Respiration Lecture 11: Resp. Acid-Base Balance Flashcards

0
Q

Base

A

ion or molecule that can accept a H+ atom. A- in HH equation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Acid

A

molecules containing H+ atoms that can be released into solutions. HA in HH equation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When is buffer system most resistant to changes in H+?

A

When pH = pK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Normal extracellular pH range

A

7.35-7.45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 main mechanisms to keep pH within normal limits

A

1) extracellular buffering (don’t actually remove H+ from system)
2) adjustments to blood PCO2 by altering the ventilatory capacity of the lungs (<—THE MAIN METHOD…KNOW!)
3) adjustments to renal acid excretion or base reabsorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acidemia

A

acidic blood (high H+ conc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Alkalemia

A

alkaline blood (low H+ conc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where is H ion state measured?

A

receptors in CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

weak acid or base

A

acid or base that incompletely dissociates. (pK is such that it doesn’t completely dissociate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

buffer

A

reduces changes in pH resulting from the addition of strong acids or bases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is greatest source of H+?

A

CO2 (via oxidation of glucose and fatty acids during metabolism)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CO2 is an example of what type of acid?

A

volatile acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Non-volatile acids that are sources of H+ in metabolism

A

sulfuric, phosphoric, hydrochloric, and lactic acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The #1 blood buffer

A

Bicarbonate ***** Most important because the buffered H+ ion it can carry can be removed by both the renal and respiratory systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Other blood buffers besides bicarbonate

A

phosphate, proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Henderson-Hasselbalch Equation

A

HA H+ + A- and pH = pKa + log [A-]/[HA] DNK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many pH units around pK can buffer act?

A

+/- 1 pH unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Buffer strength is directly proportional to ?

A

concentration of paired buffer components

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Non-bicarbonate buffer systems

A

Phosphate buffer system

Protein buffer system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Bicarbonate buffer system **

A

utilizes carbonic anhydrase reaction to maintain blood pH. carbon dioxide (CO2) combines with water to form carbonic acid (H2CO3), which in turn rapidly dissociates to form hydrogen ions and bicarbonate (HCO3- ) as shown in the reactions below. The carbon dioxide - carbonic acid equilibrium is catalyzed by the enzyme carbonic anhydrase; the carbonic acid - bicarbonate equilibrium is simple proton dissociation/association and needs no catalyst. An OPEN SYSTEM via elimination of CO2 and H+ to the environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Carbonic anhydrase reaction

A

CO2 + H2O H2CO3 H+ + HCO3-

CO2 = acid (proton donor)
HCO3 = base (proton acceptor)
H+ = free proton responsible for setting pH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

If alveolar pressure decreases due to hypoventilation, what happens to pH?****

A

increase in PCO2, so pH decreases (increase in H+)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Phosphate buffer system reaction

A

H2PO4 H+ + HPO4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What happens to acidity of Hb as O2 leaves?

A

Decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
deoxyhemoglobin
Hb that is desaturated of O2
25
Hb protein buffer system
Hb becomes more acidic when it binds O2, allowing less CO2 to be transferred as bicarbonate and vice versa.
26
Which two organs regulate the bicarbonate buffer system?
lungs and kidneys
27
Only way to ELIMINATE H+ ?
via blown off CO2 or renal excretion
28
most important blood borne protein buffer
Hb
29
protein with highest conc. in blood
Hb
30
Is Hb classified as extracellular or intracellular?
extracellular
31
Where is phosphate buffer system strongest and why?
kidney. Env. is more acidic and phosphate is higher
32
How does bicarbonate buffer system compensate for its low pK?
By being an open system
33
organ that releases the largest amount of acid
resp. system
34
primary body systems that regulate H+
respiratory, renal, and gastrointestinal
35
How does removal of CO2 also remove H+?
For every molecule of CO2 eliminated, an H+ is bound to H2O removing it from solution
36
2nd most important buffer in the body
proteins (ex: Hb, myoglobin)
37
Increasing V'A --> PaCO2?
decrease
38
Respiratory acidemia
low pH due to change of breathing. A retention of CO2 generally caused by respiratory problems such as hypoventilation
39
Respiratory alkalemia
high pH due to change of breathing. Excessive loss of CO2 generally caused by hyperventilation
40
Metabolic acidemia
low pH due to change in body metabolism
41
Metabolic alkalemia
high pH due to change in body metabolism
42
How does bicarb. buffer system react to increased acid?
driving force to L. More CO2 will be released by lungs via increased ventilation (i.e. "ketone breathe")
43
How does bicarb. buffer system react to increased CO2?
driving force to R. More HCO3- removed by kidneys
44
low pH, high PaCO2 indicates:
respiratory acidemia
45
high pH, low PaCO2 indicates:
respiratory alkalemia
46
low pH, low PaCO2 indicates:
metabolic acidemia
47
high pH, high PaCO2 indicates:
metabolic alkalemia
48
High PaCO2 --> HCO3- concentration?
also high.
49
blood buffer line on Davenport diagram represents:
buffering capacity of blood
50
4 types of acid-base disturbances
respiratory acidemia respiratory alkalemia metabolic acidemia metabolic alkalemia
51
How is respiratory acidemia compensated?
metabolically (i.e. kidney retain base HCO3-)
52
How is respiratory alkalemia compensated?
metabolically (i.e. kidney loses net base HCO3-)
53
FIRST priority in compensating for an acid-base disturbance
Restore pH
54
possible causes of metabolic acidemia
diabetes, heart failure, renal failure, diarrhea. Addition/retention of non-volatile acid, or loss of base.
55
possible causes of metabolic alkalosis
loss of non-volatile acid, intake of base. I.e. - vomiting
56
Compensation for metabolic acidemia
respiratory compensation. Lungs excrete more CO2 via hyperventilation
57
Compensation for metabolic alkalosis
respiratory compensation. Lungs excrete less CO2 via hypoventilation
58
*Review Davenport Diagram in notes*
:)
59
Possible causes of respiratory acidosis
insufficient ventilation, CNS depression, obesity, etc.
60
Possible causes of respiratory alkalosis
CNS mediated hyperventilation, peripheral stimulation of ventilation, hypoxemia, pregnancy, etc.
61
pH =
-log[H+]. Also, pH = constant + Kidneys/Lungs