Acid-Base Homeostasis

Normal blood pH and the effect of hydrogen ions, protein/bicarbonate/phosphate buffer systems, exhalation of CO2, kidney excretion of hydrogen ions, and the four acid-base imbalances.

Listen: Acid-Base Homeostasis

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Acid-Base Homeostasis

Lesson focus - Define normal blood pH, explain how H⁺ affects pH, compare the body's buffer systems, differentiate the roles of the lungs and kidneys, and identify the four types of acid-base imbalances.


pH

  • Normal blood pH is 7.35–7.45
  • Increased H⁺ will lower pH

The body removes H⁺ by three mechanisms:

  1. Buffer systems
  2. Exhaling CO₂
  3. Kidney excretion of H⁺ in urine

Buffer Systems

Buffer systems prevent drastic changes in the pH of body fluids by converting strong acids and bases into weak acids and bases.

Buffer systemKey components / action
Protein buffer systemAlbumin and hemoglobin
Carbonic acid–bicarbonate buffer systemExcess CO₂ is exhaled from the lungs
Phosphate buffer systemEnables excess H⁺ to be excreted through urine

Exhalation of CO₂

Factors affecting CO₂ elimination:

  • Rate of breathing (respiratory rate)
  • Depth of breathing (tidal volume)

Chemoreceptors respond to changes in pH to bring the body back to homeostasis.


Kidney Excretion of H⁺

Intercalated Cells

Intercalated cells are epithelial cells associated with the regulation of acid-base homeostasis in the distal segments of the kidney tubule.

  • Excrete excess H⁺ when pH is too low
  • Excrete excess HCO₃ when pH is too high

Collecting Duct Buffers

Collecting duct buffers filter any other H⁺:

  • HPO₄ (monohydrogen phosphate) binds to H⁺ to form H₂PO₄ (dihydrogen phosphate)
  • NH₃ (ammonia) binds to H⁺ to form NH₄ (ammonium)

Ammonium and dihydrogen phosphate are excreted in the urine.


Acid-Base Imbalances

The four key acid-base imbalances are:

ImbalanceOrigin
Respiratory acidosisRespiratory (lungs / CO₂)
Respiratory alkalosisRespiratory (lungs / CO₂)
Metabolic acidosisMetabolic
Metabolic alkalosisMetabolic

Review

  • pH
  • Buffer systems
  • Exhalation of CO₂
  • Kidney excretion of H⁺
  • Acid-base imbalances