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Acid Base Balance
physiology
67
Physiology
Undergraduate 3
08/11/2009

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Term
1. pH is equal to -log of what?
Definition
hydrogen ion concentration [H+]
Term
2. If something is acidic, will it have a high or low pH?
Definition
low (<7)
Term
3. If something is alkaline, will it have a high or low pH?
Definition
high (>7)
Term
4. If the hydrogen ion concentration is high, will it have a high or low pH?
Definition
low (acidic)
Term
5. If the hydrogen ion concentration is low, will it have a high or low pH?
Definition
high (alkaline)
Term
6. What is the range of the pH scale?
Definition
0-14
Term
7. What is a neutral pH?
Definition
7
Term
8. What is the average pH of arteriole blood?
Definition
7.4 (range 7.35-7.45)
Term
9. What blunts (dampens) changes in pH in the body (tries to keep pH from changing)?
Definition
buffers
Term
10. What two organs regulate pH in the body?
Definition
lungs and kidneys
Term
11. Are pH buffers intracellular, extracellular, or both?
Definition
both inside and outside cells
Term
12. What type of buffering system occurrs through plasma proteins and hemoglobin?
Definition
protein buffer system
Term
13. What are the three types of buffering systems?
Definition
protein buffer system / phosphate buffer system / carbon dioxide-bicarbonate buffer system
Term
14. In the protein buffer system, what happens when pH gets too low?
Definition
plasma proteins bind to H+ (removing them from fluid)
Term
15. In the protein buffer system, what happens when pH starts to get too high?
Definition
plasma proteins release H+ (putting them back into fluid)
Term
16. What type of buffering system has a minor role in the blood and a much bigger role intracellularly?
Definition
phosphate buffer system
Term
17. What is the equation (X <--> Y + Z) for the phosphate buffer system?
Definition
H3PO4 <--> H2PO4- + H+
Term
18. What do the equations (X <--> Y + Z) in these buffering systems strive for?
Definition
equilibrium (equal amounts on both sides of arrow)
Term
19. If extra material is added to the right side of the equation (X <--> Y + Z), what will happen?
Definition
the equation will shift to the left (make more of what is on the left)
Term
20. If material on the right is removed and now you have less on the right side of the equation (X <--> Y + Z), what will happen?
Definition
the equation will shift to the right (make more of what is on the right)
Term
21. In the phosphate buffer system, what will happen if pH starts to get too low (too much H+)?
Definition
excess H+ combines with H2PO4- to make more H3PO4 (shift to left)
Term
22. In the phosphate buffer system, what will happen if pH starts to get too high (not enough H+)?
Definition
H3PO4 will break down to release more H+ (shift to right)
Term
23. What type of buffering system is the strongest buffer system?
Definition
carbon dioxide/bicarbonate buffer system
Term
24. What is the equation for the carbon dioxide/bicarbonate buffer system?
Definition
CO2 + H2O <--> H2CO3 <--> H+ + HCO3-
Term
25. Is H2CO3 very stable, or does it dissociate quickly?
Definition
dissociates quickly
Term
26. What happens in the carbon dioxide/bicarbonate buffer system when pH gets too low?
Definition
excess H+ combines with HCO3- which will lead to an increase in CO2 (shift to left)
Term
27. What happens in the carbon dioxide/bicarbonate buffer system when pH gets too high?
Definition
CO2 in body will combine with water which will lead to the breakdown of H2CO3 to release more H+ (shift to right)
Term
28. What will take over when the buffer systems get overwhelmed and cannot control the problem?
Definition
the lungs and kidneys
Term
29. Which organ that regulates pH is not very powerful but responds quickly?
Definition
lungs
Term
30. Which organ that regulates pH is powerful but takes days to correct problem?
Definition
kidneys
Term
31. After buffer systems fail to maintain pH, what is the first response?
Definition
lungs (respiratory compensation)
Term
32. When there is a change in pH, what is the second response?
Definition
kidneys (metabolic compensation)
Term
33. What will the lungs do to compensate for a decrease in pH?
Definition
increase ventilation to get rid of excess CO2 produced from the left shift of the equilibrium equation (because of excess H+)
Term
34. What will the lungs do to compensate for an increase in pH?
Definition
decrease ventilation (keep CO2, so + H2O, equation shifts to right, get more H+)
Term
35. What will the kidneys do to compensate for acidosis (low pH)?
Definition
increase secretion of H+ / increase reabsorption of HCO3- (want to keep HCO3- so will combine with H+ to remove H+ from blood)
Term
36. What will the kidneys do to compensate for alkalosis (high pH)?
Definition
decrease secretion of H+ / decrease reabsorption of HCO3- (want to keep H+ in blood)
Term
37. Is our blood normally slightly acidic or slightly alkaline?
Definition
slightly alkaline
Term
38. What is the normal concentration of HCO3- in our blood?
Definition
22-26 mEq/L
Term
39. What is the normal partial pressure of CO2 in our blood?
Definition
35-45 mm Hg
Term
40. What is the ratio derived from the Henderson-Hasselbach equation that helps estimate pH?
Definition
[HCO3-] / [dissolved CO2]
dissolved CO2 = solubility coefficient for CO2 * PCO2 = 0.03 * PCO2
Term
41. If the ratio ([HCO3-]/[dissolved CO2]) is equal to 20, what will the pH be?
Definition
7.4 (normal)
Term
42. If the ratio ([HCO3-]/[dissolved CO2]) is less than 20, will you have an acidic or alkaline pH?
Definition
acidic (< 7.4)
Term
43. If the ratio ([HCO3-]/[dissolved CO2]) is greater than 20, will you have an acidic or alkaline pH?
Definition
alkaline (> 7.4)
Term
44. Is the acid-base disturbance respiratory or metabolic if the problem involves CO2?
Definition
respiratory
Term
45. Is the acid-base disturbance respiratory or metabolic if the problem involves HCO3-?
Definition
metabolic
Term
46. If you increase PCO2 above normal range, would you have acidosis or alkalosis?
Definition
acidosis (making denominator larger decreases pH)
Term
47. If you increase HCO3- above normal range, would you have acidosis or alkalosis?
Definition
alkalosis (making numerator larger increases pH)
Term
48. What acid-base disturbance is due to increased CO2 in arteriole blood (high PCO2)?
Definition
respiratory acidosis
Term
49. What acid-base disturbance is due to decreased CO2 in arteriole blood (low PCO2)?
Definition
respiratory alkalosis
Term
50. What acid-base disturbance is due to decreased HCO3- in arteriole blood (low HCO3-)?
Definition
metabolic acidosis
Term
51. What acid-base disturbance is due to increased HCO3- in arteriole blood (high HCO3-)?
Definition
metabolic alkalosis
Term
52. What acid-base disturbance is caused by hypoventilation (poor gas exchange in lungs, pulmonary diseases- bronchitis, fibrotic lung disease)?
Definition
respiratory acidosis (hypoventilation increases CO2)
Term
53. What acid-base disturbance would someone have if they overdosed on barbituates?
Definition
respiratory acidosis (barbituates decrease respiratory rate - increases CO2 left in body)
Term
54. What acid-base disturbance is caused by hyperventilation?
Definition
respiratory alkalosis
Term
55. Would hyperthyroidism, anxiety, and ACUTE aspirin toxicity cause hyperventilation or hypoventilation?
Definition
hyperventilation (respiratory alkalosis)
Term
56. What acid-base disturbance is caused by kidney disease, diarrhea, or CHRONIC aspirin toxicity?
Definition
metabolic acidosis
Term
57. What acid-base disturbance is caused by diuretics or overdose on alkaline drugs (like Tums)?
Definition
metabloic alkalosis
Term
58. Would gastric vomiting cause metabolic acidosis or alkalosis?
Definition
metabolic alkalosis
Term
59. Would duodenal vomiting cause metabolic acidosis or alkalosis?
Definition
metabolic acidosis
Term
60. What type of problem would lead to respiratory compensation?
Definition
a metabolic problem
Term
61. What type of problem would lead to metabolic compensation?
Definition
a respiratory problem
Term
62. Can the lungs completely compensate for a metabolic disturbance?
Definition
no - not powerful enough
Term
63. How do the lungs compensate for metabolic acidosis?
Definition
increase ventilation to get rid of CO2 so the equation will shift to left (decrease H+)
Term
64. How do the lungs compensate for metabolic alkalosis?
Definition
decrease ventilation (keep CO2 so equation will shift to right to increase H+)
Term
65. Can the kidneys completely compensate for a respiratory disturbance?
Definition
yes - very powerful
Term
66. How do the kidneys compensate for respiratory acidosis?
Definition
increase secretion of H+ and increase reabsorption of HCO3-
Term
67. How do the kidneys compensate for respiratory alkalosis?
Definition
decrease secretion of H+ and decrease reabsorption of HCO3-
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