Physio Acid-Base Flashcards

1
Q

**Acid = **

A

**Proton Donor **

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2
Q

**Acidosis = **

A

**a condition which causes an increase in [H+] **

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3
Q

** Acidemia=**

A

the presence of greater than normal [H+] in blood

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4
Q

Base=

A

**Proton Acceptor **

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5
Q

Alkalosis:

A

**a condition which causes a decrease in [H+] **

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6
Q

Alkalemia:

A

** the presence of less than normal [H+] in blood **

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7
Q

**Importance of maintaining acid-base balance? **

A

**protein structure (and, therefore, function) is dependent on prevailing [H+]. **

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8
Q

As a general rule, domestic animals can withstand proton concentrations that are between approximately __________ times the homeostatic normal [H+].

A

As a general rule, domestic animals can withstand proton concentrations that are between approximately 1/3 and 3 times the homeostatic normal [H+].

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9
Q

At equilibrium, the concentrations of water, proton and hydroxide are _________.

A

At equilibrium, the concentrations of water, proton and hydroxide are constant.

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10
Q

Since dissociation is so infrequent, we can treat [H2O] as a constant =

A

Since dissociation is so infrequent, we can treat [H2O] as a constant = **55.56 M **

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11
Q

[H+] in pure water =

A

[H+] in pure water = 10^-7 M

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12
Q

pH is defined as ____________where the unit of concentration is M;

A

pH is defined as –log10[H+] where the unit of concentration is M;

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13
Q

Pure water is considered ________, since the concentrations of H+ and OH- are equal.

A

Pure water is considered neutral, since the concentrations of H+ and OH- are equal.

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14
Q

an increase in [H+] is accompanied by a _________ in [OH-], and a __________ of the pH of the solution.

A

an increase in [H+] is accompanied by a decrease in [OH-], and a lowering of the pH of the solution.

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15
Q

Decrease in pH means the solution is more…..

A

acidic (increase in [H+])

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16
Q

A strong acid or base is one which…….

A

A strong acid or base is one which **readily dissociates **

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17
Q

Strong acids/bases exhibit high actual……

A

Strong acids/bases exhibit high actual acidity/alkalinity.

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18
Q

The ________________ of an acid or a base is expressed as its dissociation constant, Ka (i.e., the Keq of an acid/base).

A

The relative strength of an acid or a base is expressed as its dissociation constant, Ka (i.e., the Keq of an acid/base).

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19
Q

Which is the stronger acid- acetic or citric?

A

Citric!

Citic Acid has a higher dissociation constant so it would yield more proton.

more proton = stronger acid

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20
Q

Since strong acids are those which ________ readily, the ________ species is always present in greater concentration than the __________ species.

A

Since strong acids are those which ionize readily, the dissociated species is always present in greater concentration than the protonated species.

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21
Q

pK is a term which is commonly used only with _____acids

A

pK is a term which is commonly used only with weak acids

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22
Q

organisms are net producers of ______.

A

organisms are net producers of acid.

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23
Q

At ____, a weak acid is best able to resist changes

in pH in the face of addition or removal of H+ from solution, i.e., to buffer changes in [H+].

A

At pK, a weak acid is best able to resist changes

in pH in the face of addition or removal of H+ from solution, i.e., to buffer changes in [H+].

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24
Q

The reason why a buffer does its best buffering at its ____ is because it exists abundantly in both the protonated and dissociated forms.

A

The reason why a buffer does its best buffering at its pK is because it exists abundantly in both the protonated and dissociated forms.

**This permits it to donate significant amounts of H+ if [H+] decreases and titrate significant amounts of H+ if [H+] increases. **

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25
Q

In general, buffers work well at pH values within__________of the pK.

A

In general, buffers work well at pH values within 1.0 pH unit of the pK.

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26
Q

**Henderson-Hasselbalch equation **

A

**pH = pK + log10 ([A-] /[HA]) **

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27
Q

a buffer does its best buffering at its _____ and still does a reasonably good job (i.e., still possesses valuable “buffering power”) within _____ of its pK.

A

a buffer does its best buffering at its pK and still does a reasonably good job (i.e., still possesses valuable “buffering power”) within 1 pH of its pK.

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28
Q

•Too much or too little proton changes protein ___________.

A

•Too much or too little proton changes protein structure.

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29
Q

•Proteins that are _________ can’t do their jobs – enzymes, receptors, pumps, etc. can’t work.

A

•Proteins that are denatured can’t do their jobs – enzymes, receptors, pumps, etc. can’t work.

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30
Q

Remember: The difference between each pH unit is _______ of ten, not ______ of ten.

A

Remember: The difference between each pH unit is a POWER of ten, not multiple of ten.

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31
Q

_________ blood is more acidic than ___________ blood, because cells form CO2 and lactic acid. Venous blood picks up these waste products

A

Venous blood is more acidic than arterial blood, because cells form CO2 and lactic acid. Venous blood picks up these waste products

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32
Q

•Normal pH of circulating plasma =

A

•Normal pH of circulating plasma = 7.4

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33
Q

•Animal is dead if: pH ≤ ____ and pH ≥ ___

A

•Animal is dead if: pH ≤ 6.9 and pH ≥ 7.9

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34
Q

•We want plasma pH to be ____, even though we know arterial and venous blood vary a bit.

A

•We want plasma pH to be 7.4, even though we know arterial and venous blood vary a bit.

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35
Q

•Plasma pH is not always 7.4 because cells are always making _____. Aerobic cells are always producing _____.

A

•Plasma pH is not always 7.4 because cells are always making acid. Aerobic cells are always producing CO2.

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36
Q

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•CO2 reacts with water ____________in the body.

A

•CO2 reacts with water EVERYWHERE in the body.

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37
Q

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•The more CO2 that’s put in water, the more _______ you get.

A

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•The more CO2 that’s put in water, the more proton you get.

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38
Q

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•Always remember: CO2 in aqueous solution is ______!

A

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•Always remember: CO2 in aqueous solution is an acid!

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39
Q

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•The _______ remove CO2 from plasma.

A

CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

•The lungs remove CO2 from plasma.

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40
Q

Normal Values in Plasma!

[HCO3-] =

P CO2 =

A

Normal Values in Plasma!

[HCO3-] = 24 mM/L

P CO2 = 40 mm Hg

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41
Q

CO2 + H2O ↔ H2CO3

•Occurs in……..

A

CO2 + H2O ↔ H2CO3

•Occurs in cells, interstitium, cytoplasm of endothelial cells, plasma, and in RBCs.

42
Q

CO2 + H2O ↔ H2CO3

•This reaction can be catalyzed by ____________.

A

CO2 + H2O ↔ H2CO3

•This reaction can be catalyzed by carbonic anhydrase.

43
Q

CO2 + H2O ↔ H2CO3

•This reaction occurs mostly in……

A

CO2 + H2O ↔ H2CO3

•This reaction occurs mostly in RBCs! (because they have CA)

44
Q

CO2 Diffusion

__________ gradients keep CO2 moving.

A

CO2 Diffusion

•Partial pressure (PP) gradients keep CO2 moving.

45
Q

CO2 Diffusion

•CO2 produced at ______ diffuses into ______ –PP higher in ______ and lower in _______.

A

CO2 Diffusion

•CO2 produced at tissues diffuses into plasma –PP higher in tissues and lower in plasma

46
Q

CO2 Diffusion

•At the lungs, CO2 in plasma diffuses out –PP ______ in plasma and ______ in air

A

CO2 Diffusion

•At the lungs, CO2 in plasma diffuses out –PP higher in plasma and lower in air

47
Q

CO2 Diffusion

•When CO2 goes out, the amount of H2CO3, H+, and HCO3- _____________.

A

CO2 Diffusion

•When CO2 goes out, the amount of H2CO3, H+, and HCO3- DECREASES.

48
Q

CO2 Diffusion

•We want to remove the ______ amount of CO2 that was added by the tissues.

A

CO2 Diffusion

•We want to remove the same amount of CO2 that was added by the tissues.

49
Q

Acidic Conditions

•________________ – CO2 can’t be exhaled, acidic plasma returns to body

A

Acidic Conditions

Airway occlusion (banana in trachea) – CO2 can’t be exhaled, acidic plasma returns to body

50
Q

Acidic Conditions

•__________ of acidic compound

A

Acidic Conditions

Injection of acidic compound

51
Q

Acidic Conditions

•___________ – production of ketoacids

A

Acidic Conditions

Starvation – production of ketoacids

52
Q

Acidic Conditions

•________________: •Glucose → 2 Lactic acid ↔ H+ + Lactate-

A

Acidic Conditions

Anaerobic metabolism: •Glucose → 2 Lactic acid ↔ H+ + Lactate-

53
Q

Acidic Conditions

•Remember: The whole body gets more ______ (even the brain).

A

Acidic Conditions

•Remember: The whole body gets more acidic (even the brain).

54
Q

Fixing Acidic Conditions

•If airway occlusion is not the cause of the acidic condition, the lungs can compensate – _______________gets rid of CO2. What is this process called?

A

Fixing Acidic Conditions

  • If airway occlusion is not the cause of the acidic condition, the lungs can compensate – deeper more rapid breathing gets rid of CO2
  • This is respiratory compensation for excess acid being produced somewhere else.
55
Q

Fixing Acidic Conditions

•↓ CO2 = ? H+

A

Fixing Acidic Conditions

•↓ CO2 = ↓ H+

56
Q

Fixing Acidic Conditions

•Can also get rid of proton by __________ it into urinary filtrate.

A

Fixing Acidic Conditions

•Can also get rid of proton by secreting it into urinary filtrate.

57
Q

Fixing Acidic Conditions

•When a proton is S, a bicarb is ___

A

Fixing Acidic Conditions

•When a proton is S, a bicarb is R.

58
Q

Fixing Acidic Conditions

•Kidneys can also manufacture more ______

A

Fixing Acidic Conditions

•Kidneys can also manufacture more bicarb.

59
Q

•When it comes to acid-base balance, we’re most concerned with the health of the ________ and the ________.

A

•When it comes to acid-base balance, we’re most concerned with the health of the LUNGS and the KIDNEYS.

60
Q

Buffers

•We want a buffer system to _______ protons if [proton] ↓, and to _______ proton if [proton] ↑.

A

Buffers

•We want a buffer system to donate protons if [proton] ↓, and to soak up proton if [proton] ↑.

61
Q

Buffers

•Ideal buffer: _______

A

Buffers

•Ideal buffer: A proton acceptor and proton donor

62
Q

•Good buffers are……

A

•Good buffers are weak acids or weak bases.

63
Q

What is the most important buffer in the intracellular compartment?

A

HPO4 2-

64
Q

What is the second most important buffer in the intracellular compartment?

A

Protein

65
Q

What is the least important buffer in the intracellular compartment?

A

HCO3-

66
Q

What is the most important buffer in the interstitium?

A

HCO3-

67
Q

What is the second most important buffer in the interstitium?

A

HPO4 2-

68
Q

What is the least important buffer in the interstitium?

A

Protein

69
Q

What is the most important buffer (and only significant buffer) in the CSF?

A

HCO3-

70
Q

What is the most important buffer in filtrate?

A

HCO3-

71
Q

What is the second most important buffer in filtrate?

A

HPO4 2-

72
Q

What is the least important buffer in filtrate?

A

NH3

73
Q

What is the most important buffer in Plasma?

A

HCO3-

74
Q

What is the second most important buffer in plasma?

A

Protein

75
Q

What is the least important buffer in plasma?

A

HPO4 2-

76
Q
A
77
Q

Hemoglobin

•CO2 goes into RBCs because there’s a steep _________. H2CO3 dissociates.

A

Hemoglobin

•CO2 goes into RBCs because there’s a steep PP gradient. H2CO3 dissociates.

78
Q

•Hb- is a buffer to soak up _______.

A

•Hb- is a buffer to soak up proton.

79
Q

•RBCs are big bags of Hb, so Hb is the major protein ______ in RBCs.

A

•RBCs are big bags of Hb, so Hb is the major protein buffer in RBCs.

80
Q

•Hemoglobin is the most important ________ buffer in blood.

A

•Hemoglobin is the most important protein buffer in blood.

81
Q

Oxyhemoglobin =

A

Oxyhemoglobin= Oxygen bound to Hemoglobin

82
Q

•Hb can only hold ________, not both.

A

•Hb can only hold O2 or H+, not both.

83
Q

•At the lungs, Hb lets go of H+

explain how…

A

–H+ gets back together with HCO3- to make H2CO3

–H2CO3 turns back into CO2 and H2O

–Now the CO2 can be exhaled.

•At the lungs, Hb is encouraged to let go of H+ by ↑ [O2].

84
Q

•The pK is the pH of a solution when an acid is one half _________ and one half __________.

A

•The pK is the pH of a solution when an acid is one half dissociated and one half protonated.

85
Q

•The pK is the pH at which a buffer is best able to _______

A

•The pK is the pH at which a buffer is best able to buffer.

86
Q

Bicarb:CO2 Ratio

•H2CO3 ↔ H+ + HCO3- has a pK = __

A

Bicarb:CO2 Ratio

•H2CO3 ↔ H+ + HCO3- has a pK = 6.1

87
Q

Bicarb:CO2 Ratio

•This buffer system defends pH of ____

A

Bicarb:CO2 Ratio

•This buffer system defends pH of 7.4

88
Q

Bicarb:CO2 Ratio

•Bicarb is only there because CO2 is there. If HCO3- and CO2 were in _______ pH would be 6.1. So we know there’s a different ratio.

A

Bicarb:CO2 Ratio

•Bicarb is only there because CO2 is there. If HCO3- and CO2 were in equal amounts, pH would be 6.1. So we know there’s a different ratio.

89
Q

•Bicarb:CO2 ratio is ____

A

•Bicarb:CO2 ratio is 20:1

90
Q

•Kidneys maintain ______. Lungs maintain ______.

A

•Kidneys maintain [HCO3-]. Lungs maintain [CO2].

91
Q

What to know HH equation…

Normally, [HCO3-] / (0.03) (PCO2) = 20

  • •If it’s > 20: _________ conditions
  • If it’s < 20: _______ condition
A

Normally, [HCO3-] / (0.03) (PCO2) = 20

  • •If it’s > 20: Alkaline conditions
  • If it’s < 20: Acidic condition
92
Q

Briefly Explain Metabolic Acidosis

A

–Bicarb/CO2 < 20 –Due to something in the body adding too much proton or removing too much base

93
Q

Briefly explain Respiratory Acidosis

A

–Bicarb/CO2 < 20

–Due to problem in respiratory system (Ex: banana in trachea)

–Inability to get rid of enough CO2

94
Q

–The major cause of hypercapnea is _______________.

A

–The major cause of hypercapnea is hypoventilation.

95
Q

Briefly describe Metabolic Alkalosis

A

–Bicarb/CO2 > 20

–Due to something in the body adding too much base or removing too much proton

96
Q

Briefly describe Respiratory Alkalosis

A

–Bicarb/CO2 > 20

–Getting rid of too much CO2 by respiration

97
Q

–Hyperventilation is the most rapid way to ________.

A

–Hyperventilation is the most rapid way to change pH.

98
Q

What will you see in plasma when •HCO3- and CO2 travel together.

A

–One goes ↑ or ↓ due to a problem, and the other also goes ↑ or ↓ in compensation

99
Q

What will you see in plasma with a •Metabolic acid-base disorder:

A

–H+ goes in opposite direction of HCO3- and CO2

100
Q

What will you see in plasma with •Respiratory acid-base disorder:

A

–H+, HCO3-, and CO2 all go in same direction

101
Q

Describe •Metabolic acid-base disorder compensation

A

–Lungs step in to compensate

–Acidosis – hyperventilation to get rid of CO2 to ↓[H+]

–Alkalosis – hypoventilation to hold on to CO2 to ↑[H+]

102
Q
A