acid and base Flashcards

(41 cards)

1
Q

The seven most important
electrolytes in terms of body
functioning are

A
  • Sodium (Na+)
  • Potassium (K+)
  • Chloride (Cl-)
  • Calcium (Ca2+)
  • Phosphate (HPO42-)
  • Magnesium (Mg2+)
  • Bicarbonate (HCO3-)
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2
Q

Role of Electrolytes in the Body

A

The body contains many ions (electrolytes) essential for physiological functions.

Some electrolytes assist in transmitting electrical impulses in neurons and muscle cells.

Others help stabilize protein structures, including enzymes.

Certain ions support the release of hormones from endocrine glands.

All plasma electrolytes contribute to osmotic balance, regulating water movement between cells and their environment.

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3
Q

Sodium (Na⁺) and Fluid Balance

A

Sodium is the main cation of extracellular fluid, contributing to ~50% of the osmotic pressure gradient between cells and their environment.

Freely filtered through the kidney’s glomerular capillaries.

Most sodium is reabsorbed in the proximal convoluted tubule, but some remains in the filtrate.

Therefore, normal amounts of sodium are excreted in urine.

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4
Q

Potassium (K⁺) and Membrane Potential

A

Potassium is the major intracellular cation.

Crucial for establishing the resting membrane potential.

Helps reset neurons and muscle fibers after depolarization and action potentials.

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5
Q

Potassium and Osmotic Pressure Regulation

A

Potassium has minimal influence on osmotic pressure.

Blood and CSF contain low K⁺ levels, tightly regulated.

Regulation maintained by the Na⁺/K⁺ ATPase pump in cell membranes.

Prevents large osmotic shifts despite high intracellular potassium concentration.

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6
Q

Chloride in Electrolyte Balance

A

Chloride is the main extracellular anion.

Major contributor to the osmotic pressure gradient between ICF and ECF.

Helps maintain electrical neutrality by balancing extracellular cations (especially Na⁺).

Renal chloride movement (secretion & reabsorption) typically follows sodium handling in the kidneys.

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7
Q

How are sodium, chloride, and potassium regulated in the renal collecting tubule, and which hormones control this process?

A

Na⁺ and Cl⁻ are reabsorbed from the renal filtrate in the collecting tubule.

K⁺ is secreted into the filtrate at the same site.

This electrolyte exchange is primarily controlled by aldosterone and angiotensin II.

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8
Q

What are the major roles of calcium in the body, both structurally and functionally?

A

Body contains ~1 kg of calcium, mostly in bones/teeth for structural hardness.

Acts as a mineral reserve for calcium and its salts.

Also functions as an extracellular cation in blood.

Essential for:

Muscle contraction

Enzyme activity

Blood coagulation

Neurotransmitter release from neurons

Hormone release from endocrine glands

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9
Q

How does a presynaptic neuron release neurotransmitters at the synaptic cleft?

A

Action potential travels down the axon to the synaptic end bulb.

Voltage-gated Ca²⁺ channels open, allowing calcium to enter the neuron.

Rising intracellular Ca²⁺ triggers synaptic vesicles to undergo exocytosis, releasing neurotransmitters into the synaptic cleft.

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10
Q

How are blood calcium levels regulated by parathyroid hormone, calcitriol, and calcitonin?

A

Parathyroid Hormone (PTH) is the main regulator of blood calcium:

Increases osteoclast activity → more bone resorption → ↑ blood Ca²⁺

Increases Ca²⁺ reabsorption in the kidneys

Calcitriol (active Vitamin D) increases calcium absorption in the small intestine.

When blood calcium is too high, the thyroid gland releases Calcitonin:

Inhibits osteoclasts

Promotes calcium uptake into bones and teeth.

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11
Q

Where is phosphate found in the body, and what roles does it serve?

A

~85% of phosphate is stored in bones and teeth as calcium-phosphate salts.

Acts as a weak base, helping to buffer intracellular fluids.

Present in key cellular components:

Phospholipid membranes

ATP (energy molecule)

Nucleotides (DNA/RNA)

Physiological buffers

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12
Q

What are the major functions and locations of magnesium in the body?

A

Mostly stored in the bone matrix as magnesium salts.

Second most common intracellular cation.

Activates enzymes involved in carbohydrate and protein metabolism.

Required for proper function of the Na⁺/K⁺ pump.

Essential for:

Neuromuscular activity

Neural transmission in the CNS

Myocardial (heart) function

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13
Q

How is bicarbonate produced in the body, and what role does it play in blood chemistry?

A

Second most abundant anion in the blood.

Maintains acid–base balance (major blood buffer).

Produced when CO₂ + H₂O combine (via carbonic anhydrase) to form carbonic acid (H₂CO₃).

Carbonic acid dissociates into bicarbonate (HCO₃⁻) and hydrogen ions (H⁺).

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14
Q

What is a buffer, and how does it help maintain pH stability in body fluids?

A

A buffer prevents large or sudden changes in fluid pH.

Works by dampening changes in H⁺ concentration when excess acid or base is present.

Most buffers can act as:

Weak acids → take up OH⁻

Weak bases → take up H⁺

Helps maintain acid–base homeostasis in the body.

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15
Q

How do the body’s buffer systems regulate pH, and how quickly does each system respond?

3 systems

A

Chemical buffers in the blood act within seconds to stabilize pH.

Respiratory system adjusts pH within minutes by exhaling CO₂.

Renal system regulates pH by excreting H⁺ and conserving bicarbonate, but requires hours to days for full effect.

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16
Q

Which buffer systems help maintain blood pH within the 7.35–7.45 range?

A

Phosphate buffer system

Protein buffer system

Bicarbonate–carbonic acid buffer system

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17
Q

How does the phosphate buffer system function, and where is it most effective in the body?

A

Most effective in intracellular fluid (cytosol) and kidney filtrate (urine).

Composed of two ions:

HPO₄²⁻ (monohydrogen phosphate) → acts as a weak base.

H₂PO₄⁻ (dihydrogen phosphate) → acts as a weak acid.

Together they buffer changes in H⁺ to maintain pH stability.

18
Q

How does the protein buffer system help regulate acid–base balance in the body?

A

Most abundant buffer system in body cells and plasma.

Proteins act as both weak acids and weak bases.

Carboxyl groups (–COOH) act as weak acids → counter rising pH by releasing H⁺.

Amino groups (–NH₂) act as weak bases → counter falling pH by binding H⁺.

Provides rapid and versatile pH stabilization in cells and plasma.

20
Q

How does hemoglobin function as the most important protein buffer in acid–base balance?

A

CO₂ from tissues diffuses into erythrocytes and combines with water → forms carbonic acid.

Carbonic acid dissociates into bicarbonate (HCO₃⁻) and H⁺.

Bicarbonate leaves the RBC and is replaced by chloride ions (chloride shift).

H⁺ is buffered by hemoglobin, preventing major pH changes.

Hemoglobin binding H⁺ facilitates the Bohr effect → promotes O₂ release at tissues.

21
Q

What is the most important buffer system for maintaining acid–base balance in the blood, and how does it function?

A

The bicarbonate–carbonic acid buffer system is the primary blood pH regulator.

Bicarbonate (HCO₃⁻) acts as a weak base, binding excess H⁺.

Carbonic acid (H₂CO₃) acts as a weak acid, donating H⁺ when needed.

Together, they stabilize blood pH within the 7.35–7.45 range.

22
Q

Question: Why is the bicarbonate–carbonic acid buffer system most effective in resisting blood acidification?

A

Bicarbonate (HCO₃⁻) and carbonic acid (H₂CO₃) exist in a 20:1 ratio in normal blood pH.

Having 20× more bicarbonate makes the system highly effective at buffering added acids.

This is essential because most metabolic wastes produced by the body are acidic.

23
Q

ow does the respiratory system regulate blood pH through control of carbonic acid levels?

A

CO₂ in the blood reacts with water to form carbonic acid, and both remain in equilibrium.

When CO₂ rises (e.g., holding breath), more carbonic acid forms → pH decreases (more acidic).

Increasing breathing rate or depth removes more CO₂ → reduces carbonic acid → pH increases (more alkaline).

24
Q

ow does changing breathing rate at rest affect CO₂ levels and blood pH?

A

Increased breathing rate → ↓ CO₂ → ↓ H⁺ → temporary increase in blood pH (more alkaline).

Decreased breathing rate → ↑ CO₂ → ↑ H⁺ → temporary decrease in blood pH (more acidic).

Hemoglobin’s oxygen affinity shifts with pH and CO₂:

High pH / Low CO₂ → ↑ hemoglobin–O₂ affinity.

Low pH / High CO₂ → ↓ hemoglobin–O₂ affinity (Bohr effect).

25
How does the renal system regulate acid–base balance through bicarbonate handling?
Kidneys regulate the metabolic component of acid–base balance by controlling blood bicarbonate levels. Tubule cells are not permeable to bicarbonate, so bicarbonate cannot directly cross into them. Instead, HCO₃⁻ is converted to CO₂ and H₂O, which diffuse into tubular cells. Inside the cells, CO₂ + H₂O → carbonic acid (H₂CO₃) → dissociates into H⁺ and new HCO₃⁻. Newly formed bicarbonate is transported back into the blood to help restore pH.
26
How does the renal system regulate acid–base balance through bicarbonate handling?
Kidneys regulate the metabolic component of acid–base balance by controlling blood bicarbonate levels. Tubule cells are not permeable to bicarbonate, so bicarbonate cannot directly cross into them. Instead, HCO₃⁻ is converted to CO₂ and H₂O, which diffuse into tubular cells. Inside the cells, CO₂ + H₂O → carbonic acid (H₂CO₃) → dissociates into H⁺ and new HCO₃⁻. Newly formed bicarbonate is transported back into the blood to help restore pH.
27
What are tubular cells in the kidneys?
Tubular cells are the epithelial cells that line the kidney’s nephron tubules. Found in structures such as the proximal tubule, loop of Henle, distal tubule, and collecting duct. Responsible for reabsorbing nutrients, ions, and water back into the blood. Also secrete substances (like H⁺) into the filtrate to help regulate acid–base balance. Play a key role in forming urine composition and maintaining electrolyte homeostasis.
28
What are acidosis and alkalosis, and what blood pH levels define them?
Normal arterial blood pH is 7.35–7.45. Acidosis: blood pH below 7.35 (physiological acidosis; true acidity below pH 7). Continuous blood pH below 7.0 is fatal. Alkalosis: blood pH above 7.45. Blood pH above 7.8 is fatal.
29
What are the major effects and symptoms of acidosis on the central nervous system?
Acidosis causes depression of the central nervous system. Symptoms include: Headache Confusion Lethargy Easily fatigued Severe CNS depression can impair normal neurological function.
30
What are the major effects and symptoms of alkalosis on the nervous system?
Alkalosis causes over-excitability of both the central and peripheral nervous systems. Symptoms include: Cognitive impairment (may progress to unconsciousness) Tingling or numbness in extremities Muscle twitching and spasms Nausea and vomiting
31
How do changes in pH affect enzymes and metabolic activity in the body?
pH changes (↑ or ↓) can alter the shape of enzymes. Altered shape → enzymes can become non-functional. Leads to disrupted or reduced metabolic activity throughout the body.
32
How does the body compensate for acidosis or alkalosis, and what are the types of compensation?
Both acidosis and alkalosis can result from metabolic or respiratory causes. The body compensates by adjusting the other system to restore pH balance. Types of compensation: Complete compensation: pH restored to 7.35–7.45. Partial compensation: pH moves toward normal but remains <7.35 or >7.45.
33
How are respiratory and metabolic acid–base imbalances defined in terms of PaCO₂, HCO₃⁻, and pH?
Respiratory acidosis: PaCO₂ >45 mmHg, pH <7.35. Respiratory alkalosis: PaCO₂ <35 mmHg, pH >7.45. Metabolic acidosis: HCO₃⁻ <22 mEq/L, pH <7.35. Metabolic alkalosis: HCO₃⁻ >26 mEq/L, pH >7.45.
34
How does the urinary system compensate for respiratory acid-base imbalances?
Retention or excretion of bicarbonate (HCO₃⁻) at the kidneys Acidosis: retain HCO₃⁻ Alkalosis: excrete HCO₃⁻ Starts in minutes, maximal effect in days (metabolic compensation)
35
Front: What are the characteristics and causes of respiratory acidosis? Back:
PaCO2: ↑, pH: ↓ Caused by hypoventilation or reduced gas exchange in lungs Complete compensation: normal pH with high CO2 and HCO3
36
How do the kidneys compensate for respiratory acidosis?
Excrete H⁺, reabsorb HCO₃⁻ Helps raise pH toward normal
37
What are the characteristics and causes of respiratory alkalosis? Back:
PaCO2: ↓, pH: ↑ Caused by hyperventilation Complete compensation: normal pH with low CO2 and HCO3⁻
38
How do the kidneys compensate for respiratory alkalosis?
Excrete HCO₃⁻, reabsorb H⁺ Helps lower pH toward normal
39
How does the respiratory system compensate for metabolic acid-base imbalances?
Alters CO2 via hyper- or hypoventilation Starts in minutes to hours (respiratory compensation)
40
What are the characteristics and causes of metabolic acidosis?
HCO3⁻: ↓, pH: ↓ Causes: excess acid production, diarrhea (loss of HCO3⁻), kidney failure to excrete H⁺ Respiratory compensation: hyperventilation, ↓ PaCO2 Complete compensation: normal pH, low HCO3⁻ & PaCO2
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