MOD 16 - Acid-Base Homeostasis Flashcards

1
Q

what is the total amount of CO2 being produced per day

A

25mol/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the total amount of plasma [H+] produced per day?

A

40nmol/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the total amount of unmetabolised acids produced per day?

A

50mmol/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are some of the buffering systems in place?

A

haemoglobin, bicarbonate, phosphate, proteins, ammonia, misc organic acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the reference range of pH in the human body

A

7.45-7.35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the henderson-hasselbalch equation?

A

H+ + HCO3- = H2CO3 = CO2 + H20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where are the sites of acid-base metabolism?

A

lungs, kidney, liver, GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what happens to CO2 after it is taken into the haemoglobin?

A

it is broken down by enzymes into bicarbonate and H+ ions - H+ ions will combine with haemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where is bicarbonate reclaimed?

A

it is done in the renal tubule using Na+/H+ pump where bicarbonate is converted into CO2 and reabsorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what hormone control the buffering level of H+ ?

A

aldosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is secreted from the pancreas in order to reduce the H+ effect from the stomach?

A

HCO3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does the liver do in terms of buffering

A

dominant site of lactate metabolism, only site of urea synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the main job of the liver in term of urea production?

A

combin NH4+ and CO2 to give urea and H+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what will happen if severe liver failure take place

A

metabolic alkalosis, NH4+ toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the 4 different types of acidosis and alkalosis?

A

metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what will happen to the H+, pCO2 & pO2 in metabolic acidosis

A

increase H+
increase pO2
decreased pCO2

17
Q

why does the pCO2 decreased and pO2 increased in metabolic acidosis

A

Compensate by trying to breathe out CO2 so it decreases and O2 increases- tachyponea- pink puffer

18
Q

what will happen to the H+, pCO2 & pO2 in metabolic alkalosis

A

decreased H+
increased pCO2
decreased pO2

19
Q

what will happen to the H+, pCO2 & pO2 in respiratory acidosis

A

increased H+
increased pCO2
decreased pO2

20
Q

what will happen to the H+, pCO2 & pO2 in respiratory alkalosis

A

decreased H+
decreased pCO2
increased pO2

21
Q

what can cause respiratory acidosis

A

CO2 retention - inadequate ventilation, parenchymal lung disease, inaqequate perfusion