Acid base part 3 Flashcards

1
Q

CO2 is transported in the blood as 1 of 3 things:

A

1) CO2
2) Carbonic acid H2CO3
3) Bicarbonate ion HCO3-

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2
Q

What is the most important buffer system in the ECF?

A

Bicarbonate buffer system

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3
Q

The Bicarbonate buffer system consists of:

A

a weak acid H2CO3, and a weak base HCO3-

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4
Q

Is bicarb readily available?

A

yes

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5
Q

What makes bicarb an open system?

A

because the components of the bicarb system can be used independently of each other.
-Example: CO2 by the lungs and Bicarb by the kidneys

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6
Q

What organ produces bicarb?

A

The pancreas

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7
Q

What is the carbonic acid reaction? Is it slow or fast?

A

CO2 + H2O = H2CO3

this reaction is slow without an enzyme

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8
Q

bicarbonate reaction

A

Dissociation of H2CO3 = H+ + HCO3-

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9
Q

What is the bicarbonate/carbonic acid reaction called? is it reversible?

A

Hydration reaction

The reaction is reversible

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10
Q

what enzyme catalyzes the carbonic acid reaction?

A

Carbonic anhydrase

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11
Q

Where is carbonic anhydrase abundant?

A

1) Within red blood cells
2) ln the walls of lung alveoli
3) epithelial cells of renal tubules

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12
Q

Where is phosphate buffer important?

A

1) intracellularly

2) tubular filtrate of the kidneys

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13
Q

What is the weak acid and conjugate base of phosphate buffer?

A

weak acid, monosodium phosphate, NaH2PO4

conjugate base, disodium phosphate, Na2HPO4

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14
Q

what happens to phosphate buffer when it reacts with a strong acid?

A
  • a weaker acid and salt is formed

HCl + Na2HPO4 = NaH2PO4 + NaCl

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15
Q

what happens to phosphate buffer when it reacts with a strong base?

A
  • a weaker base and water is formed

NaOH + NaH2PO4 = Na2HPO4 + H2O

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16
Q

What is the second line of defense for acid-base balance?

A

the lungs (the respiratory system) (fast)

17
Q

Which system has more capacity to buffer? Respiratory or chemical systems?

A

Respiratory

18
Q

What is the third line of defense for acid-base balance?

A

the kidneys (slow)

19
Q

What is the most potent acid-base regulator?

A

the kidneys - takes days to respond

20
Q

How do the kidneys help acid-base?

A

excretes basic or acidic urine

  • creates HCO3-
  • filtrates bicarb HCO3-
  • secretes a lot of H+
21
Q

how do kidneys add to real loss of acid or base?

A

changes in the amount of HCO3- filtered

changes in the amount of H+ secreted

22
Q

How do the kidneys regulate [H+] in the ECF? (3 ways)

A

1) Secrete H+
2) Reabsorbs filtered HCO3-
3) Production of new HCO3-

23
Q

Secretion of H+ occurs in the epithelial cells of 3 places:

A

1) proximal tubes (mostly)
2) distal tubules
3) collecting ducts