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Acid- Base Homeostasis
ch 19
26
Physiology
Undergraduate 3
07/11/2012

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Term
acid-base homeostasis
Definition
process that maintains pH in body fluids
Term
Acids-
Definition
release free H+
Term
Bases-
Definition
bind free H+
Term
proteins and hemoglobin=
Definition
also bind free H+
Term
Normal arterial blood pH
Definition
7.35-7.45
Term
pH range for death-
Definition
pH less than 6.8 or more than 8
Term
pH specific disturbances in body
Definition
protein confirmation, excitability of neurons, potassium balance, cardiac arrhythmians, vasodilation
Term
Mechanisms against pH balance disturbances:
Definition
1. Buffering of H+
2. Respiratory compensation
3. Renal Compensation
Term
Quickest defence in pH disturbance
Definition
Buffering
Term
Buffering-
Definition
pairs of moleculres that bind free H+ or release them depending on whats needed
Term
Most important ECF buffers-
Definition
bicarbonic/carbonic acid
Term
most important ICF buffers-
Definition
proteins and phosphates
Term
2nd line of defense in pH disturbance
Definition
respiratory compensation (within minutes)
Term
Respiratory compensation-
Definition
varies ventilation
an increase in vent= decreased CO2
decrease in vent= increased CO2
Term
IN respiratory compensation for acidosis what detects it?
Definition
peripheral chemoreceptors detect plamsa acidity
Term
3rd line of defense in pH disturbances
Definition
renal compensation, takes hours to days
Term
renal compensation-
Definition
regulates excretion of H+ and bicarbonate in urine
Term
During Renal Compensation of increased acidity of body fluids causes:
Definition
increased secretion of H+
increased reabsorption of BiCarb
3. increased synthesis of new bicarb
Term
proximal tubules job in renal comp
Definition
bicarb reabsorption coupled to h+ secretion
Term
distal tubule job and collecting duct in renal comp-
Definition
secretes H+
Term
If body is too alkaline-
Definition
carbonic acid releases H+ to make pH more acidic, ventilation is reduced so CO2 accumulates, H+ secretion in kidneys is reduced, and bicarb reabsorption is decreased
Term
Primary causes of deviations from normal PH
Definition
respiratory acidosis or alkalosis
metabolic acidosis or alkalosis
Term
Respiratory acidosis causes:
Compensation:
Definition
hypoventilation, increased CO2
Renal
Term
Respiratory alkalosis
Compensation:
Definition
hyperventilation, decreased CO2
Renal
Term
Metabolic Acidosis cause:
Compensation:
Definition
high protein and fat diet, heavy exercise, severe diarrhea
respiratory compensation- increased ventilation
renal compensation more bicarb less H+
Term
Metabolic Alkalosis cause
Compensation:
Definition
excess vomiting, consumption of base. not enought H+
Respiratory (decrease vent)
Renal (decrease loss of H+)
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