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Summary the role of ventilation in acid-base interaction

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January 19, 2021
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2018/2019
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The Role of Ventilation in Acid-Base Balance

Concepts covered in this lecture include:

 Acids, bases and pH
 The effects of acidosis and alkalosis on the body
 Buffers and the three main buffering systems in the body
 The Henderson-Hasselbalch equation
 Respiratory compensation for metabolic acid-base disturbances


Pure water ionises a bit—

H2O --------- --> H+ + OH-

Water has an [H+] of 0.0000001M, also written as 1x10-7 M

The higher the [H+], the more acidic, the lower, the more alkaline, it goes up in a scale.
So a 0.1M solution of H+ has a pH of 1, if it has 0.01 = pH 2 etc.




pH = - log[H+]

A weak acid donates some protons (e.g. acetic acid) and accepts some back – so would
make a good buffer, while a strong acid donates ALL protons (e.g. HCl), it is completely
ionised in solution.

Acid strength is measured using Ka values, this is the acid dissociation constant.

, [A-] = Anion concentration
[HA] = The acid (undissociated) concentration

The Henderson-Hasselbach Equation shows us that, for example, 1.0M of HCL and
1.0M acetic acid have different pH because they have different Ka.




pKa = the –log of Ka

Metabolism makes acid e.g. in respiration, the CO 2 produced then reacts with water to
form carbonic acid.




So if we did the Henderson-Hasselbach Equation for carbonic acid it would be written
as below




However, the [H2CO3] is hard to measure, so we substitute it for CO2 instead, to
simplify it
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