Acid-Base Regulation Quiz

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Questions and Answers

What is a common cause of respiratory acidosis?

  • Excessive vomiting
  • Hyperventilation due to anxiety
  • Overuse of antacids
  • Chronic lung disease (correct)

Which condition is associated with metabolic acidosis?

  • Obesity hypoventilation syndrome
  • Severe anemia
  • Diabetic ketoacidosis (correct)
  • Hyperventilation

How do the lungs compensate during metabolic alkalosis?

  • By retaining bicarbonate
  • By blowing off H⁺ ions
  • By reducing respiratory rate (correct)
  • By increasing respiratory rate

Which of the following is NOT a risk factor for acidosis?

<p>Excessive bicarbonate intake (A)</p> Signup and view all the answers

What physiological change occurs during respiratory alkalosis?

<p>Excessive exhalation of CO₂ (A)</p> Signup and view all the answers

Which factor can lead to respiratory alkalosis?

<p>Pain causing increased breathing rate (C)</p> Signup and view all the answers

What is the normal pH range that the body aims to maintain?

<p>7.35 to 7.45 (B)</p> Signup and view all the answers

What mechanism primarily corrects metabolic acidosis in the body?

<p>Increased respiratory rate (B)</p> Signup and view all the answers

Which factor contributes to metabolic alkalosis?

<p>Loss of hydrogen ions through vomiting (C)</p> Signup and view all the answers

Which condition is likely to cause respiratory acidosis?

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

What occurs when CO₂ retention increases in respiratory acidosis?

<p>The pH of the blood decreases (D)</p> Signup and view all the answers

Which type of alkalosis is caused by excessive loss of CO₂?

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

What compensatory mechanism occurs in the kidneys during respiratory acidosis?

<p>Retention of bicarbonate (A)</p> Signup and view all the answers

What is a common cause of metabolic alkalosis?

<p>Excessive antacid use (B)</p> Signup and view all the answers

How does the body compensate for respiratory alkalosis?

<p>By excreting bicarbonate (B)</p> Signup and view all the answers

What characterizes metabolic acidosis?

<p>Accumulation of non-volatile acids (A)</p> Signup and view all the answers

Flashcards

Acidosis

An increase in hydrogen ions (H+) in the body fluids, causing a decrease in pH.

Alkalosis

A decrease in hydrogen ions (H+) in the body fluids, causing an increase in pH.

Respiratory Acidosis

Acidosis caused by a buildup of carbon dioxide (CO2) in the blood due to impaired lung function or breathing.

Metabolic Acidosis

Acidosis caused by a decrease in bicarbonate (HCO3-) levels in the blood due to factors like kidney failure or diarrhea.

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Respiratory Alkalosis

Alkalosis caused by a decrease in carbon dioxide (CO2) levels in the blood due to hyperventilation.

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Metabolic Alkalosis

Alkalosis caused by an increase in bicarbonate (HCO3-) levels or a loss of hydrogen ions (H+) in the blood due to factors like vomiting or excessive antacid use.

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Respiratory Compensation

The body's ability to compensate for acid-base imbalances by adjusting breathing to change CO2 levels.

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Renal Compensation

The body's ability to compensate for acid-base imbalances by adjusting kidney function to change bicarbonate levels.

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Acid-Base Regulation

The body's ability to maintain a stable pH within a narrow range (7.35 to 7.45) using chemical buffers, respiratory control, and renal function.

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Compensation (in Acid-Base Balance)

The body's natural response to correct an acid-base imbalance. For example, the kidneys can retain bicarbonate (HCO3-) to neutralize excess H+ in acidosis.

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Study Notes

Acid-Base Regulation

  • Acid-base regulation maintains blood pH (7.35-7.45) through chemical buffers, respiratory control, and renal function.
  • Impairment of these systems can lead to acid-base imbalances, categorized as acidosis (pH < 7.35) or alkalosis (pH > 7.45).

Most Likely Causes of Imbalance

  • Acidosis (pH < 7.35):
    • Respiratory Acidosis: Caused by conditions impairing CO2 exhalation (e.g., hypoventilation, COPD).
    • Metabolic Acidosis: Caused by increased acid production (diabetic ketoacidosis) or bicarbonate loss (diarrhea).
  • Alkalosis (pH > 7.45):
    • Respiratory Alkalosis: Caused by hyperventilation (e.g., anxiety, panic attacks).
    • Metabolic Alkalosis: Caused by hydrogen ion loss (e.g., vomiting) or increased bicarbonate (e.g., antacid overuse).

Respiratory Acidosis Pathophysiology

  • Cause: Hypoventilation leads to CO2 retention.
  • Pathophysiology:
    • Increased CO2 (PaCO2 > 45 mmHg) forms more carbonic acid (H₂CO₃).
    • Increased H₂CO₃ results in increased H⁺ ions, thus decreasing pH (acidosis).
  • Compensation: Kidneys retain bicarbonate (HCO3¯) to buffer excess H⁺.

Respiratory Alkalosis Pathophysiology

  • Cause: Hyperventilation leads to excessive CO2 loss.
  • Pathophysiology:
    • Decreased CO2 (PaCO2 < 35 mmHg) reduces H₂CO₃ formation.
    • Reduced H₂CO₃ results in fewer H⁺ ions, increasing pH (alkalosis).
  • Compensation: Kidneys excrete bicarbonate (HCO3¯) to decrease pH.

Metabolic Acidosis Pathophysiology

  • Cause: Accumulation of non-volatile acids (e.g., lactic acid) or bicarbonate loss (e.g., diarrhea).
  • Pathophysiology: Increased acid or bicarbonate loss directly increases H⁺ ion concentration, decreasing pH.
  • Compensation: Lungs increase respiratory rate (hyperventilation) to "blow off" CO2, which decreases H₂CO₃.

Metabolic Alkalosis Pathophysiology

  • Cause: Loss of hydrogen ions (e.g., vomiting) or excess bicarbonate (e.g., antacids).
  • Pathophysiology: Increased bicarbonate or loss of hydrogen ions increases pH.
  • Compensation: Lungs decrease respiratory rate (hypoventilation) to retain CO2, which increases H₂CO₃.

Disease Transmission

  • Acid-base imbalances are not infectious or communicable.

Risk Factors

  • Acidosis: Chronic lung disease (COPD), neurological impairment, drug overdose, obesity, diabetic ketoacidosis, lactic acidosis, renal failure, and diarrhea.
  • Alkalosis: Anxiety, pain, vomiting, nasogastric suction, diuretic use, and excessive antacid use.

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