Equilibro Ácido Base Worksheet - PhysioEX
Equilibro Ácido Base Worksheet - PhysioEX
Equilibro Ácido Base Worksheet - PhysioEX
E X E R C I S E
10
Acid/Base Balance
O B J E C T I V E S
T fluids. pH values are the reciprocal of [H⫹] and follow the formula
pH = log(1/[H⫹])
At a pH of 7.4, [H⫹] is about 40 nanomolars (nM) per liter. Because the relation-
ship is reciprocal, [H⫹] is higher at lower pH values (indicating higher acid lev-
els) and lower at higher pH values (indicating lower acid levels).
The pH of a body’s fluids is also referred to as its acid/base balance. An
acid is a substance that releases H⫹ in solution (such as in body fluids). A base,
often a hydroxyl ion (OH⫺) or bicarbonate ion (HCO3⫺), is a substance that
binds to H⫹. A strong acid is one that completely dissociates in solution, releas-
ing all of its hydrogen ions and thus lowering the solution’s pH level. A weak acid
dissociates incompletely and does not release all of its hydrogen ions in solution.
A strong base has a strong tendency to bind to H⫹, which has the effect of rais-
ing the pH value of the solution. A weak base binds less of the H⫹, having a lesser
effect on solution pH.
The body’s pH levels are very tightly regulated. Blood and tissue fluids nor-
mally have pH values between 7.35 and 7.45. Under pathological conditions,
blood pH values as low as 6.9 or as high as 7.8 have been recorded; however, val-
ues higher or lower than these cannot sustain human life. The narrow range of
7.35–7.45 is remarkable when one considers the vast number of biochemical re-
actions that take place in the body. The human body normally produces a large
amount of H⫹ as the result of metabolic processes, ingested acids, and the prod-
ucts of fat, sugar, and amino acid metabolism. The regulation of a relatively con-
stant internal pH environment is one of the major physiological functions of the
body’s organ systems.
To maintain pH homeostasis, the body utilizes both chemical and physiolog-
ical buffering sytems. Chemical buffers are composed of a mixture of weak acids
and weak bases. They help regulate body pH levels by binding H⫹ and removing
it from solution as its concentration begins to rise, or releasing H⫹ into solution
131
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132 Exercise 10
(a)
Lungs Kidneys
(b) Respiratory and renal response to acidosis (c) Respiratory and renal response to alkalosis
134 Exercise 10
A C T I V I T Y 1 At 20 seconds, pH ⫽
2. Allow the trace to run all the way to the right side of the Was the pH level always within the “normal” range for the
oscilloscope screen. At this point, the run will automati-
cally end. human body?
3. Click Record Data at the bottom left to record your
results. If not, when was the pH value outside of the normal range,
and what acid/base imbalance did this pH value indicate?
4. If you have printer access, click Tools at the top of the
screen and select Print Graph. Otherwise, manually sketch ________________________________________________
what you see on the oscilloscope screen.
5. Click Clear Tracings to clear the oscilloscope screen. Did the PCO2 level change during the course of this run? If so,
how?
Did the pH level of the blood change at all during normal
breathing? If so, how? ________________________________________________
then click Normal Breathing at the 20-second mark. Allow If not, when was the pH value outside of the normal range,
the trace to finish its run across the oscilloscope screen. Ob- and what acid/base imbalance did this pH value indicate?
serve the changes in the pH meter and the PCO2 displays.
________________________________________________
2. Click Record Data.
3. If you have printer access, click Tools at the top of the Did the PCO2 level change during the course of this run? If so,
screen and select Print Graph. Otherwise, manually sketch how?
what you see on the oscilloscope screen.
________________________________________________
4. Click Clear Tracings to clear the oscilloscope screen.
Describe the trace after the 20-second mark when you If you observed an acid/base imbalance during this run, how
stopped the hyperventilation. Did the breathing return to nor- would you expect the renal system to compensate for this
mal immediately? Explain your observation. condition?
________________________________________________ ________________________________________________
________________________________________________ How did the rebreathing trace differ from the trace for normal
breathing? Did the tidal volumes change?
________________________________________________
________________________________________________
______________________________________________ ■
________________________________________________
136 Exercise 10
In this activity, we will simulate respiratory alkalosis by set- 2. Set PCO2 to 60 by clicking the (ⴙ) button. Notice that the
ting the PCO2 to values lower than normal (thus, blood pH will corresponding blood pH value is 7.3.
be higher than normal). We will then observe the renal sys- 3. Click Start.
tem’s response to these conditions.
4. At the end of the run, click Record Data.
1. Set PCO2 to 35 by clicking the (ⴚ) button. Notice that the 5. Click Refill.
corresponding blood pH value is approximately 7.5.
6. Repeat steps 1–5, setting PCO2 to increasingly higher val-
2. Click Start. ues (i.e., set PCO2 to 75 and then 90, the highest value al-
3. At the end of the run, click Record Data. lowed).
4. Click Refill. What level of [H⫹] was present in the urine at each of these
5. Repeat steps 1–4, setting PCO2 to increasingly lower PCO2 /pH levels?
values (i.e., set PCO2 to 30 and then 20, the lowest value ________________________________________________
allowed).
What level of [H⫹] was present in the urine at each of these What level of [HCO3⫺] was present in the urine at each of
PCO2 /pH levels? these PCO2 /pH levels?
________________________________________________ ________________________________________________
What level of [HCO3⫺] was present in the urine at each of Recall that it may take hours or even days for the renal sys-
these PCO2 /pH levels? tem to respond to disruptions in acid/base balance. Assuming
that enough time has passed for the renal system to fully
________________________________________________ compensate for respiratory acidosis, would you expect PCO2
levels to increase or decrease? Would you expect blood pH
Recall that it may take hours or even days for the renal sys- levels to increase or decrease?
tem to respond to disruptions in acid/base balance. Assuming
that enough time has passed for the renal system to fully ________________________________________________
compensate for respiratory alkalosis, would you expect PCO2 ________________________________________________
levels to increase or decrease? Would you expect blood pH
levels to increase or decrease? Recall your activities in the first experiment on respiratory
________________________________________________ acidosis and alkalosis. Which type of breathing resulted in
PCO2 levels closest to the ones we experimented with in this
________________________________________________ activity—normal breathing, hyperventilation, or rebreathing?
138 Exercise 10
acids that are also normal metabolic waste products, such as • PCO2 (shown as PCO2 in the text) tells you the partial
ketone bodies and phosphoric, uric, and lactic acids, would pressure of carbon dioxide in the blood.
likewise accumulate with an increase in metabolic rate. Con- Hⴙ and HCO3ⴚ tell you the levels of each of these ions
versely, a decrease in the normal rate of metabolism would
•
present.
result in less carbon dioxide being formed as a metabolic
waste product, resulting in the formation of less H⫹—raising 4. Click Record Data.
plasma pH and potentially causing alkalosis. Many factors
5. Click Tools and then Print Graph in order to print your
can affect the rate of cell metabolism. For example, fever,
graph.
stress, or the ingestion of food all cause the rate of cell me-
tabolism to increase. Conversely, a fall in body temperature What is the respiratory rate (BMP)?
or a decrease in food intake causes the rate of cell metabolism What is the blood pH?
to decrease.
The respiratory system compensates for metabolic aci- Are the blood pH and PCO2 values within normal ranges?
dosis or alkalosis by expelling or retaining carbon dioxide in
________________________________________________
the blood. During metabolic acidosis, respiration increases
to expel carbon dioxide from the blood and decrease [H⫹] in
order to raise the pH level. During metabolic alkalosis, res- 6. Click Clear Tracings before proceeding to the next
piration decreases to promote the accumulation of carbon activity. ■
dioxide in the blood, thus increasing [H⫹] and decreasing
the pH level. A C T I V I T Y 8
The renal system also compensates for metabolic acido-
sis and alkalosis by conserving or excreting bicarbonate ions.
However, in this set of activities we will focus on respiratory Respiratory Response to
compensation of metabolic acidosis and alkalosis. Increased Metabolism
To begin, click Experiment at the top of the screen and
select Metabolic Acidosis/Alkalosis. The screen shown in 1. Increase the metabolic rate to 60.
Figure 10.3 will appear. This screen is similar to the screen
2. Click Start to begin the experiment.
from the first experiment; the main differences are the addi-
tion of a box representing the heart; tubes showing the double 3. Allow the graph to reach the end of the oscilloscope
circulation of the heart; and a box representing the body’s screen. Note the data in the displays below the oscilloscope
cells. The default “normal” metabolic rate has been set to 50 screen.
kcal/h—an arbitrary value, given that “normal” metabolic 4. Click Record Data.
rates vary widely from individual to individual. The (ⴙ) and
(ⴚ) buttons in the Body Cells box allow you to increase or 5. Click Tools and then Print Graph in order to print your
decrease the body’s metabolic rate. In the following activi- graph.
ties, we will observe the respiratory response to acidosis or 6. Repeat steps 1–5 with the metabolic rate set at 70, and
alkalosis brought on by increases or decreases in the body’s then 80.
metabolic rate.
As the body’s metabolic rate increased:
A C T I V I T Y 7
How did respiration change with respect to BPM and tidal
volume?
140 Exercise 10
Explain why these changes took place as metabolic rate As the body’s metabolic rate decreased:
increased. Hint: Start with the formation of excess CO2 waste
and explain the changes. How did respiration change?
________________________________________________ ________________________________________________
________________________________________________
How did blood pH change?
Which metabolic rates caused pH levels to decrease to a con- ________________________________________________
dition of metabolic acidosis?
________________________________________________ How did PCO2 change?
________________________________________________
What were the pH values at each of these rates?
________________________________________________ How did [H⫹] change?
________________________________________________
By the time the respiratory system fully compensated for aci-
dosis, how would you expect the pH values to change? How did [HCO3⫺] change?
________________________________________________ ________________________________________________
7. Click Clear Tracings before proceeding to the next Explain why these changes took place as the metabolic
activity. ■ rate decreased.
________________________________________________
A C T I V I T Y 9
________________________________________________
Respiratory Response to ________________________________________________
Decreased Metabolism
Which metabolic rates caused pH levels to increase to a con-
1. Decrease the metabolic rate to 40. dition of metabolic alkalosis?
2. Click Start to begin the experiment. ________________________________________________
3. Allow the graph to reach the end of the oscilloscope
screen. Note the data in the displays below the oscillo- What were the pH values at each of these rates?
scope screen. ________________________________________________
4. Click Record Data.
By the time the respiratory system fully compensated for alka-
5. Click Tools and then Print Graph in order to print your
losis, how would you expect the pH values to change?
graph.
6. Repeat steps 1–5 with the metabolic rate set at 30, and ________________________________________________
then 20.
7. Click Tools → Print Data to print your recorded data.
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