C4 - Section 4. Compensation Mechanism Flashcards
Various compensatory mechanisms exist to maintain blood pH within a narrow range, including (?).
buffers, respiration, and renal mechanisms
Although compensatory mechanisms usually work very well, when one of these mechanisms is not working properly (like (?)), they have their limits.
kidney failure or respiratory disease
If the (?) are changed too drastically, the body may not be able to compensate.
pH and bicarbonate to carbonic acid ratio
Moreover, extreme changes in (?) can denature proteins.
pH
Extensive damage to proteins in this way can result in (?).
disruption of normal metabolic processes, serious tissue damage, and ultimately death
Respiratory compensation for metabolic acidosis increases the respiratory rate to drive off CO2 and readjust the bicarbonate to carbonic acid ratio to the (?) level.
20:1
This adjustment can occur within (?).
minutes
(?) for metabolic alkalosis is not as adept as its compensation for acidosis.
Respiratory compensation
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.
CO2
respiratory rate
CO2
There is a limit to the decrease in (?), however, that the body can tolerate.
respiration
Hence, the (?) is less efficient at compensating for metabolic alkalosis than for acidosis.
respiratory route
Metabolic and renal compensation for respiratory diseases that can create acidosis revolves around the conservation of (?).
bicarbonate ions
In cases of (?), the kidney increases the conservation of bicarbonate and secretion of H+ through the exchange mechanism discussed earlier.
respiratory acidosis
These processes increase the concentration of bicarbonate in the blood, reestablishing the proper relative concentrations of (?).
bicarbonate and carbonic acid
In cases of (?), the kidneys decrease the production of bicarbonate and reabsorb H+ from the tubular fluid.
respiratory alkalosis