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20 Cards in this Set

  • Front
  • Back

Acid base balance defined

The regulation of H+ in body fluids.



* most important aspect of homeostasis

Acidosis

A high concentration of H+, pH over 7.4

Alkalosis

A low concentration of H+, a pH below 7.4

Normal pH

7.4

3 Systems that regulate pH

Buffer, Respiratory, Kidney

Buffer system

All body fluids are supplied with buffer systems, combine immediately with acid or base. Acts within seconds

Respiratory Center

Elevated H+, stimulates to increase rate of breathing to blow off excess CO2. Acute adjustment in 1•12 minutes. Chronic adjustment in a day.

Kidneys

∆ from 7.4, alkaline or acid urine excreted. *Most Powerful acid•base system. Hours to days to ∆ pH

3 Buffer Systems

Bicarbonate, Phosphate, Protein

Bicarbonate Buffer System

Most important buffer, CO2 stimulate respiratory system & HCO3 regulated by kidney. pH regulated up/down.

Phosphate Buffer System

Most powerful buffet. Proteins of cells & plasma high concentrations.


2 sides Carboxyl end (acid) releases H+ when pH rises. Amino end ( base) bonds to H+ if pH is too low.



Hemoglobin inside RBC's is a good buffet for H2CO3(carbonic acid).



3/4 of chemicals buffering power...

Of body fluids is inside the cross, most results from intracellular protein

Respiratory System

Concentration of H+ in arterial blood & aveolar ventilation.


Physiological type of buffer system


H+ too high, respiratory system

Becomes more active, ventilation increases. CO2 concentration decreases, H+ returns to normal

H+ too low, respiratory system

Becomes depressed:alveolar ventilation drops, H+ concentration returns to normal

When respiratory system cannot fix pH

When some abnormality outside the respiratory system has ∆ Phone.

Kidneys

Control ECF H+ concentration by excreting acidic or alkalonic urine.


Large amounts of HCO3 ions filtered:

Continually into glomerular filtrate removes base from blood

Oppositely large amounts of H+ ions:

Are secreted at the same time into renal tubular lumens removing H+ from ECF

Respiratory acidosis example causes

•damage to respiratory system


•obstruction of passage of respiratory tractor


•pneumonia


•decreased pulmonary membrane area


•any factor that interferes with gas exchange between blood & alveolar air