EQUILIBRE ACIDE BASE Flashcards

1
Q

What is the pH formula?

A

pH = Log1/H+

This formula defines the relationship between pH and hydrogen ion concentration.

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2
Q

What are the survival limits of pH in the internal environment?

A

Between 6.9 and 7.9

Outside this range, severe physiological disturbances can occur.

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3
Q

True or False: Alcalosis is as dangerous as acidosis.

A

True

Both conditions can lead to serious health issues.

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4
Q

What is the normal pH level in the human body?

A

Around 7.4

This corresponds to approximately 40 mEq/L of hydrogen ions.

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5
Q

What is the pH of pure water?

A

7.0

This is considered neutral on the pH scale.

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6
Q

Why is pH control important?

A
  • Stability of proteins and enzymes
  • Stability of neuronal excitability
  • Stability of ion exchanges (e.g., K+ and H+)

Maintaining pH is crucial for biological functions.

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7
Q

How does the body fight against H+ ions?

A

The organism constantly combats H+ ions

This is essential to maintain acid-base balance.

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8
Q

What causes the production of volatile acid in the body?

A
  • Muscle activity
  • Oxygen utilization
  • Diet and intermediate metabolism

This leads to the production of 50 to 100 mEq of H+ ions per day.

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9
Q

What is a buffer system?

A

A system that limits variation in pH due to H+ ion addition

Buffers play a critical role in maintaining pH stability.

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10
Q

What is the formula for pH involving pKa?

A

pH = pKa + Log(base conjugate/acid conjugate)

This relationship is part of acid-base chemistry.

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11
Q

Where are buffer systems present in the body?

A
  • Intracellular
  • In bones
  • Extracellular

Each location has different efficacy and speed.

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12
Q

What is the role of bicarbonate in pH regulation?

A

Combines with H+ ions to maintain pH

The reaction is HCO3- + H+ → H2CO3 → H2O + CO2.

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13
Q

What is the primary role of the kidneys in long-term pH regulation?

A
  • Reabsorption of bicarbonates
  • Elimination of ammonium (NH4+)
  • Excretion of H+

The kidneys are crucial for maintaining acid-base balance.

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14
Q

Where does bicarbonate reabsorption occur in the kidneys?

A
  • 80% in the proximal tubule
  • 15% in the distal tubule
  • 5% in the collecting duct

This distribution is important for effective pH regulation.

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15
Q

What is the starting point for ammonium elimination in the kidneys?

A

Glutamine

Glutamine metabolism is essential for ammonia production.

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16
Q

What happens to pH when the partial pressure of CO2 increases?

A

pH decreases

This inverse relationship is fundamental in respiratory physiology.

17
Q

What is the standard concentration of chloride and bicarbonate in the body?

A
  • Chloride: 100 mmol/l
  • Bicarbonate: 25 mmol/l

These values are essential for maintaining osmotic balance.

18
Q

What is the pH of interstitial fluid?

A

5.5

This pH is important for the balance between anions and cations.