Regulation od acid/base balance Flashcards

1
Q

What is pH?

A

A measure of the conc of protons/H+

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2
Q

Metabolic reactions produce an excess of what?

A

H+ and CO2

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3
Q

What is the function of buffer systems?

A

Act quickly to temporarily bind excess H+ or OH -, sequestering (hiding) the highly reactive ions until they can be permanently excreted

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4
Q

How do the lungs act to maintain acid-base balance?

A

Change the rate and depth of breathing

- CO2 is exhaled or retained, and blood pH is corrected

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5
Q

What are the limitations of respiratory system for correction of acid-base balances?

A
  • only functions when the respiratory system and control centres are working normally
  • limited by the availability of bicarbonate ions
  • Cannot protect the ECF from pH changes due to increased or depressed CO2 levels
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6
Q

How are some proteins secreted in the PCT and LOH?

A

Via NH4 sodium antiporter on the apical membrane

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7
Q

Which two types of intercalated cells are found in the distal nephron and when do they work?

A
Type A (alpha) cells work during acidosis
Type B (beta) cells work during alkalosis
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8
Q

What is the main function of alpha cells?

A

Synthesise and absorb brand new bicarbonate ions

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9
Q

What is the main function of beta cells?

A

Secrete HCO3- into filtrate exchange for chloride ion causing absorption of “new” H+

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10
Q

In the kidney what 2 substances in the filtrate act as buffers?

A

Ammonia and phosphate ions

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11
Q

When does respiratory acidosis occur?

A

whenever CO2 accumulates because of hypoventilation. In healthy animals CO2 never accumulates in arterial blood

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12
Q

When does metabolic acidosis occur?

A

whenever non-respiratory acids accumulate, or the acid load is normal, but bicarbonate is deficient.

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13
Q

What type of compensation is there for a respiratory acidosis?

A

Metabolic compensation

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14
Q

How are blood test results interpreted for an acidosis or alkalosis?

A

Look at pH scale first – acidosis/alkalosis

- If acidosis look at values of pCO2 and bicarbonate

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