic)
H+ moves INTO cells
more + charged ions IN cell
K+ moves OUT of cell
^electrical neutrality is restored inside cell

21
Q

respiratory mechanisms

A

body produces CO2
CO2 + H2O = carbonic acid
exhaling excretes carbonic acid
^doesnt affect non-volatile acids (lactic acid)

22
Q

how can the body pH be adjusted?

A

changing rate and depth of breathing

acidotic: increase rate/depth to blow off more CO2
alkalotic: decrease rate/depth to hold onto CO2

23
Q

kidney excretion

A

can eliminate large amounts of acid (NOT carbonic acid)
can excrete bicarbonate
can conserve/produce bicarb ions
if kidneys fail, pH balance fails - depends on normal functions of renal system (because aren’t excreting H+ or base)

24
Q

what is the most effective regulator of pH

25
rates of correction
buffer: instantaneously respiratory mechanisms: several minutes to hours renal mechanisms: hours to days
26
respiratory compensation
if underlying problem is METABOLIC, hyperventilation or hypoventilation can help
27
metabolic compensation
if underlying problem is RESPIRATORY, renal mechanisms can bring about met compensation
28
patho of acidosis: disturbed to homeostasis
*disturbed* decrease pH/acidosis stimulates brain and arterial receptors increase RR decrease CO2 decrease H2CO3 (carbonic acid) increase pH *restored*
29
patho of alkalosis: disturbed to homeostasis
*disturbed* increase pH/acidosis stimulates brain and arterial receptors decrease RR increase CO2 increase H2CO3 (carbonic acid) decrease pH *restored*
30
hyperventilation vs. hypoventilation
lungs are primary controller of H2CO3 --> CO2 is carried in blood to lungs --> in lungs, mixes with H2O and forms carbonic acid hyper = CO2 blown off (increases pH) hypo = CO2 retained (decreases pH)
31
blood buffer system responds in
seconds
32
lungs are primary controller of
H2CO3 - carbonic acid CO2 carried from blood to lungs, then mixed with H2O to form carbonic acid
33
kidneys are primary controller of
HCO3 - bicarbonate adjust the amount of bicarb that is: *reabsorbed in bloodstream *excreted in urine
34
if blood is too acidic, kidneys will... if blood is too alkaline, kidneys will...
acid: reabsorb bicarb alkaline: excrete bicarb