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24 Cards in this Set

  • Front
  • Back
Acid/Base Equation

What happens if you add a strong base?
HA<->H+ + A-

system will move right - more H+ will form so it can react with the OH
Buffers

H&H Equation
Regulate pH inside and outside cells. solution of weak acid and its conjugate base

pH= pka +log [CB/HA]
pka represents pH at which a weak acid is ____ dissociated
50 percent
what are 2 system constraints of weak acid buffer systems?
1. weak acids only buffer at pH near their pKa.
2. Buffering depends on the concentration of the weak acid and its CB. The more weak acid present the more it can neutralize by dissociation of the acid. The more CB present, the more H+ can be neutralized.
What is the intracellular buffer? What is the blood buffer system?
1. organic phosphate buffer system
2. Bicarbonate/CO2 buffer system
what is the barcarb/CO2 buffer system reaction?
CO2(gas)↔CO2(dissolved)+H20↔H2CO3↔H+HCO3-
HH equation for CO2/Bicarb buffer system
pH=6.10+log [HCO3-]/[CO2] dissolved
Why is the bicarb buffer system considered an open system?
body responds to changes in CO2 and HC03. While the pka is 6.10 and the pH is 7.4 in the body, the bicarb buffer is still effective because of the RATIO of HCO3 to CO2, which determines the pH. pH=pka+log[CB/HA]
Lungs control ______ & kidneys control _________
1. CO2
HCO3 (bicarbonate)
Acidemia
blood pH lower than 7.35
Respiratory Acidosis
1. Acidosis due to increased PCO2
Respiratory Acidosis imbalances and compensation
decreased lung function, too much CO2, so don't breath hard enough. Kidneys compensate by increasing HCO3-
Respiratory acidosis causes
asthma, bronchitis, obesity, sedatives/anesthesia (too much CO2 so don't breath hard enough)
Metabolic Acidosis definition
acidosis due to decrease in HCO3 (increased H concentration)
Metabolic Acidosis Causes
Renal failure, methanol poisoning, diabetic ketoacidosis
Metabolic Acidosis Compensation
HCO3 goes down, then PCO2 will go down (rapid breathing/blowing off CO2)
Alkalemia
blood pH greater than 7.45
Alkalosis
process tending to raise pH
Respiratory Alkalosis
Alkalosis due to decreased PCO2 - hyperventalation (reduction of extracellular PCO2)
Respiratory Alkalosis Causes
Anxiety, pain, high altitude, mechanical hyperventilation (breath harder)
Respiratory alkalosis compensations
PCO2 decreases - thus the kidney tries to decrease HCO3- through urine excretion
Metabolic Alkalosis definition
alkalosis due to increased HCO3 (hypoventalation occurs to increase the PCO2).

Lungs slow breathing to increase PCO2. Can occur due to overdose of antacids - they take way all the H+
Metabolic Alkalosis Causes
too many antacids, acute alkali adminstration, vometing, gastric aspirations, diuretics
Mixed acid-base disorders
pt presents with lung disease (respiratory acidosis) and on diuretics (metabolic alkalosis) and may present with normal pH.