Renal Acid Base Mechaninsms Inv In Reg Of Hydorgen Ions In Plasma Flashcards

1
Q

What can acidosis and alkalosis lead to

A

Acidosis - depression of cns

Alkalosis - over excitability of pNS and later CNS

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2
Q

What can hydrogen ions do to enzymes and pottasium levels

A

Marked influence on enzyme activity

Influence pottasium levels

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3
Q

How are hydrogen ions added

A

Carbonic acid formation
Inorganic acids produced during breakdown of nutrients
Organic acids resulting form metabolism

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4
Q

What is the Henderson hasselbach equation

A

PH = pk + log(a)/(ha)

A= base 
Ha = acid
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5
Q

What is the most important buffer physiological system

A

Co2-HCo3 buffer

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6
Q

How is carbonic acid formed

A

Carbon dioxide plus water with the action of carbonic anhydrase forms carbonic acid

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7
Q

What is the role of the kidney in control of the plasma concentration of bicarbonate

A

Variable reabs of filtered bicarbonate

Kidneys can add new bicarbonate to the blood which is imp to treat acidosis

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8
Q

What su another buffer

A

Phosphate

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9
Q

The excess amount of hydrogen excreted as hydrogen phosphate can be measured as

A

Titratable acid

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10
Q

Action of ammonia as a tubular buffer

A

Acid excreted as ammonium

New bicarbonate formed

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11
Q

The vast majority of hydrogen ion secretion used for

A

Bicarbonate reabs to prevent acidosis

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12
Q

Excretion of tetra table acid and ammonium

A

Rudd the body simultaneously of acid load and regen buffer stores

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13
Q

What is the ph of blood

A

7.4

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