Renal Function and Acid-Base Balance Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is the primary cause of respiratory alkalosis?

  • Decreased oxygen levels
  • Kidney damage
  • Increased carbon dioxide levels
  • Increased exhalation of carbon dioxide (correct)

Which condition is not classified as a cause of pre-renal insufficiency?

  • Hypovolemia
  • Shock
  • Nephritis (correct)
  • Hypotension

What can result from acidosis if not addressed?

  • Enhanced kidney function
  • Increased muscle reflexes
  • Improved oxygenation
  • Coma and potentially death (correct)

Which of the following symptoms is associated with alkalosis?

<p>Muscle spasms (C)</p> Signup and view all the answers

Which condition represents a cause of post-renal insufficiency?

<p>Stones in the urinary tract (B)</p> Signup and view all the answers

What is the primary origin of lactic acid in the body?

<p>Anaerobic glycolysis (B)</p> Signup and view all the answers

What is a common risk associated with neuromuscular irritability during acidosis?

<p>Loss of coordination (D)</p> Signup and view all the answers

Which type of kidney obstruction is specifically mentioned in the context?

<p>Obstructions from tumors or stones (D)</p> Signup and view all the answers

Which of the following is not a component monitored in arterial blood samples to check acid-base balance?

<p>Skin temperature (B)</p> Signup and view all the answers

Which of the following causes is primarily associated with renal insufficiency?

<p>Infection (nephritis) (C)</p> Signup and view all the answers

What type of acid is specifically produced from amino acid metabolism?

<p>Sulfuric acid (C)</p> Signup and view all the answers

Which of the following acids is excreted by the kidneys and originates from phosphate-containing compounds?

<p>Phosphoric acid (C)</p> Signup and view all the answers

What characterizes acute kidney disease in comparison to chronic kidney disease?

<p>It is reversible if treated (A)</p> Signup and view all the answers

Which process is associated with the removal of CO₂ through the lungs as part of acid-base balance?

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

Which kidney-related process is described as irreversible but manageable with diet and medication?

<p>Chronic kidney disease (D)</p> Signup and view all the answers

What role does bicarbonate (HCO₃⁻) play in acid-base balance?

<p>It is reabsorbed to help balance pH. (C)</p> Signup and view all the answers

What is the primary purpose of renal function in terms of homeostasis?

<p>Regulation of blood pressure and electrolyte balance (B)</p> Signup and view all the answers

Which condition is characterized by hypoventilation causing an increase in CO₂ levels?

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

What primarily drives renal compensation for respiratory acidosis?

<p>Increased HCO₃⁻ and H⁺ excretion (B)</p> Signup and view all the answers

Which of the following conditions is primarily associated with decreased HCO₃⁻ levels?

<p>Lactic Acidosis (B)</p> Signup and view all the answers

What is the role of the glomerulus in the renal system?

<p>Filtration of blood to remove toxins (A)</p> Signup and view all the answers

In what case would the kidneys decrease HCO₃⁻ reabsorption as a compensatory mechanism?

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

In the case of metabolic alkalosis, what compensatory mechanism is typically employed?

<p>Hypoventilation to retain CO₂ (B)</p> Signup and view all the answers

What ions are primarily regulated by the renal function for electrolyte balance?

<p>Na⁺, K⁺, HCO₃⁻ (B)</p> Signup and view all the answers

What role does renin play in the body?

<p>Regulates blood pressure (A)</p> Signup and view all the answers

How does the body compensate for metabolic acidosis?

<p>Hyperventilation to expel CO₂ (D)</p> Signup and view all the answers

Which mechanism is responsible for regulating blood pressure when it is low?

<p>Release of renin (D)</p> Signup and view all the answers

What is the effect of respiratory alkalosis on bicarbonate levels?

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

What would be an appropriate treatment for respiratory alkalosis?

<p>Promote hypoventilation to retain CO₂ (D)</p> Signup and view all the answers

What is a primary function of hormones produced by the kidneys such as EPO and renin?

<p>Supporting cardiovascular function and blood pressure regulation (D)</p> Signup and view all the answers

What leads to metabolic alkalosis in the body?

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

Which substance's active form is calcitriol crucial for regulating?

<p>Calcium balance (B)</p> Signup and view all the answers

What condition is characterized by a pH greater than 7.45?

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

Which electrolyte imbalance is most likely to cause muscle spasms?

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

How does increased sodium (Na⁺) affect blood pressure?

<p>It increases blood pressure. (C)</p> Signup and view all the answers

What is one of the critical functions of renal function related to acid-base balance?

<p>Reabsorbs HCO₃⁻ (B)</p> Signup and view all the answers

Which factor is most likely to contribute to fluid retention and edema?

<p>Impaired renal filtration (C)</p> Signup and view all the answers

What dietary change is recommended to avoid ketone production in patients with certain metabolic conditions?

<p>Encourage high-carb foods (A)</p> Signup and view all the answers

Elevated levels of which substance is a likely indicator of waste buildup due to reduced renal function?

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

Which of the following is associated with decreased erythropoietin production?

<p>Severe anemia (C)</p> Signup and view all the answers

What is the primary role of the bicarbonate buffer system?

<p>To stabilize pH by changing the concentration of bicarbonate (A)</p> Signup and view all the answers

Which condition is characterized by a pH less than 7.35?

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

What consequence is associated with impaired filtration in kidney failure?

<p>Accumulation of urea and creatinine (D)</p> Signup and view all the answers

Which buffer system involves the dissociation of H₂PO₄⁻?

<p>Phosphate buffer system (C)</p> Signup and view all the answers

What effect does loss of albumin in urine have on the body?

<p>Development of edema (A)</p> Signup and view all the answers

What is the main consequence of acid-base imbalance in individuals with chronic kidney disease?

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

Which of the following describes a characteristic of the protein buffer system?

<p>It stabilizes pH using amino acid residues. (A)</p> Signup and view all the answers

What defines alkalosis in terms of pH level?

<p>pH above 7.45 (A)</p> Signup and view all the answers

Flashcards

Filtration of Toxins

The kidneys' ability to remove waste products like urea, uric acid, and creatinine from the blood through filtration.

Fluid Regulation

The kidneys' role in maintaining the body's fluid balance by eliminating excess water through urine.

Electrolyte Balance

The process the kidneys use to keep the right balance of electrolytes like sodium, potassium, and bicarbonate in the blood.

Blood Pressure Regulation (RAAS)

The kidneys help regulate blood pressure by releasing renin, which activates the RAAS (renin-angiotensin-aldosterone system).

Signup and view all the flashcards

Respiratory Acidosis

A condition where the lungs are not able to remove enough carbon dioxide from the blood, leading to an increase in acidity.

Signup and view all the flashcards

Respiratory Alkalosis

A condition where the lungs are removing too much carbon dioxide from the blood, leading to a decrease in acidity.

Signup and view all the flashcards

Metabolic Acidosis

A condition where the body produces too much acid or loses too much base, leading to an increase in acidity.

Signup and view all the flashcards

Metabolic Alkalosis

A condition where the body loses too much acid or produces too much base, leading to a decrease in acidity.

Signup and view all the flashcards

Renal Compensation for Respiratory Acidosis

The kidneys compensate for respiratory acidosis by reabsorbing HCO₃⁻ and excreting H⁺, aiming to increase blood pH.

Signup and view all the flashcards

Renal Compensation for Respiratory Alkalosis

The kidneys compensate for respiratory alkalosis by decreasing HCO₃⁻ reabsorption, aiming to decrease blood pH.

Signup and view all the flashcards

Blood Pressure Regulation by Kidneys

The kidneys help regulate blood pressure through the renin-angiotensin-aldosterone system (RAAS). When blood pressure is low, the kidneys release renin, starting a cascade that ultimately increases blood pressure.

Signup and view all the flashcards

Calcitriol: Vitamin D Production

The active form of vitamin D, produced by the kidneys, helps regulate calcium balance in the body.

Signup and view all the flashcards

Pre-renal

Lowered blood volume, often due to dehydration or shock, leading to decreased blood flow to the kidneys.

Signup and view all the flashcards

Renal

Damage to the kidneys themselves, caused by toxins, infections, or inflammation.

Signup and view all the flashcards

Post-renal

Blockage of the urinary tract, preventing urine from being eliminated.

Signup and view all the flashcards

Acidosis

A state where the body's pH is too low, caused by an increase in acid levels. This can be due to various factors, including kidney failure or metabolic disorders.

Signup and view all the flashcards

Hyperventilation

Excessive breathing, which can lead to low carbon dioxide levels and respiratory alkalosis.

Signup and view all the flashcards

Lactic Acid

A by-product of anaerobic glycolysis (energy production without oxygen) in muscles. It gets converted into glucose in the liver.

Signup and view all the flashcards

Renal Insufficiency

A condition where the kidneys cannot filter waste products effectively.

Signup and view all the flashcards

Ischemia

A condition where blood flow to an organ is restricted or blocked. This can impact oxygen and nutrients reaching the tissue, leading to damage.

Signup and view all the flashcards

Ketone Bodies

A type of acid formed during fat breakdown. Ketones are released into the bloodstream and used for energy.

Signup and view all the flashcards

Sulfuric Acid

A type of acid formed from the breakdown of proteins (amino acids) in the body.

Signup and view all the flashcards

Phosphoric Acid

A form of acid formed from breakdown of phosphorus-rich compounds.

Signup and view all the flashcards

Acid-Base Imbalance

A condition where the body's ability to regulate acid-base balance is disrupted. This can be acute or chronic.

Signup and view all the flashcards

Renal (Kidney) Function in Acid-Base Balance

The kidneys, through their filters, play a vital role in maintaining acid-base balance by removing excess acid from the body.

Signup and view all the flashcards

Respiratory Function in Acid-Base Balance

Our lungs, through breathing, help maintain acid-base balance by removing CO₂ (carbon dioxide), a major component of the body's acid.

Signup and view all the flashcards

Buffer System

A chemical system that resists changes in pH by absorbing or releasing hydrogen ions (H+).

Signup and view all the flashcards

Bicarbonate Buffer

A buffer system that uses the bicarbonate ion (HCO3-) and carbonic acid (H2CO3) to maintain pH.

Signup and view all the flashcards

Phosphate Buffer

A buffer system that uses dihydrogen phosphate (H2PO4-) and hydrogen phosphate (HPO42-) ions to maintain pH.

Signup and view all the flashcards

Protein Buffer

A buffer system that uses amino acid residues to help maintain pH.

Signup and view all the flashcards

Alkalosis

A condition characterized by a pH above 7.45, indicating excess base or acid deficiency.

Signup and view all the flashcards

Proteinuria

The loss of protein from the blood into the urine, often a sign of kidney impairment.

Signup and view all the flashcards

Impaired Filtration

The inability of the kidneys to filter waste products from the blood effectively.

Signup and view all the flashcards

Hyperkalemia

A condition where the potassium levels in the blood are too high.

Signup and view all the flashcards

Hypertension

A medical condition characterized by high blood pressure.

Signup and view all the flashcards

Edema

Excessive fluid retention in the body, often leading to swelling.

Signup and view all the flashcards

Renal function

The process by which the kidneys filter waste products from the blood and produce urine.

Signup and view all the flashcards

Respiratory function

The process by which the lungs remove carbon dioxide (CO2) from the blood.

Signup and view all the flashcards

Study Notes

Renal Function and Acid-Base Balance

  • Renal Function: Crucial for homeostasis.
  • Respiratory Acidosis: Caused by hypoventilation (increased CO₂). Treated with increased ventilation.
  • Respiratory Alkalosis: Caused by hyperventilation (decreased CO₂). Treated with hypoventilation.
  • Metabolic Acidosis: Compensated by hyperventilation to expel CO₂. Characterized by decreased HCO₃, potentially due to lactic acidosis or ketoacidosis.
  • Metabolic Alkalosis: Compensated by hypoventilation to retain CO₂. Characterized by increased HCO₃, potentially due to vomiting or diuretic therapy.
  • Acid-Base Imbalance Classification: Evaluates factors like H+, base excess, PCO2, PO2, HCO3, and O2 saturation.
  • Symptoms of Acidosis: Neuromuscular irritability, arrhythmias, heart failure, loss of consciousness, coma and potential death. Muscle spasms and pain due to low potassium.
  • Symptoms of Alkalosis: Neuromuscular irritability due to high potassium
  • Checking Acid-Base Balance: Involves arterial blood samples.
  • Kidneys Function: Filtration of toxins (urea, uric acid, creatinine); Fluid regulation (adjusting urine volume); Electrolyte balance (Na+, K+, HCO₃); Blood pressure regulation (via RAAS); Hormone production (EPO, renin, calcitriol).
  • Renal Insufficiency: Types include pre-renal (reduced blood supply), renal (kidney damage), and post-renal (obstruction of urinary tract).
  • Causes of Renal Insufficiency: Pre-renal: hypovolemia, shock, hypotension; Renal: toxins (drugs, heavy metals), infections (nephritis), ischemia, decreased perfusion; Post-renal: obstructions (stones, tumors).

Mechanisms of Acid-Base Balance Maintenance

  • Respiratory Function: Controls CO₂ levels (carbonic acid).
  • Renal Function: Excretes H+, reabsorbs HCO₃.
  • Buffer Systems: Help stabilize pH (e.g., bicarbonate, phosphate, and protein buffers).

Acid-Base Imbalance

  • Acidosis: Excess acid or base deficiency (pH < 7.35).
  • Alkalosis: Excess base or acid deficiency (pH > 7.45).
  • Critical for pH Homeostasis: Blood pH is maintained between 7.35 and 7.45.

Dietary Management

  • Dietary Management Adjustments: Limit amino acids (lysine, arginine, methionine); Encourage high-carb foods; Monitor potassium-rich foods; Control diabetes; Salt restriction.

Acute vs Chronic Renal Disease

  • Acute Kidney Disease: Rapid onset (hours to days), often reversible with treatment; Causes include bacterial infections and toxin ingestion.
  • Chronic Kidney Disease: Gradual development (months to years), often irreversible, but manageable with treatment; Common in older animals.

Consequences of Kidney Failure

  • Impaired Filtration: Loss of protein reabsorption (glucose, proteins), Proteinuria (albumin loss in urine).
  • Electrolyte Imbalance: Increased sodium (hypertension), increased hydrogen (acidosis), decreased bicarbonate (acidosis), increased urea and creatinine (waste accumulation).

Symptoms of Kidney Failure

  • Hypertension: From sodium retention;
  • Severe Anemia: Decreased erythropoietin production;
  • Edema: Fluid retention;
  • Muscle Weakness: Protein breakdown and electrolyte imbalance;
  • Glycosuria/Proteinuria: Sugar and proteins in urine;
  • Nausea and Vomiting: Waste accumulation.

Studying That Suits You

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

Quiz Team

Related Documents

More Like This

Use Quizgecko on...
Browser
Browser