Acid-Base Balance in Physiology
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Questions and Answers

What is the primary role of acid-base balance in the human body?

To regulate the concentration of free hydrogen ions (H+) in body fluids.

Explain how acidosis affects potassium levels in the body.

Acidosis causes decreased secretion of potassium (K+) from the body.

What are the two primary types of acid-base disorders?

Acidosis and alkalosis.

How does the Henderson-Hasselbalch equation relate to acid-base balance?

<p>It helps to understand the relationship between pH, acid form, and base form of a buffer system.</p> Signup and view all the answers

Identify one source of hydrogen ions (H+) in the body and explain its significance.

<p>Carbonic acid formation through metabolic processes, which is significant for maintaining pH balance.</p> Signup and view all the answers

What is the primary mechanism by which the bicarbonate buffer system maintains pH in the extracellular fluid?

<p>The bicarbonate buffer system maintains pH by balancing carbonic acid and bicarbonate ions, enabling the neutralization of excess acids and bases.</p> Signup and view all the answers

Explain the role of organic acids in cellular metabolism and their significance in regulation of pH.

<p>Organic acids, such as lactic acid and ketone bodies, are byproducts of cellular metabolism and are metabolized rapidly to prevent significant acid accumulation, thus aiding pH regulation.</p> Signup and view all the answers

Differentiate between fixed acids and volatile acids, providing examples of each.

<p>Fixed acids, like sulfuric and phosphoric acid, do not leave solution and remain until eliminated, while volatile acids, like carbonic acid, can exit the body through respiration.</p> Signup and view all the answers

How do protein buffer systems contribute to pH regulation in the body?

<p>Protein buffer systems, through amino acids and plasma proteins, interact with other buffer systems to stabilize pH in both extracellular and intracellular fluids.</p> Signup and view all the answers

Describe the bicarbonate buffer system in detail, including its components and their roles.

<p>The bicarbonate buffer system consists of carbonic acid (H₂CO₃) and sodium bicarbonate (NaHCO₃), where carbonic acid releases protons to neutralize bases and bicarbonate can absorb excess protons to counteract acid.</p> Signup and view all the answers

Study Notes

Acid-Base Balance

  • Acid-base balance refers to the precise regulation of free hydrogen ion (H+) concentration in body fluids.
  • Maintaining acid-base balance is crucial for nerve and muscle cell excitability, enzyme activity, and proper K+ levels.
  • Sources of H+ in the body include carbonic acid formation, organic acids from intermediary metabolism, and incomplete metabolism of glucose and fatty acids (lactic acid and ketoacids).
  • Hydrolysis of dietary phosphate produces fixed or metabolic acid load that cannot be exhaled, requiring neutralization or excretion by the kidneys.
  • Normal blood pH is maintained between 7.35 and 7.45.
  • Disturbances in acid-base balance can lead to serious clinical consequences.

Types of Acid-Base Disorders

  • Acidosis: A condition where the blood has too much acid (or too little base), resulting in a decrease in blood pH.
  • Alkalosis: A condition where the blood has too much base (or too little acid), resulting in an increase in blood pH.
  • These disorders are not diseases on their own, but rather result from various underlying conditions.

Henderson-Hasselbalch Equation

  • pH = pK + log ([A-]/[HA])
  • pH = -log₁₀[H⁺] (pH units)
  • pK = -log₁₀K (pH units)
  • [A⁻] = Concentration of base form of buffer (mEq/L)
  • [HA] = Concentration of acid form of buffer (mEq/L)

Buffers

  • Buffers are mixtures of a weak acid and its conjugate base or a weak base and its conjugate acid.
  • They immediately combine with any acid or alkali to prevent excessive changes in [H+].

Classes of Acids

  • Fixed acids: Do not leave the body in solution; remain in body fluids until eliminated by the kidneys (e.g., sulfuric acid and phosphoric acid).
  • Volatile acids: Can leave the body via the lungs, e.g., carbonic acid.

Acid-Base Buffer Systems

  • Chemical buffer systems (immediate): Bicarbonate buffer system, phosphate buffer system, protein buffer system.
  • Physiological buffer systems (minutes-hours): Respiratory response system, renal response system.

Role of the Lungs in Acid-Base Balance

  • The lungs regulate pH by excreting CO2, which affects the amount of carbonic acid in the blood.
  • Changes in respiratory rate directly affect CO2 levels and thus, blood pH.
  • During acidosis, the respiratory rate increases to eliminate excess CO2.
  • During alkalosis, the respiratory rate decreases to retain CO2.

Role of the Kidneys in Acid-Base Balance

  • The kidneys slowly adjust blood pH by excreting excess acids or bases.
  • Conservation/reabsorption of HCO3⁻, generation of new HCO3⁻, and excretion of H+ as titratable acid or NH4+ are kidney functions involved in pH regulation.

Summary of Acid-Base Disorders

  • Disorders are categorized as either respiratory or metabolic, and either acidosis or alkalosis.
  • Compensation mechanisms involving the lungs and kidneys are indicated by arrows and descriptions of direction of change in pH.

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Description

This quiz covers the critical concepts of acid-base balance in the human body, focusing on the regulation of hydrogen ions and their impact on physiological functions. It also discusses various acid-base disorders such as acidosis and alkalosis, their causes, and effects. Test your understanding of this essential physiological concept.

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