Acid-Base- Exam 1 Flashcards

1
Q

Acid

A

donates a proton

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2
Q

Base

A

can accept a proton

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3
Q

pH Equation

A

ph= -log [H+]

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4
Q

What affects dissociation of molecules in solution?

A

Decreased temperature produces
Decreased energy which produces
Decrease in dissociation which produces
Decrease in concentration of all ionized components

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5
Q

pH of Neutrality

A

At equilibrium, the pH produced by the dissociation of water reaction

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6
Q

At 27 degrees C, what is the pH of neutrality?

A

7.0

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7
Q

Henry’s Law

A

Dissolved = Solubility x Partial Pressure

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8
Q

Solubility of CO2 @ 37 degrees C

A

0.06 mls CO2/100 mls bld/mmHg

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9
Q

Solubility of O2 @ 37 degrees C

A

0.003 mls O2/100 mls bld/mmHg

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10
Q

How is CO2 moved from the tissue to the lungs?

A
  1. Dissolved
  2. Bound to hemoglobin
  3. As HCO3-
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11
Q

What is the equation for CO2 “content”

A

Content = Solubility x PP

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12
Q

What is the relationships between solubility and temperature?

A

Solubility is inversely proportional to temperature

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13
Q

What are the three ways you can change the pH of blood in a “closed” system?

A
  1. Change total CO2 content; temp constnat
  2. Change temperature; keep CO2 constant (change driven by dissociation constant)
  3. Change CO2 content AND temperature
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14
Q

What will happen to [H+] and pH as you increase temperature?

A

[H+] will increase
pH will decrease
drives acid-base dissociation equilibrium to the right

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15
Q

What will happen to [H+] and pH as you decrease temperature?

A

[H+] will decrease
pH will increase
drives acid-base dissociation equilibrium to the left

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16
Q

Buffer systems are designed to maintain what constant ratio of [OH-] to [H+]?

A

16:1

17
Q

What three components help maintain buffer systems in the body?

A

Bicarbonate, protein, phosphate

18
Q

What is the primary blood buffering system response for buffer systems in the body?

A

Imidazole moiety of the amino acid histidine

19
Q

Where is the imidazole moiety of the amino acid histamine found?

A

It’s found on most blood borne proteins.

20
Q

What accounts for most of the changes in pH due to changes in temperature?

A

Dissociation of Him+ –> H+ + Im

21
Q

Alpha state and pH stat management ONLY affect control of__________ and __________.

A

Arterial pCO2

pH

22
Q

What value must always be temperature corrected?

A

Arterial pO2

23
Q

pH-Stat management

A

maintain constant pH with change in temperature

24
Q

Alpha-stat management

A

maintain constant CO2 content with change in temperature

25
Q

pH-Stat Consequences during hypothermia

A

blood more acidic
hydrogen ion gradient across the cell membrane changes
acidity alters metabolic activity
cells do not maintain electroneutrality
added CO2 influences blood flow regulation

26
Q

Alpha-stat consequences during hypothermia

A

maintain constant charge on alpha-imidazole side chain
hydrogen ion gradient across cell does not change
cellular enzyme functions are maintained
cells maintain electroneutrality
auto-regulation of blood flow maintained