Acid Base Flashcards

1
Q

What 3 things does H+ production depend on?

A
  1. Exercise intensity
  2. Amount of muscle mass involved
  3. Duration of exercise
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2
Q

Why does muscle pH decline more dramatically than blood pH?

A

Muscles are the source of the H+ ion production

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3
Q

How is H+ increased in Aerobic metabolism of glucose

A

Through carbonic acid

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4
Q

How is H+ increased in Anaerobic metabolism of glucose

A

Through Lactate

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5
Q

What is the end product of oxidative phosphorylation?

A

Carbon dioxide

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6
Q

What does glucose metabolism via glycolysis produce

A

Lactic acid

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7
Q

What are the 3 sources of H+ ions during Exercise

A
  1. Production of Carbon dioxide
  2. Production of Lactic acid
  3. ATP breakdown
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8
Q

What types of sports or exercises promote acid-base disturbances in skeletal muscle

A

high intensity exercises >45 seconds; Based on the effort

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9
Q

Why can increased H+ impair performance?

A
  1. By inhibiting enzymes in atp production
  2. Impair muscle contraction by competing with Ca2+ for binding sites on troponin
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10
Q

What buffer happens when pH is high?

A

Buffer donates H+ ions

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11
Q

What buffer happens when pH is low?

A

Buffer accepts H+ ions

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12
Q

What is the first line of defense against muscle pH shift during exercise?

A

Cellular buffer system

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13
Q

What classifies the cellular buffer systems

A

Transport of hydrogen ions out of the muscle

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14
Q

What is the second line of defense against blood pH shift during exercise

A

Blood buffer systems

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15
Q

What classifies the blood buffer systems

A

Respiratory compensation for metabolic acidosis

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16
Q

What are the 4 cellular buffer system and their role

A

Convert strong acids into weak acids: Bicarbonate; phosphates; proteins; carnosine

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17
Q

What are the 3 components of the blood buffer system

A

Bicarbonate, phosphates and proteins

18
Q

What are the two major H+ transporters in the skeletal muscle

A

NHE and MCT

19
Q

Which muscle fiber type has a comparative higher buffering capacity

A

Fast type 2 muscle fibers over slow type 1

20
Q

How does high intensity exercise training improve muscle buffering capacity?

A

Through increases in carnosine and hydrogen ion transporters in the trained muscle fibers

21
Q

elevated CO2 levels push the equilibrium to the ___ creating more ___ and ___ blood pH

A

Shifts to the right, increasing H+ and lowering pH

22
Q

As pH decreases (becomes more ____), the respiratory center in the brain stem will be ___ causing ventilation to ___

A

Acidic, stimulated, increase

23
Q

How does increasing ventilation change CO2 and PCO2 and H+

A

Increasing ventilation will increase CO2 expelled, decrease PCO2 and decrease H+ concentrations

24
Q

How does decreasing ventilation change CO2 and PCO2 and H+

A

It will increase buildup of CO2 and increase PCO2 and H+ concentration

25
What is the ventilatory threshold caused by?
Increasing blood PCo2 and H+ as well as blood K+, body temp, catecholamines in the blood and neural influences
26
McArdle’s patients and TVent
Although they don’t produce lactic acid, they still show tvent response during incremental exercise from CO2 production
27
Arterial PO2 in untrained subjects during graded exercise
Maintained within 10-12 of resting value
28
Arterial PCO2 in untrained subjects during graded exercise
Slightly decreases with maximal exercise
29
Arterial pH in untrained subjects during graded exercise
Decreases with maximal exercise
30
Ventilation in untrained subjects during graded exercise
Linear increase up to 50-75% VO2 max and then exponential rise
31
Why does venous PO2 decrease during graded exercise?
Changes in hemoglobin confirmation. Lower pH so more H+ binding to HG; deliver more oxygen to the tissues due to increased a-v difference at higher intensity exercise therefore lower PO2
32
Why does arterial pH decrease with maximal exercise?
Above lactate threshold so produce more H+ ions and buffering systems cannot keep up anymore. Run out of bicarbonate at high intensity
33
Why does arterial PCO2 decrease with maximal exercise
Hyperventilation increases exhalation of CO2 and decrease amount of H+ ions
34
Beta alanine
Precursor to carnosine. Supplementation can also improve short duration high intensity exercise
35
What happens to Alveolar PCO2 and PO2 when hyperventilation
High PO2 and low PCO2
36
How do the kidneys contribute to acid-base balance at rest
By regulation of blood bicarbonate concentration
37
What happens to bicarbonate excretion when blood pH decreases
Bicarbonate excretion is reduced
38
What happens to bicarbonate excretion when blood pH increases
Bicarbonate excretion is increased
39
Why is the kidney not an important regulator of acid-base balance during exercise
Takes hours to process; reduce blood flow to the kidney during exercise
40
How is lactate removed following exercise?
70 % is oxidized ands used by heart and skeletal muscle 20 % converted to glucose via the Cori cycle 10 % converted to amino acids
41
How can lactic acid be removed more rapidly following strenuous exercise?
Light exercise in recover around 30-40 % VO2 max
42
How does compression wear improve recovery
Aid in returning blood flow and lower blood lactate levels after exercise