C4 - Section 4. Compensation Mechanism Flashcards

1
Q

Various compensatory mechanisms exist to maintain blood pH within a narrow range, including (?).

A

buffers, respiration, and renal mechanisms

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2
Q

Although compensatory mechanisms usually work very well, when one of these mechanisms is not working properly (like (?)), they have their limits.

A

kidney failure or respiratory disease

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3
Q

If the (?) are changed too drastically, the body may not be able to compensate.

A

pH and bicarbonate to carbonic acid ratio

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4
Q

Moreover, extreme changes in (?) can denature proteins.

A

pH

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5
Q

Extensive damage to proteins in this way can result in (?).

A

disruption of normal metabolic processes, serious tissue damage, and ultimately death

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6
Q

Respiratory compensation for metabolic acidosis increases the respiratory rate to drive off CO2 and readjust the bicarbonate to carbonic acid ratio to the (?) level.

A

20:1

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7
Q

This adjustment can occur within (?).

A

minutes

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8
Q

(?) for metabolic alkalosis is not as adept as its compensation for acidosis.

A

Respiratory compensation

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9
Q

The normal response of the respiratory system to elevated pH is to increase the amount of (?) in the blood by decreasing the (?) to conserve CO2.

A

CO2

respiratory rate

CO2

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10
Q

There is a limit to the decrease in (?), however, that the body can tolerate.

A

respiration

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11
Q

Hence, the (?) is less efficient at compensating for metabolic alkalosis than for acidosis.

A

respiratory route

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12
Q

Metabolic and renal compensation for respiratory diseases that can create acidosis revolves around the conservation of (?).

A

bicarbonate ions

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13
Q

In cases of (?), the kidney increases the conservation of bicarbonate and secretion of H+ through the exchange mechanism discussed earlier.

A

respiratory acidosis

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14
Q

These processes increase the concentration of bicarbonate in the blood, reestablishing the proper relative concentrations of (?).

A

bicarbonate and carbonic acid

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15
Q

In cases of (?), the kidneys decrease the production of bicarbonate and reabsorb H+ from the tubular fluid.

A

respiratory alkalosis

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16
Q

These processes can be limited by the exchange of potassium by the renal cells, which use a (?).

A

K+-H+ exchange mechanism (antiporter)