renal 7 - acid base Flashcards

1
Q

when is arterial plasma pH acidosis

A

when its under 7.35

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2
Q

when is arterial plasma pH alkylosis

A

when its above 7.45

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3
Q

what is the pH for normal ACF

A

between 7.35 and 7.45

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4
Q

which pH are fatal

A

under 6.8 above 7.8

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5
Q

what is an acid in terms of H+

A

releases H+ in solution

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6
Q

what is an base in terms of H+

A

accepts H+ in solution

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7
Q

what is a volatile acid

A

CO2

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8
Q

what is a non volatile acid

A

organic and inorganic acids from other sources than CO2

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9
Q

what does metabolism of sulfur containing amino acids produce

A

sulfuric acid, a non volatile acid

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10
Q

what does metabolism of lysine, arginine and histidine produce

A

hydrochloric acid

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11
Q

what is a buffer

A

any substance that binds to H+

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12
Q

what is a buffer composed of

A

a weak acid and its conjugate base

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13
Q

what is the buffer in the extracellular system

A

CO2 HCO3-

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14
Q

what are the intracellular buffers

A

phosphate ions and proteins

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15
Q

what are the intracellular buffers

A

hemoglobin

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16
Q

which organs are responsible for balancing [H+]

A

kidneys and lungs

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17
Q

what does carbonic anhydrase do

A

turn CO2 +H2O into H2CO3-

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18
Q

what causes the generation of H+ from H2 CO3-

A

passage of blood through peripheral tissues

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19
Q

do lungs regulate H+ long term or short term

A

short term

20
Q

what causes respiratpry inbalances

A

hyper/oventilation, resp. malfunction

21
Q

what does high [H+] do to ventilation

A

stimulates

22
Q

what does low [H+] do to ventilation

23
Q

do kidneys regulate H+ long term or short term

24
Q

what do kidneys do to help alkalosis

A

kidneys excrete more bicarbinate

25
what do kidneys do to help acidosis
kidneys synthesize new bicarbonate and send it into blood
26
what is the reabsorption of HCO30 dependent on
H+ secretion
27
is most of HCO3- reabsorbed or secreted normally
reabsorbed
28
is reabsorption of HCO3- active or passive
active
29
where does reabsorption of HCO3- happen
proximal tubule, ascending loop of Henle, cortical collecting duct
30
why isnt there H+ in urine
because bicarbonate that was filtered in the lumen combines with H+ then CO2 gets reabsorbed
31
what is the transport mechanism of H+
depends on the part of the tubule segment
32
how does the body respond to acidosis (mechanism 1)
addition of HCO3- in plasma by binding the H+ to HPO4- (net gain of HCO3- in plasma)
33
how does the body respond to acidosis (mechanism 2)
uptake of glutamine from filtrate or peritubular plasma which forms NH4+ and HCO3- causes active secretion of NH4+ (counter Na/NH4 pump) and the reabsorption of HCO3- in plasma
34
where does the addition of HCO3- to plasma via glutamine happen
in proximal tubule only
35
what happens to glutamine metabolism in alkalosis
decerase
36
what happens to ammonium excretion in alkalosis
decrease
37
what causes respiratory acidosis (2 things)
- decreased ventilation | - increased blood PCO2
38
how does kidney respond to respiratory acidosis
kidneys compensate by secreting H+ (either bound to HPO4 2- or excrete NH4+ from glutamine)
39
what disease can cause respiratory acidosis
emphysema
40
what causes respiratory alkalosis (2 things)
hyperventilation, decreased blood PCO2
41
what environment can cause respiratory alkalosis
high altitude
42
how does kidney respond to respiratory alkalosis
excreting HCO3- in urine
43
can the kidney excrete acidic or basic urine
ya both
44
when can metabolic acidosis happen (2 illness, 1 other)
diarrhea (loss of bicarbonate), diabetes mellitus (cant reabsorb what has been filtered), severe exercise (anaerobic, lactic acid production)
45
what does metabolic acidosis result in
increased ventilation and increased H+ secretion
46
what does metabolic alkalosis result in
decreased ventilation and increased HCO3- excretion
47
what illness can cause metabolic alkalosis
prolonged vomiting