Acid-Base Balance 1 Flashcards

1
Q

Define what an Acid is

A

Molecules containing hydrogen atoms that can release hydrogen ions (H+) into solution (e.g. H2CO3)

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2
Q

Define what a Base is

A

an ion or a molecule that can accept a H+

ion (e.g. HCO3−is a base because it can combine with H+ to form H2CO3 )

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3
Q

Differentiate between a strong and a weak acid and base

A

Strong acid: Rapidly dissociates, releasing large amounts of H+ ions into solution (e.g. HCl)

Weak acids: less likely to dissociate their ions,releasing small amounts of H+ ions into solution (e.g. H2CO3)

Strong base: reacts rapidly and strongly with H+ and, quickly removes H+ from a solution (e.g. OH− , reacts with H+ to form H2O

Weak base: Binds with H+ much more weakly (e.g. HCO3−)

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4
Q

Define the concept of pH

A

pH is the abbreviation for the potential of hydrogen

Formula: pH = -log[H+]-This means pH is the negative base 10 logarithm (“log” on a calculator) of the hydrogen ion concentration of a solution

The pH of any fluid is the measure of its hydrogen ion [H+] concentration relative to that of a given standard solution (measure of the acidity or alkalinity of a fluid)

Normal [H+ ] = 40 nEq/L or (0.00000004 Eq/L)

Normal pH = −log[H+] = -log [0.00000004] = 7.4 (arterial blood)

Venous blood and interstitial fluids is about 7.35 due to extra amounts of carbon dioxide (CO2 ) released from the tissues to form H2CO3 in these fluids

A high [H+ ] corresponds to a low pH and vice versa

A pH >7.4 → alkalosis

A pH <7.4 → acidosis

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5
Q

Define what a buffer is

A

Any substance that can reversibly bind H+. Found in the fluids, and react rapidly to minimize a change in pH concentration.

A buffer is a solution containing either a weak acid and its conjugate base (salt) or a weak base and its conjugate acid (salt)

Resistant to changes in pH

Used to maintain a stable pH in a solution, by neutralizing small quantities of additional acid or base

The amount of acid or base that can be added to a buffer before changing its pH is called its buffer capacity

A buffer is any substance that can reversibly bind H+
General form of the buffering reaction is :

Buffer + H+ ↔ HBuffer

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6
Q

Source of Hydrogen

A

Carbonic acid formation-The major source of H+
is from metabolically produced CO2

Inorganic acid produced during nutrient breakdown-Dietary proteins contain a large quantity of sulfuric acid and phosphoric acid

Organic acid resulting from intermediary metabolism-Lactic acid and fatty acids

80 mEq of H+ is either ingested or produced each
day by metabolism, without buffering, the daily
production and ingestion of acids would cause
lethal changes in body fluid [H+]

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7
Q

What is the aim of the acid-base balance mechanism of the Body

A

To maintain the pH (H+ concentration) homeostasis in the ECF & ICF.

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8
Q

Why is Hydrogen ion homeostasis important

A

The activities of almost all enzyme system of the body are influenced by the
[H+]. Changes can alter nearly all cell & body functions.

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9
Q

The primary systems defending against changes in the hydrogen ion and the mode of action for each one.

A

Chemical Buffer: Immediately :Bind H+/OHNo elimination

Respiratory System: Minutes :Handles CO2 (H2CO3)

Kidneys: Hours - days :Excretes acid/bases

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10
Q

Chemical Buffers

A

The first line of defence:

  1. Bicarbonate Buffer system-Primary ECF buffer system
  2. Protein Buffer System-Primary ICF
  3. Phosphate Buffer system-Plays an important role in the urinary system
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11
Q

What does the bicarbonate Buffer consists of?

A

It consists of a weak acid(H2CO3) and a bicarbonate salt(HCO3-)

When a strong acid (HCl ) is added to the bicarbonate buffer solution, the increased H+ released from the acid (HCl → H+ + Cl−) is buffered by HCO3−

The excess CO2 greatly stimulates respiration, which eliminates the CO2 from the ECF

When a strong base (NaOH), is added to the bicarbonate buffer solution, NaOH combines
with H2CO3 to form additional HCO3−

The [H2CO3 ] decreases (because it reacts with NaOH), causing more CO2 to combine with
H2O to replace the H2CO3

CO2 levels in blood decrease, decreases rate of expiration, rise in blood

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12
Q

Bicarbonate Buffer system equation

A

CO2 + H2O H2CO3 H+ + HCO3-

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13
Q

Sources of Carbonic Anhydrase in the body

A

Lung alveoli endothelium

Renal tubular cells

Red blood cells

Stomach epithelium (parietal cells)

Brain (epithelium of choroid plexus)

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14
Q

Phosphate Buffer

A

The phosphate buffer system plays a much greater role in the intracellular than the extracellular fluid compartment.

It is also an important buffer of the glomerular filtrate.

The main elements of the phosphate buffer system are H2PO4− and HPO4 2-

When a strong acid (HCl) is added to the buffer system, the H+ is accepted by the base HPO4
2- and converted to H2PO4−

When a strong base (NaOH), is added to the buffer system, the OH− is buffered by the H2PO4−
to form additional amounts of HPO42- + H2O

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15
Q

Phosphate buffer equation

A

HPO_42- + H+ H-2PO_4-

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16
Q

Handerson-Hasselbalch equation for the phosphate Buffer System

A

pH = pKa + log [salt] / [acid]

pH = 6.8 + log [HPO42-] / [H2PO4-]

17
Q

Protein Buffer System

A

Most plentiful buffers in the body (ICF)

ICF pH changes in proportion to ECF pH

Slow working buffer system

H+ & HCO3− diffuses slowly into cells, delays for several hours the maximum ability of the intracellular proteins to buffer extracellular acid-base abnormalities

Proteins are made up of amino acids, which contain positively charged amino groups and negatively charged carboxyl groups. The charged regions of these molecules can
bind hydrogen and hydroxyl ions

18
Q

Respiratory System

A

The control of the extracellular CO2 concentration by the lungs is the second line of defense against acid-base disturbances

CO2 H+ + HCO3-

CO2 + H2O H2CO3 H+ + HCO3-