Module 7.3 - Acid-Base (pH) Balance Flashcards

(42 cards)

1
Q

What the 2 main compartments of the body where water is found? How much fluid do each of them account for in 150 lb male?

A

intracellular and extracellular fluid
intracellular = 60% or 25 liters
extracellular = 40% or 15 liters

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2
Q

What are the 2 sections of extracellular fluid? And how much fluid do they account for in 150 lb male?

A

the plasma and interstitial fluid
plasma = 8% or 3 liters
interstitial = 32% or 12 liters

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3
Q

What is acid-base balance?

A

refers to the balance of the concentration of H+ in the blood, a higher concentration of H+ present in solution means it’s more acidic

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4
Q

What is the difference between strong acids and weak acids in solution?

A

strong acids produce H+ making the solution more acidic, whereas weak acids do not significantly decrease pH because their H+ is tightly bound and cannot dissolve

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5
Q

What happens when bases dissolve in water?

A

the OH- that is produced combines with H+ making solution more alkaline

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6
Q

What is the normal pH of arterial blood? And why is it important?

A

between 7.35 and 7.45
all proteins are dependent on narrow pH range in fluid which they function, particulary enzymes that control the rate of all metabolic reactions

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7
Q

What are alkalosis and acidosis?

A

condition where the arterial blood rises above 7.45 (alkalosis) or below 7.35 (acidosis)

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8
Q

What is the normal state of venous blood and interstitial fluid?

A

they have a lower pH because of acidic materials produced by cellular metabolism, which is the prinicipal method through which acids enter the body

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9
Q

What 3 main methods does the body use to control blood pH?

A

chemical buffer systems, the brain stem respiratory center, and the renal system

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10
Q

What are chemical buffer systems? And how fast do they work?

A

they react within seconds to minimize changes in pH by binding free H+ or free OH-

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11
Q

What are chemical acid-base buffers composed of?

A

combinations of a weak acid and its anion or a weak base and its cation

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12
Q

How do chemical acid-base buffers work?

A

pairs minimize pH changes either the (anion or weak base) reacts with free H+, preventing substance from lowering pH or (the weak acid or cation) react with OH- preventing it from raising pH

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13
Q

What are the 3 major chemical buffer systems in the body that are fast-acting? And what do they act on?

A

the bicorbonate system (interstitial and plasma fluids), the phosphate system (urine and intracellular fluid), and the protein system (intracellular fluid)

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14
Q

What are these buffer system composed of? And which has the most capacity? Why?

A

bicarbonate: weak carbonic acid (H2CO3) and bicarbonate ion (HCO3-)
phosphate: weak acid (H2PO4-) and monohydrogen phosphate ion (HPO4-2)
protein system: amino acids, hemoglobin, and plasma proteins. It has 3xs the buffering capacity due to substantial concentration of proteins inside cells

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15
Q

How does the respiratory center control blood pH?

A

there are chemoreceptors in the medulla that monitor the level of CO2 in the blood and the brainstem controls the respiratory rate to depending on level of CO2 detected in the blood.

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16
Q

What form is CO2 transported into the blood plasma? What is the equilibrium reaction that takes place in the RBC?

A

bicarbonate
.
CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3-

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17
Q

What is the normal range of CO2 pressure in the blood?

18
Q

What does respiratory center do if blood pH begins to fall?

A

it will cause hyperventilation to increase respiratory rate to remove additional CO2, which uses up H+ causing pH to rise and restores correct blood pH

19
Q

What does respiratory center do if blood pH begins to rise?

A

it will cause hypoventilationallowing more CO2 to accumulate forming more H+, then the pH falls and restores correct blood pH.

20
Q

What are the 2 respiratory malfunctions?

A

respiratory acidosis (due to CO2 retention) or respiratory alkalosis (due to CO2 or removal)

21
Q

What is the renal control used to manage? Why?

A

major system used to manage acid-base imbalance caused by daily metabolic processes or abnormal disease conditions. Because although it is much slower-acting (hours/days), it has much larger impact on the pH level

22
Q

What is something unique about the renal control mechanism? What is the process by which it is done?

A

the kidneys can remove acids and bases from the body rather than just binding them. The major renal acid-base regulating process is excreting/reabsorbing the bicarbonate ion

23
Q

How does the conservtion and secretion of HCO3- work?

A

Bicarbonate can be replenished in the plasma by reclaiming it from the renal filtrate. Or during alkalosis, renal collecting duct intercalated cells can secrete bicarbonate while simultaneously recovering H+ to lower the pH of the blood.

24
Q

What other thing does the renal control mechanism depend on? And what is it in response to?

A

H+ secretion and conversion of HCO3- (bicarbonate ion) in response to pH of extracellular fluid

25
What are acidosis and alkalosis?
disorder of the body's acid-base balance systems acidosis: blood pH below 7.35 alkalosis: blood pH higher than 7.45
26
How are acidosis and alkalosis classifiend?
As metabolic or respiratory depending on the cause. If higher or lower PCO2 in the blood is the cause, then it is respiratory, if not it is some other cellular process (metabolic)
27
What are severe cases of acidosis and alkalosis? What can result?
severe acidosis: blood pH drops below 7.0 and the CNS is depressed causing coma and imminent death severe alkalosis: blood pH rises above 7.8 and the nervous system is over excited causing extreme nervousness, muscle contraction, convulsion, and death due to cessation of breathing
28
How do PCO2 levels affect pH?
a higher higher PCO2 creates more H+, which causes a lower pH. And a lower PCO2 creates less H+, which causes a higher pH.
29
How does the concentration of HCO3- affect pH?
lower HCO3- concentration creates more H+, which causes a lower pH. A higher bicarbonate (HCO3-) ion concentration creates less H+ which causes a higher pH
30
What charaterizes respiratory acidosis? What causes it?
lower pH because of a higher (PCO2 > 45 mm). It is caused by shallow breathing or limited gas exchange. Diseases such as cystic fibrosis, emphysema, or pneumonia limit gas exchange
31
What charaterizes respiratory alkalosis? What causes it?
higher pH because of lower (PCO2 < 35 mm). Respiratory alkalosis is almost always caused by hyperventilation, such as in the case of a panic attack
32
What system tries to compensate during respiratory acidosis or alkalosis?
renal control
33
What characterizes metabloic acidosi or alkalosis?
when pH is low or high, with normal PCO2 levels. It is caused from lower (HCO3- < 22 mEq/L) or higher (HCO3- > 26 mEq/L) than normal HCO3- concentration (between 22 and 26 mEq/L)
34
What causes metabolic acidosis?
buildup of acidic metabolic products such as acetic acid (from alcohol overdose), lactic acid (byproduct of muscular contraction when exercising), diabetic ketosis, or extreme diarrhea
35
What causes metabolic alkalosis?
vomiting (loss of acidic stomach contents), intake of excess antacids, and constipation (which caused abnormal reabsorption of HCO3-).
36
What system tries to compensate during metabolic acidosis or alkalosis?
respiratory system
37
What are normal blood serum levels for pH, PCO2, and HCO3- concentration?
Normal pH = 7.35-7.45 Normal PCO2 = 35-45 mm Normal HCO3- = 22-26 mEq/L
38
How to determine if patient is in acidosis or aklalosis what is causing it?
look at blood pH, PCO2, and what abnormal values are due to compensation by one of the systems
39
What would be case if there was acidosis characterized by pH < 7.35 with an abnormally high PCO2 (> 45 mm)?
respiratory acidosis and we would expect to see renal compensation with a high HCO3- concentration > 26 mEq/L
40
What would be the case if there was acidosis characterized by pH < 7.35 with an abnormally low HCO3- (< 22mEq/L)?
metabolic acidosis and we would except respiratory compensation to occur with PCO2 < 35 mm
41
What would be the case if there was alkalosis characterized by pH > 7.45 with abnormally low PCO2 (<35 mm)?
respiratory aklalosis and we would expect renal compensation with higher levels of HCO3- < 22 mEq/L
42
What would be the case if there was alkalosis characterized by high pH > 7.45 with abnormally high HCO3- >26 mEq/L?
metabolic alkalosis and we would expect respiratory compensation with PCO2 < 45 mm as the respiratory system attempts to lower pH