Lecture: Acid-Base Balance Flashcards

1
Q

Substance that can donate hydrogen ions (H+) when dissolved in water

A

Acid

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2
Q

Substance that can accept hydrogen ions

A

Base

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3
Q

The negative log of the hydrogen ion concentration

A

pH

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4
Q

Meaning of pH

A

Hydrogen potential or Potential of hydrogen

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5
Q

Made up of amino acids with positively charged amino groups and negatively charged carboxyl groups; accounts for 2/3 of the buffering power of the blood and most of the buffering within cells

A

Plasma Protein Buffers

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6
Q

Principal protein inside of red blood cells and accounts for 1/3 of the mass of the cell; during the conversion of CO2 into bicarbonate, H+ ions liberated are buffered by hemoglobin

A

Hemoglobin Buffer

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7
Q

Weak acid in the phosphate buffer

A

Sodium dihydrogen phosphate

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8
Q

Weak base in the phosphate buffer

A

Sodium monohydrogen phosphate

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9
Q

When Na2HPO4 comes into contact with a strong acid (HCI) product is?

A

NaH2PO4 and NaCl

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10
Q

When NaH2PO4 comes into contact with a strong base (NaOH) product is?

A

Na2HPO4 and H2O

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11
Q

The most important buffer system in extracellular fluids

A

Bicarbonate-Carbonic Acid Buffer

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12
Q

When sodium bicarbonate (NaHCO3), comes into contact with a strong acid (HCI), what is formed?

A

Carbonic acid (H2CO3) and NaCl

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13
Q

When carbonic acid comes into contact with a strong base (NaOH), what is formed?

A

Bicarbonate and water

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14
Q

Exchange of Cl- and HCO3- between plasma and RBC

A

Chloride Shift

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15
Q

Chloride shift is also known as?

A

Hamburger Phenomenon

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16
Q

< 7.35 pH indicates?

A

Acidosis

17
Q

> 7.45 pH indicates?

A

Alkalosis

18
Q

pH, bicarbonate and pCO2 is decreased, this indicates?

A

Metabolic acidosis

19
Q

pH, bicarbonate and pCO2 is increased, this indicates?

A

Metabolic alkalosis

20
Q

pH is elevated, bicarbonate and pCO2 is decreased, this indicates?

A

Respiratory alkalosis

21
Q

pH is decreased, bicarbonate and pCO2 is increased, this indicates?

A

Respiratory acidosis

22
Q

Metabolic Acidosis is also known as?

A

Primary Bicarbonate Deficiency

23
Q

At the normal pH, what is the ratio of bicarbonate to carbonic acid?

A

20:1

24
Q

Metabolic Alkalosis is also known as?

A

Primary Bicarbonate Excess

25
Q

Respiratory Acidosis is also known as?

A

Primary Carbonic Acid/CO2 Excess

26
Q

Respiratory Alkalosis is also known as?

A

Primary Carbonic Acid/CO2 Deficiency

27
Q

Occurs when the blood is too acidic (pH < 7.35) due to too little bicarbonate

A

Metabolic Acidosis

28
Q

Occurs when the blood is too alkaline (pH > 7.45) due to too much bicarbonate

A

Metabolic Alkalosis

29
Q

Occurs when the blood is too acidic (pH < 7.35) due to an excess of carbonic acid, from too much CO2 in the blood

A

Respiratory Acidosis

30
Q

Occurs when the blood is too alkaline (pH > 7.45) due to a deficiency in carbonic acid and CO2 levels in the blood

A

Respiratory Alkalosis

31
Q

Normal value of pCO2

A

40 mmHg

32
Q

Normal value of HCO3

A

24 mEq/L