ACID BASE BALANCE PH It is the negative log of the hydrogen ion concentration. ph = -log[H+] It is a unit of measure which describe the degree of acidity or alkalinity. Its measured on a scale of 0-14 7 is neutral, <7 is acidic (high con. H+), >7 is basic (high con. OH-) alkali
Acid Any substance that forms H+ ions in solution (proton donors) e.g carbonic acid releases H+ ions Base Any substance which combines with H+ ions in solution (proton acceptor) e.g bicarbonate(HCO3-) accepts H+ ions
Normal pH: 7.35 – 7.45 Acidosis Physiological state resulting from abnormally low plasma pH Alkalosis Physiological state resulting from abnormally high plasma pH Acidemia Alkalemia
BUFFER Buffer solution is a solution which resist changes in pH when a small amount of acid or base is added. Typically a mixture of a weak acid and a salt of its conjugate base or weak base and a salt of its conjugate acid Acidic buffer eg CH3COOH + CH3COONa Basic buffer eg NH4OH + NH4Cl
Handerson Hasselbalch equation HA H+ + A- Ka = [H+][A-]/[HA] pH = pka + log[A+]/[HA]
Response to acid base challenge First line of defence Two most common chemical buffer groups -bicarbonate -non bicarbonate ( Hb , protein, phosphate) blood buffer systems act instantaneously CO2 +H20 H2CO3 H+ + HCO3 HCO3 +Na NaHCO3
Second line of defence Respiratory system is considered the second line It eliminates or retain CO2 hence change in pH are rapid
Third line of defence are the kidneys -movement of bicarbonate -retention or excretion of acids - generating additional buffers May take hours to days