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Protien Buffer System Plasma and intracellular proteins are the body’s most plentiful and powerful buffers Some amino acids of proteins have: Free organic acid groups (weak acids) Groups that act as weak bases (e.g., amino groups) Amphoteric molecules are protein molecules that can function as both a weak acid and a weak base
Physiological Buffer System The respiratory system regulation of acid-base balance is a physiological buffering system There is a reversible equilibrium between: Dissolved carbon dioxide and water Carbonic acid and the hydrogen and bicarbonate ions CO2 + H2O H2CO3 H+ + HCO3
Physiiological Buffer System During carbon dioxide unloading, hydrogen ions are incorporated into water When hypercapnia or rising plasma H+ occurs: Deeper and more rapid breathing expels more carbon dioxide Hydrogen ion concentration is reduced Alkalosis causes slower, more shallow breathing, causing H+ to increase Respiratory system impairment causes acid-base imbalance (respiratory acidosis or respiratory alkalosis)
Renal Mechanisms of Acid-Base Balance Chemical buffers can tie up excess acids or bases, but they cannot eliminate them from the body The lungs can eliminate carbonic acid by eliminating carbon dioxide Only the kidneys can rid the body of metabolic acids (phosphoric, uric, and lactic acids and ketones) and prevent metabolic acidosis The ultimate acid-base regulatory organs are the kidneys
Renal Mechanisms of Acid-Base Balance The most important renal mechanisms for regulating acid-base balance are: Conserving (reabsorbing) or generating new bicarbonate ions Excreting bicarbonate ions Losing a bicarbonate ion is the same as gaining a hydrogen ion; reabsorbing a bicarbonate ion is the same as losing a hydrogen ion Hydrogen ion secretion occurs in the PCT and in type A intercalated cells Hydrogen ions come from the dissociation of carbonic acid
