role of the kidneys in acid base balance Flashcards

1
Q

in venous blood slightly lower than arterial blood

A

ph of the blood

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2
Q

in normal condition the metabolites formed in the body are mostly

A

acids

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3
Q

CO2 formed by metabolism in tissues is hydrated to

A

H2CO3 ( carbonic acid )

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4
Q

metabolism of sulfur-containing amino acids produces

A

H2SO4 ( sulphuric acid )

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5
Q

metabolism of phosphorylated amino acids produces

A

H3PO4+ ( phosphoric acid )

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6
Q

most of CO2 is excreted in the lungs the remaining hydrogen ions is excreted by the

A

kidneys

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7
Q

role of kidneys in acid base balance include

A
  • reabsorption of the filtered bicarbonate ( HCO3 )
  • formation of new HCO3
  • excretion of the hydrogen ion ( H+ )
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8
Q

in normal condition and acidosis

A

all HCO3 is reabsorbed and acidic urine is voided

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9
Q

in alkalosis excess

A

HCO3 is excreted and alkaline urine is voided

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10
Q

H+ is secreted allover the renal tubules except the

A

descending limb of loop of henle

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11
Q

in the proximal tubules reaction that primarily responsible for H+ secretion

A

is Na+-H+ exchange { secondary active transport}

sodium–hydrogen antiporter or sodium–proton exchanger

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12
Q

mechanism of sodium–hydrogen antiporter

A

for each H+ secreted, one Na+ and one HCO3 enter the interstitial fluid

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13
Q

in the distal tubules and collecting ducts most H+ is secreted by

A

an ATP-driven proton pump

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14
Q

part of the renal tubule secrete acid

A

i cells

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15
Q

in the proximal tubule most of the secreted H+ reacts with

A

HCO3- to form H2CO3

bicarbonate carbonic acid

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16
Q

H2CO3 breaks down to form

A

CO2 and H2O

17
Q

carbonic anhydrase is located in

A

brush border of the cells in the proximal tubule

18
Q

facilitates the formation of CO2 and H2O in the tubular fluid

A

carbonic anhydrase

19
Q

CO2 diffusion in renal

A

readily across the cell membrane enters the tubular cells

20
Q

NH3 ( ammonia ) is synthesised from

A

glutamine

21
Q

lipid soluble

A

NH3 ( ammonia )