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Physiology II: Acid-Base Balance Part 1
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Physiology II: Acid-Base Balance Part 1

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Questions and Answers

What is the physiological pH level required for normal cell function?

  • 8.0
  • 7.4 (correct)
  • 7.0
  • 6.5
  • Altered hydrogen ion (H+) concentrations can affect the structure of proteins.

    True

    Name two organs that help maintain the physiological pH in the body.

    lungs, kidneys

    The physiological pH of blood is approximately ___ to enable normal cell function.

    <p>7.4</p> Signup and view all the answers

    Match the following types of acids with their characteristics:

    <p>Strong acid = Fully dissociates in solution Weak acid = Partially dissociates in solution Volatile acid = Can be converted to gas at physiological temperature Nonvolatile acid = Cannot be converted to gas at physiological temperature</p> Signup and view all the answers

    Which of the following statements describes a buffer?

    <p>A substance that maintains pH levels within narrow limits</p> Signup and view all the answers

    Acid-base regulation is not critical for maintaining cardiovascular function.

    <p>False</p> Signup and view all the answers

    Explain the relationship between H+ concentration and pH.

    <p>As H+ concentration increases, pH decreases, indicating more acidity.</p> Signup and view all the answers

    What happens when the plasma pH decreases from 7.4 to 7.0?

    <p>Ventilation rate increases four times</p> Signup and view all the answers

    An increase in plasma pH above 7.4 leads to an increased ventilation rate.

    <p>False</p> Signup and view all the answers

    Name one condition that can lead to acidosis due to impaired lung function.

    <p>Severe emphysema</p> Signup and view all the answers

    The kidneys _____ H+ and HCO3- to help regulate acid-base balance.

    <p>excrete/reabsorb</p> Signup and view all the answers

    Match the following terms with their roles in acid-base regulation:

    <p>H+ = Increases ventilation rate when accumulating PCO2 = Influences H+ concentration in body fluids Non-volatile acids = Cannot be excreted by the lungs Alveolar ventilation = Affects blood pH levels</p> Signup and view all the answers

    Which physiological mechanism primarily helps return pH to normal when the lungs cannot respond to an acid-base imbalance?

    <p>The kidneys</p> Signup and view all the answers

    The anion gap is a measure used to evaluate metabolic acidosis.

    <p>True</p> Signup and view all the answers

    What are the primary segments of the nephron involved in pH regulation?

    <p>Proximal tubule, loop of Henle, distal tubule, and collecting duct.</p> Signup and view all the answers

    Protons are eliminated with the urine mainly through the secretion of ______.

    <p>ammonium</p> Signup and view all the answers

    Match the following acid-base disturbances with their characteristics:

    <p>Metabolic acidosis = Increased hydrogen ions and decreased bicarbonate Respiratory acidosis = Increased carbon dioxide due to impaired respiration Metabolic alkalosis = Increased bicarbonate and decreased hydrogen ions Respiratory alkalosis = Decreased carbon dioxide due to hyperventilation</p> Signup and view all the answers

    What is produced when CO2 combines with H2O?

    <p>H2CO3</p> Signup and view all the answers

    The pK of the phosphate buffer system is 7.4.

    <p>False</p> Signup and view all the answers

    Name one function of proteins in the buffer systems.

    <p>Accept protons.</p> Signup and view all the answers

    The ______ buffer system is important in the intracellular fluid and renal tubule fluid.

    <p>phosphate</p> Signup and view all the answers

    Match the following buffer systems with their primary locations:

    <p>Bicarbonate = Plasma Phosphate = Intracellular fluid Proteins = Both intracellular and extracellular Hemoglobin = Erythrocytes</p> Signup and view all the answers

    What happens to CO2 levels when more H+ and HCO3- are generated?

    <p>CO2 levels are reduced</p> Signup and view all the answers

    The Na+/H+ exchanger is inhibited if the pH in the cytosol decreases.

    <p>False</p> Signup and view all the answers

    Which amino acid group's side chain is important for hemoglobin's buffering capacity?

    <p>Histidine</p> Signup and view all the answers

    In plasma, the primary buffer systems include HCO3- and ______.

    <p>Protein</p> Signup and view all the answers

    What role do membrane carriers play in acid-base regulation?

    <p>Transport protons and bicarbonate</p> Signup and view all the answers

    A strong acid releases H+ ions rapidly and in high amounts.

    <p>True</p> Signup and view all the answers

    What equation describes the relationship between pH, HCO3 concentration, and PCO2?

    <p>Henderson-Hasselbalch equation</p> Signup and view all the answers

    Match the body fluids with their respective H+ concentrations and pH values:

    <p>Gastric juice = 0.01 mol/L, pH 2.0 Plasma = 0.00000004 mol/L, pH 7.4 Pancreatic juice = 0.00000001 mol/L, pH 8.0</p> Signup and view all the answers

    Which of the following represents a weak acid?

    <p>H2CO3</p> Signup and view all the answers

    Alkalosis is associated with an increase in HCO3 concentration.

    <p>True</p> Signup and view all the answers

    Define a strong base in terms of its interaction with H+ ions.

    <p>A strong base reacts rapidly and strongly with H+ ions, removing them from the solution.</p> Signup and view all the answers

    What primarily happens during increased respiration in terms of pH balance?

    <p>CO2 elimination leads to alkalosis.</p> Signup and view all the answers

    Respiratory acidosis is characterized by a low pH and low CO2 levels.

    <p>False</p> Signup and view all the answers

    What is the primary buffer system in extracellular fluid?

    <p>Bicarbonate buffer system</p> Signup and view all the answers

    The __________ mechanism is the slower but more effective way the body can compensate for acid-base disturbances, primarily involving the kidneys.

    <p>renal compensation</p> Signup and view all the answers

    Match the types of acidosis with their appropriate causes:

    <p>Respiratory Acidosis = Impaired lung function leading to CO2 retention Metabolic Acidosis = Excessive acid production or loss of bicarbonate</p> Signup and view all the answers

    Study Notes

    Importance of Acid-Base Balance

    • Constant pH, around 7.4 in the blood, is crucial for cellular functions.
    • Abnormal hydrogen ion (H+) concentrations disrupt protein structures, affecting enzymes and receptors.
    • Acid-base regulation maintains H+ concentration in extracellular fluid (ECF) by equalizing H+ removal and addition.

    Definitions

    • Acid: Substance that donates H+ ions. Strong acids, like HCl, fully dissociate, while weak acids, like H2CO3, dissociate partially.
    • Base: Substance that accepts H+ ions. Strong bases react quickly with H+, while weak bases, like HCO3-, react more slowly.
    • Buffer: Solutions that resist changes in pH, comprised of a weak acid and its conjugate base.

    Henderson-Hasselbalch Equation

    • pH calculated using the formula: pH = pK + log [base]/[acid].
    • Describes the relationship between pH, HCO3-, and PCO2, allowing for calculation of pH when HCO3- and PCO2 are known.
    • Changes in HCO3- and PCO2 directly indicate acid-base disturbances (alkalosis vs acidosis).

    Buffer Systems

    • Bicarbonate Buffer: Dominant in ECF, acts rapidly to neutralize excess acids or bases.
    • Phosphate Buffer: Important in intracellular fluid and renal fluid; optimal pK around 6.8, relevant in metabolic processes.
    • Protein Buffer: Proteins, especially hemoglobin in erythrocytes, act as buffers due to their amino acid composition capable of binding or releasing H+.

    Organs in Acid-Base Regulation

    • Lungs: Regulate CO2 elimination; affect H+ concentrations by modifying alveolar ventilation based on blood pH changes.
    • Kidneys: Excrete/reabsorb H+ and HCO3-, involved in long-term pH regulation through nephron function.

    Respiratory Response

    • Alveolar ventilation rates adjust based on blood pH; acidosis increases ventilation, while alkalosis reduces it.
    • Impaired lung function (e.g., emphysema) can lead to CO2 accumulation and acidosis, necessitating renal compensation.

    Renal Compensation for pH Regulation

    • Nephrons play a critical role in urine pH control by secreting H+ and reabsorbing HCO3-.
    • In acidosis, transport mechanisms increase H+ excretion, while in alkalosis, mechanisms may reverse to correct pH balance.

    Potassium Homeostasis

    • K+ levels can affect and be affected by acid-base status; disorders can alter pH and potassium balance simultaneously.

    Acid-Base Disturbances

    • Metabolic Acidosis: Decreased pH and bicarbonate concentration.
    • Respiratory Acidosis: Increased CO2 levels leading to decreased pH.
    • Metabolic Alkalosis: Increased pH and bicarbonate.
    • Respiratory Alkalosis: Decreased CO2 leading to increased pH.
    • Recognition of compensation states is vital in diagnosing these conditions.

    Clinical Evaluation

    • Evaluate plasma values for bicarbonate concentration, PCO2, and pH to diagnose acid-base disturbances.
    • Understand terms such as anion gap and base excess for comprehensive metabolic assessments.
    • Be aware of common disorders in animals affecting acid-base balance, ensuring timely interventions.

    Respiration and pH Balance

    • Respiration plays a critical role in maintaining acid-base balance by eliminating carbon dioxide (CO2).
    • Increased respiration rates lead to a reduction in CO2 levels, elevating blood pH and causing alkalosis.
    • Decreased respiration retains CO2, resulting in lower blood pH and causing acidosis.
    • Central chemoreceptors located in the medulla respond primarily to changes in CO2 and pH levels.
    • Peripheral chemoreceptors found in the carotid and aortic bodies detect changes in both oxygen (O2) and CO2 concentrations.

    Acid-Base Homeostasis

    • Normal blood pH is maintained within the range of 7.35 to 7.45.
    • The bicarbonate (HCO3-) system serves as the primary buffer in extracellular fluid, helping to regulate pH.
    • Additional buffering systems include protein buffers and phosphate buffers, which contribute to acid-base balance.
    • Respiratory compensation can quickly adjust ventilation to correct pH imbalances.
    • Renal compensation, which involves adjusting the excretion of hydrogen ions (H+) and bicarbonate, is slower but more effective for long-term balance.

    Renal Function and Regulation

    • Kidneys regulate acid-base balance by secreting H+ and reabsorbing bicarbonate (HCO3-).
    • The production of ammonia in the kidneys aids in the excretion of excess H+.
    • Bicarbonate reabsorption from urine by the kidneys prevents acidosis and maintains stability in blood pH.
    • The kidneys also generate new bicarbonate to replenish what is consumed in buffering reactions.

    Metabolic vs Respiratory Acidosis

    • Respiratory acidosis occurs due to impaired lung function leading to CO2 retention, commonly seen in conditions like COPD, resulting in low pH and high CO2 levels.
    • Metabolic acidosis manifests from excessive acid production or loss of bicarbonate, such as in diabetic ketoacidosis, characterized by low pH and low bicarbonate levels.

    Buffers in Physiology

    • The bicarbonate buffer system is the most significant buffer for extracellular spaces, interacting with carbonic acid to maintain pH.
    • The phosphate buffer system plays a crucial role in intracellular fluid and the renal tubules.
    • Protein buffers, including hemoglobin and plasma proteins, have the ability to absorb or release hydrogen ions as needed.
    • Buffers are essential for resisting changes in pH when acids or bases are introduced, thus maintaining homeostasis within a narrow pH range.

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    Description

    This quiz covers the critical concepts of acid-base balance in physiology, focusing on its importance to cell function. Understand the relationship between H+ concentration and pH, along with the applications of the Henderson-Hasselbalch equation. It is essential for students of veterinary physiology to grasp these foundational elements.

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