Renal - Acid-Base Disorders Flashcards

1
Q

H+ ions are endlessly recycled in the kidneys in the absorption of _______-.

A

H+ ions are endlessly recycled in the kidneys in the absorption of HCO3-.

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2
Q

Ammoniagenesis occurs in the kidney with ___________ as a starting substrate.

A

Ammoniagenesis occurs in the kidney with glutamate as a starting substrate.

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3
Q

Glutamate breakdown in the kidneys generates _______ and _______.

A

Glutamate breakdown in the kidneys generates HCO3- and NH3.

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4
Q

True/False.

Phosphate acts as a urinary buffer.

A

True.

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5
Q

Net acid excretion = urinary titratable acid - ________ + ________.

A

Net acid excretion = urinary titratable acid - HCO3- + NH4+.

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6
Q

What are the three steps of working up an acidosis or alkalosis?

A
  1. Check pH
  2. Check pCO2
  3. Check HCO3-
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7
Q

What is Winter’s formula used to calculate?

A

The expected pCO2

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8
Q

What is Winter’s formula?

A

pCO2 = (1.5 (HCO3-) + 8) plus or minus 2

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