Ch 16 CO2 Acid-Base Balance

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Created by:

nphua  on June 26, 2011

Subjects:

pathophysiology

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Ch 16 CO2 Acid-Base Balance

base
a proton (H+) acceptor
1/8
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Definitions

base a proton (H+) acceptor
acid a proton (H+) donor; CO2 produces free H+!
buffer prevents pH changes;

H+ buffer system: ICF; cell proteins (P-) and a phosphate system
Bicarbonate buffer of H+: ICF/ECF (plasma)
O2 buffer: hemoglobin (Hb) in ECF
pH scale a measure of free H+;
***
80 nM [H+] = 7.1
40 nM [H+] = 7.4

*** small changes in pH > large changes in nM concentration
CO2 the primary source of H+; is a volatile acid

high CO2 > acidosis!
40-45 normal mmHg range of CO2
20:1 the normal ratio between bicarbonate : carbonic acid
fixed acid an acid other than CO2; not excreted by the lungs; a "metabolic" acid
examples:
HCl (produced by parietal cells of stomach)
ketoacids (byproduct of lipid metabolism/done after carbs used up...fatkins)
lactic acids (result of anaerobic respiration)

Renal/kidney system eliminates H+/ HCO3 conserved/synthesized by renal tubular cells

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