Regulation of Homeostasis by the Kidney: Acid-Base Balance Flashcards

1
Q

What is a negative feedback loop?

A
  • the bodies way of maintaining homeostasis
  • feedback is recieved and the negative feedback encourgaes the body to correct it
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2
Q

What do acids and bases do with H+?

A
  • acid = release into solution
  • base = remove from solution
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3
Q

What is generally inevitable if the pH drops below 6.8 or rises above 8?

A
  • death
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4
Q

What is the main buffering enzyme in the body?

A
  • carbonic anhydrase
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5
Q

What 2 systems in the body are able to buffer the pH?

A
  • lungs
  • kidneys
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6
Q

The Henderson-Hasselbalch Equation is the reaction caused by which enzymatic buffer in the body?

A
  • CO2 + H2O = H2CO3 = HCO3- + H+
  • H2CO3 is carbonic acid
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7
Q

The Henderson-Hasselbalch Equation is:

CO2 + H2O = H2CO3 = HCO3- + H+

  • H2CO3 is carbonic acid

Which parts of this equation can be regulated by the lungs and kidneys?

A
  • lungs = PCO2
  • kidneys = HCO3-
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8
Q

Why is urine slighhtly acidic?

A
  • body removes excess H+ through urine
  • lots of H+ increases acidity
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9
Q

The kidneys are unable to produce urine with a pH below what?

A
  • 4.5
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10
Q

H+ that are present in tubulur cells leave the tubules and cross the apical membrane and into the lumen. In order for H+ to leave the tubule cells what has to enter the tubules through a cotransporter?

A
  • Na+
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11
Q

H+ that are present in tubulur cells leave the tubules and cross the apical membrane and into the lumen in exchange for a Na+ ion moving into the tubulur cells. Once HCO3- and H+ come together, what reaction occurs and what is formed?

A
  • carbonic anhydrase converts HCO3- and H+ into CO2 and H2O
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12
Q

H+ that are present in tubulur cells leave the tubules and cross the apical membrane and into the lumen in exchange for a Na+ ion moving into the tubulur cells. Once HCO3- and H+ come together, carbonic anhydrase converts HCO3- and H+ into CO2 and H2O, which can then freely move into the tubular cells. What then happens to the CO2 and H2O?

A
  • carbonic anhydrase converts CO2 and H2O back into HCO3- and H+
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13
Q

Once HCO3- has made its way into the tubules, how is it able to make its way into the blood capillaries?

A
  • through a Na+ / HCO3- cotransporter
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14
Q

In addition to entering the blood capillaries through a Na+ / HCO3- cotransporter, HCO3- is able to enter the capillaries from the tubules in way, what is this?

A
  • through a Cl- / HCO3- cotransporter
  • Cl- leaves the capillaires
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15
Q

If H+ ions are leacing the tubular cells and entering the lumen, this can affect the electronic charge across the membrane. What + ion enters the tubules to balance out the H+ leaving?

A
  • Na+
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16
Q

In the distal tubules, what is exchanged in order for H+ to leave the tubuler cells and enter the lumen where urine is?

A
  • Na+
  • ensures electroneutrality
17
Q

How does the respiratory system cause acidosis?

A
  • inadequate ventilation
  • CO2 in blood rises (combines with H2O to form carbonic acid)
  • can be acute or chronic
18
Q

How can metabolic problems cause metabolic acidosis?

A
  • all conditions other than respiratory that decrease pH
  • increased non-volatile acids from metabolism (e.g. lactic acid)
  • can be acute or chronic
19
Q

What GIT symptom can cause metabolic acidosis?

A
  • diarrhoea
20
Q

How can the respiratory system cause respiratory alkalosis?

A
  • hyperventilation
  • CO2 in blood falls (H+ combines with HCO3- to form carbonic acid)
  • can be acute or chronic
21
Q

What can cause metabolic alkalosis?

A
  • all conditions other than respiratory that increase pH
  • frequently due to exogenous substances
  • usually chronic
22
Q

What 2 boildy fluids can cause a loss of H+ and contribute towards metabolic alkalosis?

A
  • urine
  • vomit