Exam 4 (Acid-Base Balance) Flashcards

1
Q

pH Scale
Relation to H+ concentration

A

0-7: Acidic
7: Neutral
7-14: Base/Alkaline
H+ Concentration:
*low H = high pH
*high H = low pH

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2
Q

Acid
-Strong vs Weak

A

Acid: dissociates to release H+
HCl -> H+ + Cl-
Strong Acid: dissociates completely in solution
Weak Acid: does not dissociate completely; fewer H+ release

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3
Q

Base
-Strong vs Weak

A

Base: removes H+ from solution
NaOH -> Na+ + OH-
Strong Base: dissociates completely in solution
Weak Base: does not dissociate completely; fewer H+ release

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4
Q

Types of Acids

A
  1. Volatile Acids: move from liquid to gas (ex. carbonic acid)
  2. Fixed Acids: stay in solution
  3. Organic Acids: contain C-H
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5
Q

Normal pH Range of Blood

A

7.35-7.45

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6
Q

H+ Gains & Losses

A

Gains: food & drinks by absorption in GI tract & as products from cellular metabolism
Losses: excretion in kidneys & by exhaling in lungs

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7
Q

Buffer System

A

first response but temporary solution

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8
Q

Protein Buffer System

A

can buffer ECF & ICF; only free or terminal amino acids can buffer; hemoglobin is a buffer

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9
Q

Phosphate Buffer System

A

major ICF buffer

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10
Q

Carbonic-Acid Bicarbonate Buffer System

A

CO2 + H2O <-> H2CO3 <-> H+ + HCO3-
*high CO2 favors the forward reaction and high H+ favors the reverse reaction

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11
Q

Factor Affecting pH

A

pCO2

high pCO2 = high H+ = low pH
low pCO2 = low H+ = high pH

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12
Q

Acute Phase

A

pH moves rapidly out of normal range

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13
Q

Partial Compensation

A

compensatory mechanisms are working but are unable to restore pH balance

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14
Q

Complete Compensation

A

compensatory mechanisms adjust pH back to normal, but they have to continue working to keep it there

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15
Q

Respiratory Acidosis: Causes & Compensation !!!

A

Causes: hypoventilation, too much CO2,
respiratory problems like COPD
Respiratory Compensation: increase respiratory rate (to get rid
of CO2

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16
Q

Metabolic Acidosis: Causes & Compensation !!!

A

Causes: increased acid production by muscles, or bicarbonate loss due to diarrhea
Respiratory compensation: increase the respiratory rate (get
rid of CO2)
Renal compensation: excrete H+ and conserve bicarbonate

17
Q

Respiratory Alkalosis: Causes & Compensation !!!

A

Causes: low CO2, hyperventilation due to pain, anxiety, etc
Respiratory compensation: lower respiratory rate solves the
problem, no renal compensation necessary

18
Q

Metabolic Alkalosis: Causes & Compensation !!!

A

Causes: increased bicarbonate levels, vomiting
Respiratory compensation: lower the respiratory rate
Renal compensation: excrete bicarbonate and conserve H+