Renal Phys ML: 10

Question 1

What can H+ ions alter

Answer 1

enzyme function which changes the shape of proteins

Question 2

How does respiration rapidly adjust pH levels

Answer 2

by changing CO2 levels

Question 3

How do the kidneys slowly adjust pH levels

Answer 3

changes in bicarb levels

Question 4

How do you gain H+ ions

Answer 4

• generation of H+ from CO2
• production of nonvolatile acids from the metab of proteins
• Gain of H+ due to loss of bicarb in diarrhea or other nongastric GI fluids
  -Gain of H+ due to loss of bicarb in the urine

Question 5

How do you lose H+ ions

Answer 5

-utilization of H+ in the metabolism of various organic anions
-loss of H+ in vomit
-Loss of H+ (priamrly in the form H2PO4- and NH4+) in the urine
-Hypervenilaition

Question 6

Higher pH= fewer H+ =

Answer 6

alkaline

Question 7

Less pH= more H+=

Answer 7

acidic

Question 8

what does respiratory acidosis mean?

Answer 8

cause: respiratory
condition: acidosis

Question 9

What is the result of respiratory acidosis?

Answer 9

increased H+

Question 10

How do you fix respiratory acidosis?

Answer 10

renal compensation to increase bicarb

Question 11

What does respiratory alkalosis mean?

Answer 11

cause: respiratory (hypervetilation, low CO2)
conditon: alkalosis (decreased H+)

Question 12

How do you fix respiratory alkalosis?

Answer 12

renal compensation to decrease bicarb (excrete)

Question 13

What does metabolic acidosis mean?

Answer 13

cause: anything that is not respiratory ( increased H+)
condition: less bicarb

Question 14

How do you fix metabolic acidosis

Answer 14

hyperventilation to lower co2

Question 15

What does metabolic alkalosis mean?

Answer 15

cause: anything that is not respiratory (low H+)
condition: increase bicarb

Question 16

How do you fix metabolic alkalosis?

Answer 16

hypoventilation to increase CO2