Acid-Base Disorders in Physiology

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary role of buffers in blood pH regulation?

  • They remove excess oxygen from the blood.
  • They enhance respiratory gas exchange.
  • They help minimize fluctuations in H⁺ concentration. (correct)
  • They increase the H⁺ concentration.

Which mechanism is primarily responsible for controlling blood PaCO2?

  • Lungs (correct)
  • Heart
  • Buffers
  • Kidneys

Which condition is characterized by a decrease in serum bicarbonate concentration?

  • Mixed acidosis
  • Respiratory acidosis
  • Metabolic alkalosis
  • Metabolic acidosis (correct)

What effect can severe metabolic alkalosis have on the body?

<p>Hypokalemia and CNS disorders (B)</p> Signup and view all the answers

What characterizes mixed acid-base disorders?

<p>Two or more underlying causes for the disturbance (A)</p> Signup and view all the answers

What is the primary effect of metabolic acidosis on the cardiovascular system?

<p>Decreased cardiac contractility (A)</p> Signup and view all the answers

How does respiratory acidosis primarily affect pH levels?

<p>Decreases blood pH due to increased PaCO2 (B)</p> Signup and view all the answers

What clinical feature is associated with saline-responsive alkalosis?

<p>Hypokalemia (A)</p> Signup and view all the answers

In the context of alkalosis, what effect does decreased free plasma Ca²+ have on the nervous-muscle system?

<p>Increased neuromuscular excitability (C)</p> Signup and view all the answers

What urine pH change would be expected in a patient with respiratory acidosis attempting to compensate?

<p>Alkaline urine pH (B)</p> Signup and view all the answers

Which condition is characterized by hypokalemia and mineralocorticoid excess?

<p>Saline-unresponsive alkalosis (B)</p> Signup and view all the answers

If a patient has an arterial pH of 7.34 and an elevated PaCO2, what acid-base disturbance is primarily indicated?

<p>Respiratory acidosis (B)</p> Signup and view all the answers

What respiratory condition could lead to increased PaCO2 and potentially affect acid-base homeostasis?

<p>Chronic obstructive pulmonary disease (B)</p> Signup and view all the answers

What acid-base disturbance is characterized by a decrease in plasma bicarbonate concentration?

<p>Metabolic acidosis (D)</p> Signup and view all the answers

Which of the following is a possible cause of increased respiratory rate and depth in response to acidosis?

<p>Compensation for acid buildup (D)</p> Signup and view all the answers

What effect does hyperventilation have on PCO2 levels in the blood?

<p>It decreases PCO2 levels (B)</p> Signup and view all the answers

What are nonvolatile acids primarily produced from?

<p>Breakdown of amino acids (A)</p> Signup and view all the answers

What is one of the main causes of metabolic acidosis related to the ingestion of substances?

<p>Overdose of fixed acids (B)</p> Signup and view all the answers

Which of the following factors is NOT a primary regulator of PCO2 concentration?

<p>Kidney function (C)</p> Signup and view all the answers

What role do buffers play in the body concerning H⁺ concentration?

<p>They minimize variations in H⁺ concentration (A)</p> Signup and view all the answers

Which of the following is a potential cause of metabolic alkalosis?

<p>Vomiting or nasogastric suction (D)</p> Signup and view all the answers

Which condition is known to increase lactic acid and lead to metabolic acidosis?

<p>Hepatic dysfunction (C)</p> Signup and view all the answers

In elevated anion gap metabolic acidosis, what compensates for the decrease in HCO3-?

<p>Increase in unmeasured anion (B)</p> Signup and view all the answers

How does the respiratory system compensate for metabolic alkalosis?

<p>Decreases alveolar ventilation to increase PaCO2 (D)</p> Signup and view all the answers

How does the respiratory system compensate for metabolic acidosis?

<p>By increasing alveolar ventilation (B)</p> Signup and view all the answers

What is the primary function of the kidneys in acid-base regulation?

<p>Reclaim and replenish bicarbonate (B)</p> Signup and view all the answers

What effect does aldosterone have that contributes to metabolic alkalosis?

<p>Stimulates sodium reabsorption and hydrogen ion secretion (A)</p> Signup and view all the answers

What is a specific type of metabolic acidosis related to the kidneys?

<p>Renal tubular acidosis (RTA) (D)</p> Signup and view all the answers

Which of the following compensatory mechanisms is NOT involved in respiratory acidosis?

<p>Increasing renal bicarbonate excretion (D)</p> Signup and view all the answers

Which of the following conditions is associated with respiratory alkalosis?

<p>Pneumonia-induced hyperventilation (B)</p> Signup and view all the answers

What happens to potassium levels in response to metabolic alkalosis?

<p>They decrease, leading to hypokalemia (A)</p> Signup and view all the answers

During metabolic acidosis, which bicarbonate-related process occurs in the kidneys?

<p>Reclamation of all HCO3¯ (A)</p> Signup and view all the answers

What is the primary characteristic of respiratory alkalosis?

<p>Decreased PaCO2 levels (D)</p> Signup and view all the answers

What leads to respiratory acidosis?

<p>Increased PaCO2 due to impaired ventilation (D)</p> Signup and view all the answers

Which mechanism primarily contributes to the buffering system in metabolic acidosis?

<p>Consuming HCO3¯ and generating H2CO3 (C)</p> Signup and view all the answers

What role does renal compensation play in metabolic alkalosis?

<p>Decreases bicarbonate reabsorption and acid secretion (C)</p> Signup and view all the answers

What is a common physiological response to hyperventilation?

<p>Increased blood pH (C)</p> Signup and view all the answers

What indicates a primary acid-base disorder when the pH is less than 7.4?

<p>Respiratory acidosis (C), Metabolic acidosis (D)</p> Signup and view all the answers

What does a high anion gap suggest in the context of metabolic acidosis?

<p>Increase in unmeasured anions (A)</p> Signup and view all the answers

If the plasma bicarbonate is decreased during acidosis with a decreased PCO2, what is the disorder characterized as?

<p>Metabolic acidosis (B)</p> Signup and view all the answers

What is the normal range of the anion gap?

<p>6-8 mmol/L (B)</p> Signup and view all the answers

In cases of respiratory alkalosis, what accompanying change is seen in plasma bicarbonate?

<p>Decreased bicarbonate (C)</p> Signup and view all the answers

What distinguishes mixed acid-base disorders from simple disorders?

<p>Presence of two or more underlying causes (C)</p> Signup and view all the answers

Which of the following would lead to a normal anion gap in metabolic acidosis?

<p>Diarrhea (D)</p> Signup and view all the answers

In the judgment of simple acid-base disorders, what does an increased PCO2 with an increased bicarbonate indicate?

<p>Respiratory acidosis (D)</p> Signup and view all the answers

Flashcards

Respiratory Acidosis

A condition characterized by a decrease in blood pH due to a buildup of carbon dioxide (CO2) in the body. This typically occurs due to impaired lung function, leading to difficulty expelling CO2.

Metabolic Acidosis

A condition characterized by a decrease in blood pH due to an increase in acid production or a loss of bicarbonate. This can be caused by various factors, including kidney dysfunction, diabetic ketoacidosis, or excessive alcohol intake.

Alkalosis

A condition characterized by an increase in blood pH due to a decrease in the concentration of hydrogen ions (H+). This can occur due to excessive loss of acid from the body, such as through vomiting, or an increase in bicarbonate levels.

Saline-Responsive Alkalosis

A type of alkalosis that is caused by a loss of sodium chloride (NaCl) and extracellular fluid volume. This can be caused by conditions such as vomiting, diarrhea, or diuretic use.

Signup and view all the flashcards

Saline-Unresponsive Alkalosis

A type of alkalosis that is not responsive to saline infusions and is typically caused by excessive mineralocorticoid production, leading to increased sodium retention and potassium loss.

Signup and view all the flashcards

Acid-base Homeostasis

The body's ability to maintain a relatively stable internal environment, including pH balance. This involves various mechanisms to regulate acid and base levels in the blood.

Signup and view all the flashcards

Neuromuscular Excitability in Alkalosis

A condition characterized by increased neuromuscular excitability, often manifesting as hyperreflexia and convulsions. This occurs when the pH of the blood becomes too alkaline.

Signup and view all the flashcards

Acid-base Compensation

The state where the body attempts to compensate for a primary acid-base disturbance. This can involve changes in breathing rate or renal excretion of acid or base.

Signup and view all the flashcards

Overdose of Fixed Acids

Ingestion of high amounts of acids like aspirin can cause this type of metabolic acidosis.

Signup and view all the flashcards

Overproduction of Fixed Acids

Conditions like hypoxia, diabetes, and liver dysfunction can lead to increased production of lactic acid and ketoacids, resulting in metabolic acidosis.

Signup and view all the flashcards

Impaired Renal Bicarbonate Generation

When the kidneys are unable to remove excess acids and regenerate bicarbonate, it leads to metabolic acidosis.

Signup and view all the flashcards

Gastrointestinal Losses

Loss of bicarbonate through diarrhea, fistulas, or bowel surgeries can cause metabolic acidosis.

Signup and view all the flashcards

Renal Tubular Acidosis (RTA)

A specific type of metabolic acidosis caused by impaired renal bicarbonate reclamation or generation.

Signup and view all the flashcards

Causes of Respiratory Acidosis

Conditions that impair ventilation, like lung diseases, CNS depression, or chest injuries, can lead to respiratory acidosis.

Signup and view all the flashcards

Elevated Anion Gap Metabolic Acidosis

Metabolic acidosis with an increased gap between the sum of measured cations (sodium and potassium) and anions (chloride and bicarbonate), indicating an abundance of unmeasured anions.

Signup and view all the flashcards

Normal Anion Gap Metabolic Acidosis

Metabolic acidosis where the gap between cations and anions is normal, suggesting a loss of bicarbonate or an increase in chloride.

Signup and view all the flashcards

Hyperventilation in Acidosis

The process of the body eliminating carbon dioxide (CO2) through increased breathing rate and depth to compensate for acidosis.

Signup and view all the flashcards

Buffers in pH Regulation

Buffers minimize variations in H+ concentration in body fluids.

Signup and view all the flashcards

Role of the Kidneys in Acid-Base Balance

Maintains stable pH by regulating the bicarbonate (HCO3-) concentration in body fluids.

Signup and view all the flashcards

Carbonic Acid (H2CO3)

The primary volatile acid produced by the body, formed from the hydration of carbon dioxide (CO2).

Signup and view all the flashcards

Nonvolatile Acids

Nonvolatile acids generated by the breakdown of proteins and the incomplete metabolism of fatty acids, contributing to metabolic acidosis.

Signup and view all the flashcards

Metabolic Alkalosis

A condition where there is an excess of bicarbonate in the blood, leading to an increase in pH.

Signup and view all the flashcards

Gastrointestinal H+ Ion Loss

Loss of gastric fluid through vomiting or suctioning, reducing the amount of acid in the body.

Signup and view all the flashcards

Diuretics

Certain medications that increase urine output can lead to metabolic alkalosis by removing too much sodium and causing more hydrogen ions to be excreted.

Signup and view all the flashcards

Excess Aldosterone Secretion

Overproduction of aldosterone, a hormone that regulates salt and water balance, can lead to an increase in bicarbonate in the blood.

Signup and view all the flashcards

Ingestion of Alkaline Solutions

Taking medications or supplements that contain bicarbonate can lead to metabolic alkalosis.

Signup and view all the flashcards

Respiratory Alkalosis

A condition where the lungs exhale too much carbon dioxide, leading to a decrease in blood acidity (pH).

Signup and view all the flashcards

Physical Pathology

Medical conditions that affect breathing, such as pneumonia, trigger the body to breathe quickly and deeply.

Signup and view all the flashcards

Psychoneurosis

Anxiety or panic attacks can cause rapid breathing, leading to too much carbon dioxide being exhaled.

Signup and view all the flashcards

Anion Gap

The difference between the concentrations of unmeasured anions and unmeasured cations in blood.

Signup and view all the flashcards

Acidosis

A disturbance in acid-base balance where blood pH is lower than 7.4, indicated by increased hydrogen ion concentration.

Signup and view all the flashcards

Mixed Acid-Base Disorder

A condition where two or more underlying causes contribute to an acid-base disturbance.

Signup and view all the flashcards

Study Notes

Acid-Base Homeostasis Regulation

  • Metabolic processes generate acids and bases.
  • Blood pH ranges 7.35-7.45.
  • Acid-base homeostasis is the stability of physiological pH, essential for normal metabolism and cell function.
  • Disturbances in acid-base homeostasis disrupt this stability.
  • Interactions between lungs, kidneys, and buffers regulate acid-base balance.

Acid Generation

  • Metabolic processes generate acids.
  • Carbonic acid (H₂CO₃) is a volatile acid, formed from CO₂ hydration.
  • CO₂ is produced by the complete oxidation of carbohydrates, lipids, and certain amino acids.
  • Nonvolatile acids (H₂SO₄, H₃PO₄) are normal products of amino acid and phosphoester catabolism.
  • Incomplete oxidation of carbohydrates and fats creates additional nonvolatile organic acids.
  • Examples: Beta-hydroxybutyric acid, acetoacetic acid, lactic acid.

Role of the Lungs

  • Alveolar ventilation adjusts CO₂ excretion.
  • Maintains a PaCO₂ of 40 mmHg, despite CO₂ production fluctuations.
  • This stabilizes plasma H₂CO₃ concentration.
  • Impaired ventilation leads to CO₂ retention and a rise in H₂CO₃ concentration.
  • Excessive ventilation causes CO₂ loss and decreased H₂CO₃ concentration.

Buffers

  • Buffers minimize H⁺ concentration variations.
  • Many buffers are involved in acid-base homeostasis and exist as chemical pairs in equilibrium.
  • Table 4-1 lists buffer systems and their buffering effect percentages.

Role of the Kidneys

  • Maintaining proper bicarbonate concentration (22-26 mmol/L) in extracellular fluid is critical for homeostasis.
  • Kidneys reclaim filtered bicarbonate and replenish bicarbonate consumed in buffering nonvolatile acids.
  • Bicarbonate in extracellular fluid acts as a primary buffer.
  • Other buffers include proteins, phosphate, bone, and hemoglobin.
  • The kidneys eliminate excess H⁺ in urine.
  • When nonvolatile acid production exceeds the kidney's buffering capacity, metabolic acidosis results.

Respiratory and Metabolic Components Interface

  • Lungs regulate PCO₂, kidneys regulate [HCO₃⁻].
  • Close relationship between respiratory and metabolic components.
  • Regulation of both factors maintains stable blood pH.
  • Compensation occurs if one system is disrupted, causing the other system to adjust.

Acid-Base Evaluation

  • Arterial blood gas (ABG) is a primary assessment tool.
  • Measures pH, PCO₂, [HCO₃⁻].
  • Venous total HCO₃⁻ measurement is also important, as small errors in the ABG HCO₃⁻ measurement are common.
  • Anion gap is a diagnostic tool for metabolic acidosis.
    • Calculated as: [Na⁺] - [HCO₃⁻] - [Cl⁻].
    • Measures unmeasured anions/cations.

Simple Acid-Base Disorders

  • Metabolic acidosis has a decreased [HCO₃⁻], and can be categorized as elevated-anion gap or normal-anion gap.
  • Respiratory acidosis has an elevated PCO₂, resulting from hypoventilation.
  • Metabolic alkalosis has an elevated [HCO₃⁻], and can result from loss of gastric acid or ingestion of alkali.
  • Respiratory alkalosis results from hyperventilation.
    • These imbalances can be mixed.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Acid Base Physiology PDF

More Like This

Use Quizgecko on...
Browser
Browser