Acid Base Regulation - Columbo Flashcards

1
Q

Arrhenius definition of acids/bases

A

Acids increase H+ ion concentration in aqueous solutions, bases increase OH- in aqueous solutions

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2
Q

Bronsted-Lowry definition of acids/bases

A

Acids donate protons, while bases accept protons (but do not necessarily increase OH- concentration_

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3
Q

Lewis definition of acids/bases

A

Acids accept electron pairs, bases donate electron pairs

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4
Q

Most acids/bases we consider in a physiological context are weak as opposed to strong. Why is this important?

A

Our ability to keep our pH regulated is due to the buffering capacity of our body fluids; strong acids/bases would make it much more difficult to buffer because they completely disassociate in solution

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5
Q

Biological processes that can be affected by changes in pH

A
  • protein folding and conformation
  • ion currents
  • ligand-receptor interactions
  • muscle contraction
  • cell proliferation
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6
Q

What is the condition that results from an overabundance of H+ ions in the blood?

A

acidemia

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7
Q

What is the condition that results from a lowered H+ concentration in the blood?

A

alkalemia

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8
Q

what does pH describe about the relationship of conjugate base/acid in the blood?

A

the ratio between them, as opposed to the amount of each

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9
Q

3 ways H+ concentration in the blood serum is controlled

A

1) lungs can remove CO2
2) kidneys can remove H+, retain HCO3-
3) buffering resists pH change
* these are reversible in cases of alkalosis

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10
Q

What is a respiratory reaction of increased H+ ions (decrease in pH)?

A

-increase in alveolar ventilation

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11
Q

What is a respiratory reaction of decreased H+ ions (increase in pH)?

A
  • respiratory depression and retention of CO2

- lowered O2 levels can stimulate respiration, so it has less of an impact

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12
Q

In terms of renal control of pH, is the retention of HCO3- or the excretion of H+ more important?

A
  • retention of HCO3-
  • the excretion of 1 HCO3- is the same as adding 1 H+
  • HCO3- can bind a free H+ (acts as buffer), so retaining it will lower free H+
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13
Q

3 key buffer systems

A

1) bicarbonate - buffers extracellular fluid
2) phosphate - buffers intracellular fluid and kidney tubules
3) proteins - absorb free H+ ions in intracellular and extracellular environments (example is deoxy-hemoglobin in RBCs)

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14
Q

What is a buffer?

A
  • a substance that is capable of absorbing or releasing H+ ions, helping solution resist pH change
  • example: carbonic acid can disassociate to form 1 free H+ ion and bicarbonate, or the reverse can occur (we are either adding an H+ to lower pH, or absorbing an H+ to increase pH)
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15
Q

What is the Henderson-Hasselbalch equation?

A

pH = pKa + log [A-]/[HA]

  • remember that the acid has more Hs
  • if the ratio of [A-] to [HA] is equal, then pH = pKa
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16
Q

relative to the Henderson-Hasselbalch equation, when are buffers most effective?

A

pH = pKa + log [A-]/[HA]

  • when pH = pKa
  • aka when the ratio of [A-] to [HA] is equal
17
Q

3 important regulators of intracellular pH

A

1) ion transporters
2) protein buffer system
3) phosphate buffer system

18
Q

What can cause hypoventilation-induced acidosis?

A
  • related to blood CO2 levels*
  • obstructive lung diseases
  • CNS trauma
  • Narcotics
  • insufficient ventilation
  • polio
19
Q

What can cause hyperventilation-induced alkalosis?

A
  • related to blood CO2 levels*
  • anxiety
  • stroke
  • pain
  • over-ventilation
  • hypoxemia
20
Q

What can cause metabolic acidosis?

A
  • related to blood HCO3- levels*
  • diarrhea
  • renal insufficiency
  • excessive lactic acid
21
Q

What can cause metabolic alkalosis?

A
  • related to blood HCO3- levels*
  • excessive vomiting
  • hypokalemia
  • mineralocorticoids
22
Q

What is a mixed acid-base disorder?

A
  • when more than one simple disturbance in acid-base exists

- example: one disturbance can cause both acidosis (respiratory or metabolic) and alkalosis (respiratory or metabolic)