role of the kidneys in acid base balance Flashcards
in venous blood slightly lower than arterial blood
ph of the blood
in normal condition the metabolites formed in the body are mostly
acids
CO2 formed by metabolism in tissues is hydrated to
H2CO3 ( carbonic acid )
metabolism of sulfur-containing amino acids produces
H2SO4 ( sulphuric acid )
metabolism of phosphorylated amino acids produces
H3PO4+ ( phosphoric acid )
most of CO2 is excreted in the lungs the remaining hydrogen ions is excreted by the
kidneys
role of kidneys in acid base balance include
- reabsorption of the filtered bicarbonate ( HCO3 )
- formation of new HCO3
- excretion of the hydrogen ion ( H+ )
in normal condition and acidosis
all HCO3 is reabsorbed and acidic urine is voided
in alkalosis excess
HCO3 is excreted and alkaline urine is voided
H+ is secreted allover the renal tubules except the
descending limb of loop of henle
in the proximal tubules reaction that primarily responsible for H+ secretion
is Na+-H+ exchange { secondary active transport}
sodium–hydrogen antiporter or sodium–proton exchanger
mechanism of sodium–hydrogen antiporter
for each H+ secreted, one Na+ and one HCO3 enter the interstitial fluid
in the distal tubules and collecting ducts most H+ is secreted by
an ATP-driven proton pump
part of the renal tubule secrete acid
i cells
in the proximal tubule most of the secreted H+ reacts with
HCO3- to form H2CO3
bicarbonate carbonic acid