Module 4 - Acids and Bases Flashcards

1
Q

What are electrolytes?

A

a solution containing charged ions that therefore conduits electricity

CATIONS with +positive charge e.g Na+, K+, Ca2+
ANIONS with -negative charge e.g Cl-, PO4-

therefore compounds that form electrolytes in solution contain at least one IONIC BOND

they include inorganic compounds such as salts, acids and bases. Some proteins are also electrolytes

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2
Q

What is an ionic bond?

A

An ionic bond involves the transfer of electrons

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3
Q

What are the most cations and anions inside the cell?

A

Intracellular fluid

  • K+ is the major cation
  • Phosphate is the major anion
  • large amounts of protein anions in intracellular fluid
  • Ca2+ is normally extremely low and tightly controlled since it mediates lots of cellular processes, including neurotransmitter release, skeletal muscle contraction, cardiac muscle contraction
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4
Q

What are the most cations and anions outside the cell?

A

Extracellular fluid (plasma and interstitial fluid)

  • Na+ is the major cation
  • cation concentrations similar in both plasma and interstitial fluid
  • Cl- is the major anion
  • Ca2+ is much higher outside than inside
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5
Q

What is the role of the Sodium-Potassium Pump?

A
  • maintenance of Na+ and K+ concentration gradients across cell membranes is vitally important, as we saw in nerve and muscle function
  • mainly a result of sodium-potassium pumps
  • function relies on having adequate supply of ATP
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6
Q

Why are electrolytes important? What are the 3 most important electrolytes?

A
  • transmission of electrical impulses in neurons and muscles
  • stabilize protein structures in enzymes
  • some aid in releasing hormones from endocrine glands
  • all of the ions control the movement of water between cells and their environment through osmosis
  • therefore electrolytes are highly regulated in the body by homeostatic mechanisms, in particular by the kidneys. an ELECTROLYTE IMBALANCE is a sign of illness and itself contributes to that ilness

-The three mmost important electrolytes are:
Na+, K+ and Ca2+

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7
Q

What are the 3 blood electrolyte imbalances?

A

Sodium (Na+)
hyponatremia - due to decreased sodium intake
hypernatremia - dehydration, water deprivation

Potassium (K+)
hypokalemia - excessive ost due to vomiting or kidney disease
hyperkalemia - renal failure, crushing injuries

Calcium (Ca2+)
hypocalcemia - hypoparathyroidism
hypercalcemia - hyperparathyroidism, cancer

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8
Q

What is an acid?

A

ACID

  • a substance that dissociates in water and releases hydrogen ions (H+) in a solution
  • responsible for the sour taste of foods

ex. when hydrochloric acid (HCl) is added to water

HCl –> H+ and Cl-

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9
Q

What is a base?

A

BASE

-a substance that removes H+ ions from a solution

molecules with HYDROXYL (OH-) groups can do this, forming water

ex. adding sodium hydroxide (NAOH) to water produces:

NaOH –> Na+ + OH-

Any free H+ ions immediately react with OH- forming H2O

H+ + OH- –> H2O

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10
Q

What is pH?

A

because acids and bases have opposite effects on H+ concentrations, we need a scale in order to measure this

pH is a measure of the concentration of H+ per liter of solution

Ranging from 0-14

  • pH7 indicates a neutral solution (i.e OH-, and H+ are at equally very low concentrations in pure water)
  • pH above 7 - basic/alkaline solution
  • pH below 7 - acidic solution

NOTE the more acidic, the greater the H+ concentration, the lower the pH and vice versa

NOTE a one unit change in pH value represents a 10x change in H+ concentration (a log scale)

e.g pH 5 indicates 10x more H+ ions than pH 6, pH 9 has 100x less (i.e., 1/100) H+ ions than pH 7

BLOOD HAS A PH OF ABOUT 7.35-7.45

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11
Q

Why is pH homeostasis important?

A

-Normal blood pH is between 7.35 and 7.45
-Acidosis = pH below 7.35
-Alkalosis = pH above 7.45
-Note how narrow the normal range is
-Excessive pH changes interfere with protein shape and protein function i.e., proteins become denatured
-This will effect, for example, enzyme function and disrupt normal cell metabolism
-acidosis is often a serious complication of many illnesses
IMPORTANT NOTE: Acidotic is NOT the same as acidic e.g if your blood pH is 7.2 is it acidotic? acidic? ACIDOTIC

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12
Q

What are the 3 ways the body maintains pH homeostasis?

A
  1. Chemical buffer systems
  2. respiratory compensation (ventilation)
  3. renal compensation (kidneys)
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13
Q

What are buffer systems?

A
  • Chemical buffers are substances that act quickly to temporarily bind H+, removing the highly reactive, excess H+ from solution (but not from the body)
  • to maintain homeostasis, the challenge is keeping the H+ level (pH) of body fluids in the appropriate range
  • the normal pH of systemic arterial blood is 7.35 to 7.45 the homeostasis of pH is maintained by buffer systems
  • CARBONIC ACID-BICARBONATE BUFFER SYSTEM
  • phosphate buffer system
  • protein buffer system
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14
Q

What is the carbonic acid - bicarbonate buffer system? How does it work?

A

If there is an excess of H+, the HCO3- can function as a *weak base and remove the excess H+ ions

H+ (hydrogen ion) + HCO3- (bicarbonate ion) –> H2CO3 (carbonic acid)

If there is a shortage of H+ the H2CO3 can function as a weak base and release its H+ ions

H2CO3 (carbonic acid) –> H+ (hydrogen ion) + HCO3- (bicarbonate ion)

*a “weak” acid or base does not fully dissociate H+ ions in solution.

This ability to hold onto a proportion of H+ depending on pH, stabilizes the H+ concentration

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15
Q

How is carbonic acid concentration linked to carbon dioxide concentration?

A
  • as you know, CO2 is an important gas waste product from cellular respiration – there is a normal range of CO2 concentration in our blood
  • in any solution, CO2 quickly reacts with water molecules to form carbonic acid, which dissociates into bicarbonate ions and H+ ions

CO2 + H2O –> H2CO3 –> H+ + HCO3-

  • you can see from the equation that as CO2 concentration changes, H+ concentration also changes
  • but CO2 concentration varies with breathing rate: the faster and deeper you breath, the more CO2 is released from your blood into the atmosphere
  • this means that the body has yet another way to maintain pH homeostasis. VARYING THE BREATHING RATE VARIES CO2 BLOOD CONCENTRATION, WHICH ULTIMATELY VARIES BLOOD H+ ION CONCENTRATION
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16
Q

How does respiratory pH compensation work?

A
  • changes in blood pH are detected by chemoreceptors in the medulla and peripheral arteries
  • these signal the autonomic nervous system to modify the breathing rate (ventilation) through the homeostatic negative feedback
  • changes in ventilation work to change the partial pressure (concentration) of arterial carbon dioxide in the blood
  • the response to pH change occurs within minutes
  • this is a physiological compensation: ventilation rate compensates for changes in the blood pH
17
Q

How does breathing work to control pH?

A

atmosphere –> lungs

CO2 + H2O –> H2CO3 –> H+ + HCO3-

  • if blood pH falls, ventilation increases, CO2 is blown off, blood CO2 concentration decreases and the reactions moves to the left, reducing H+ and increasing pH back to homeostatic levels
  • if the blood pH increases, ventilation decreases, CO2 is retained, blood CO2 concentration increases, the reactions move to the right, increasing H+, decreasing pH back to homeostatic levels
18
Q

How does renal compensation work?

A

The kidney adjusts H+ and HCO3- ion excretion as the third important way to maintain blood pH homeostasis. The response time is over hours

19
Q

Acidosis summary

A

Acidosis = pH < 7.35

Respiratory acidosis: impaired ventilation of the lungs

  • asthma
  • chronic bronchitic
  • pulmonary edema
  • emphysema
  • barbiturate poisoning
  • damage of the brain stem

Metabolic acidosis:

increased production of acids:

  • lactic acidosis (strenuous exercise)
  • ketoacidosis (starvation, uncontrolled diabetes mellitus)

severe bicarbonate loss:
-chronic diarrhea

decreased renal excretion of H+
-kidney diseases

20
Q

alkalosis summary

A

alkalosis pH >7.45

respiratory alkalosis

hyperventilation:
- high altitudes
- anxiety
- pain
- certain lung diseases

metabolic alkalosis
loss of acids: 
-excessive vomiting 
excessive intake of alkaline drugs:
-antiacids
alkaline tide: 
-as parietal cells release HCl into the stomach after a meal, they also release HCO3- into the blood, temporarily increasing blood pH