Acids and bases Flashcards

1
Q

define acid and base

A

acid - proton donor

base - proton acceptor

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2
Q

define a buffer

A

reacts with acid or base with little change in pH

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3
Q

main buffer in humans

A

H2CO3 and HCO3-

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4
Q

requirement for buffer to work

A

lots of buffer to acid/base added

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5
Q

define alveolar ventilation

A

air getting to alveolus to remove CO2

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6
Q

what does CO2 dissolve to form

A

H2CO3

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7
Q

what would happen in breath pure nitro

A

no oxygentation, but would remove CO2

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8
Q

what happens if hypoventilate

A

normal O2, pCO2 rise

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9
Q

what happens to carotid body in low pH

A

increase sensitivity to CO2 > increase ventilation

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10
Q

define resp. alkalosis

A
  • too much alveolar ventilation (rare)

- pregnancy, hyperventilation syndrome

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11
Q

define resp. acidosis

A
  • too little alveolar ventilation

- can’t breath enough and CO2 builds up to cause acidity

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12
Q

how to get metabolic acidosis

A

diabetes - accumulate metabolic acids

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13
Q

important henderson hasselbach equation

A

[H+] = 24xpCO2/[HCO3-]

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14
Q

formula for pH

A

-log[h+]

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15
Q

use of arterial blood gases (3)

A
  1. assess acid base balance
  2. assess alveolar vent.
  3. assess oxygenation
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16
Q

different types of acidosis/alkalosis

A
  1. chronic.acute

2. respiratory/metabolic

17
Q

difference between acidemia and acidosis

A

adicemia is sign , osis is a diagnosis

18
Q

what tells us what

A

pH - overall balance
pCO2 - resp. component
Hco3- - metabolic component

19
Q

how to tell if respiratory

A

change in CO2 should be consistent with pH

20
Q

how to tell is metabolic

A

CO2 and pH are inconsistent

21
Q

how to tell if chronic or acute

A

metabolic - use lungs to compensate - fast

respiratory - use kidneys - slow

22
Q

rule of compensation

A

compensation is always in the same direction

23
Q

overall reaction of concern

A

CO2 + H20 ⇔ H+ + HCO3-