Acid-Base Balance Flashcards

1
Q

Total CO2=

A

HCO3- + H2CO3 + associated CO2 with proteins.

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2
Q

Enzyme used during the bicarbonate/carbonic acid buffer system.

A

Carbonic Anhydrase.

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3
Q

Carbonic acid is proportional to ___.

A

the amount of dissolved CO2.

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4
Q

Ideal [HCO3]:[H2CO3] ratio.

A

20: 1
kidneys: lungs.

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5
Q

50:1 ratio in [HCO3]:[CO2] changes the pH balance to what?

A

Alkalosis.

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6
Q

5:1 ratio in [HCO3]:[CO2] changes the pH balance to what?

A

Acidosis.

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7
Q

Describe the use of hemoglobin as a buffer.

A

In the tissue, Hb acts as a buffer to pick up excess H then transported to the lungs where H is released upon oxygenation.

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8
Q

Describe chloride shift; what cells does this process occur within?

A

The exchange of HCO3 and Cl within RBCs.

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9
Q

When the chloride shift leads to acidosis, ___ is diffused in and ___ is diffused out. The concentration of hydrogen ions ___.

A

chloride; bicarbonate; increase.

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10
Q

When the chloride shift leads to alkalosis, ___ is diffused in and ___ is diffused out. The concentration of hydrogen ions ___.

A

bicarbonate; chloride; decrease.

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11
Q

Describe isohedric shift; in what cells does this process occur?

A

The exchange of K and H within RBCs.

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12
Q

When the isohedric shift leads to alkalosis, ___ is diffused in and ___ is diffused out.

A

potassium; hydrogen.

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13
Q

When the isohedric shift leads to acidosis, ___ is diffused in and ___ is diffused out. The concentration of hydrogen ions ___.

A

hydrogen; potassium; increase.

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14
Q

When the isohedric shift leads to acidosis, ___ is diffused in and ___ is diffused out. The concentration of hydrogen ions ___.

A

potassium; hydrogen; decrease.

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15
Q

___ and ___ are generated by the renal tubular cells and released in urine from protein catabolism.

A

Ammonia; phosphate.

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16
Q

What condition is indicative of ↑ H2CO3 (pCO2) levels?

A

Respiratory acidosis.

17
Q

What condition is indicative of ↓ H2CO3 (pCO2) levels?

A

Respiratory Alkalosis.

18
Q

What condition is indicative of ↓ HCO3 (and H) levels?

A

Metabolic acidosis.

19
Q

What condition is indicative of ↑ HCO3 (and H) levels?

A

Metabolic alkalosis.

20
Q

Describe primary disturbance of acid-base disorders.

A

Initial altered HCO3 (metabolic) or pCO2/H2CO3 (respiratory).

21
Q

Describe the transient period of acid-base disorders.

A

Adjustments made for acid or base load using available compensatory mechanisms.

22
Q

Describe the compensated state of acid-base disorders.

A

Established compensated state which ratio of HCO3 to H2CO3 is 20:1. pH is normal or near normal.

23
Q

___ is an acid which associates with ___ imbalances.

A

CO2; respiratory.

24
Q

___ is a base which associates with ___ imbalances.

A

HCO3; metabolic.

25
Q

If pH changes are due to a metabolic condition, what compensates?

A

Lungs.

26
Q

If pH changes are due to respiratory condition, what compensates?

A

Kidneys.