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Regulation of Acid-Base Balance - (copy)

Chapter 30 - Guyton

AB
Acid isa substance that can release hydrogen ions in solution
Base isa substance that can accept hydrogen ions in solution
Blood pH Must be Kept Close to7.4
The range of change of pH of in either direction that is considered serious is0.2 units
A buffer isa substance that can reversibly bind hdrogen ions
The chief blood buffer isa mixture of bicarbonate and carbon dioxide
CO2 acts as an acid donatinghydrogen ions when they are needed
Blood pH is determined by a balance betweenbicarbonate and CO2
Acidosis is caused bytoo much CO2 or too little HCO3
Alkalosis is caused bytoo much HCO3 or too little CO2
Blood pH is Chiefly Regulated bythe Lungs and Kidneys
The blood bicarbonate level is adjusted inthe kidney
The kidneys dispose ofnon-volatile acids produced in metabolism
The buffer sodium bicarbonate, is filtered by the glomerulus and then reabsorbed inthe proximal tubule
Carbonic anhydrase in the proximal tubular cells catalyses the reaction tocarbon dioxide (CO2) and water (H2O)
Ammonia is produced enzymatically fromglutamine and other amino acids
Aldosterone promotessodium ion and water reabsorption in the distal tubule and collecting duct
Erythropoietin which stimulatesred cell production
Aldosterone is released when there is adecrease in serum sodium ion concentration
The kidneys remove excess H by formingammonium ion (NH4+) in the tubules


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