L13a: Acid Base Regulation Flashcards
What is the most important buffer in the body to regulate pH
Bicarbonate buffer (HCO3-)
What are the normal values of ph
7.4
What are the normal values for pc02
5.3kpa
What are the normal values for bicarbonate
24 mM
Write down the bicarbonate buffer equation that
H+ + HCO3- = H20 + CO2
When can we get hydrogen produced
ATP hydrolysis
Ketones production in diabetes
Ingestion of acids
Anaerobic respiration when we produce lactic acid
When we get hydrogen ion production what form is it removed in through exhalation
Carbon dioxide
How do we get the production of co2 when hydrogen ions are formed
The bicarbonate buffer reacts with hydrogen ions to give carbon dioxide and water
H+ + HC03- = H20 + CO2
What happens to bicarbonate in the buffer
Lost
How do we replace the lost bicarbonate after the buffer system
Reabsorb bicarbonate in the nephron
Produce bicarbonate
Where do we reabsorb bicarbonate in the nephron
Proximal tubule
Describe the channel that are involved in the proximal tubule to absorb bicarbonate
1) water and carbon dioxide react with carbonic anhydrase to form hydrogen ions and bicarbonate
2) hydrogen leaves via the sodium/hydorgen exchanger
3) bicarbonate ion is reabsorbed by the 3HC03-/NA+ cotransporter
3) hydrogen in the lumen reacts with the bicarbonate ion (to become reabsorbed) and form water and carbon dioxide
3) water and carbon dioxide that is in the cell reacts with CA to form HC03- and they hydrogen ion to be repeated.
Why will excess bicarbonate ions not become reabsorbed
The 3HCO3-/NA+ exchanger can only work at a certain rate
How can we produce bicarbonate
When the source of co2 is form the vasa recta rather than the filtrate (unlike reabsorption)
Apart from the secretion of hydrogen ions form the PT where else in the nephron can hydrogen be secreted
Distal tubule