SlideShare a Scribd company logo
1 of 47
BUFFERS IN THE BODY
1
PRESENTOR : Dr.Kumar
MODERATOR
:Dr.Prabhavathy
2
Buffers
 resist changes in pH from the addition of acid or
base
 in the body absorb H3O+ or OH from foods and
cellular processes to maintain pH
 are important in the proper functioning of cells
and blood
 in blood maintain a pH close to 7.4; a change in
the pH of the blood affects the uptake of oxygen
and cellular processes
Buffers (continued)
When an acid or
base
is added
 to water, the pH
changes drastically
 to a buffer solution,
the pH does not
change very much;
pH is maintained
3
Components of a Buffer
4
The components of a buffer solution
 are acid–base conjugate pairs
 can be a weak acid and a salt of its conjugate
base
 typically have equal concentrations of the
weak acid and its salt
 can also be a weak base and a salt of its
conjugate acid
The Major Body Buffer Systems
Body Buffer system
-Hydrogen ion Homeostasis
-Control system
-Control CO2 (PCO2)
By lungs
-Control HCO3- By
Kidney and Erythrocytes
Body Buffer system
• Hydrogen Ion Homeostasis
About 50 to100 m mol of hydrogen ions are
released from cells into extracellular fluid each
day
• Hydrogen ion concentration [H+] is
maintained between about 35 and 45 nano
molL. (40nmol/L=pH 7.4)
• Control of hydrogen ion balance depends
on the secretion of H+ from the body, mainly
into the urine therefore Renal impairment
causes acidosis
-Aerobic metabolism of the carbon skeletons of
organic compounds converts from hydrogen,
carbon and oxygen to water and carbon dioxide
(CO2)
9
C C C C C C
H H H H H H
HHHHHH
CO2 is essential compound of extracellular buffering
system
-Control of CO2 depends on normal lung function.
Buffering
Is a process by which a strong acid (or base) is
replaced by a weaker one, with a consequent
reduction in the number of free hydrogen ions and
therefore the change in PH
HCl + NaHCO3 = H2CO3 + NaCl
Strong acid buffer weak acid neutral salt
PH is a measure of hydrogen ion
activity
Log 100 =log 102=2
Log 107=7
If [H+] is 10-7 (0.000 0001)
Then log [H+] =-7
The Henderson –hasselbalch equation
PH=PK+log [base] /[acid]
 The bicarbonate pair is an important biological
buffer example;
H2CO3 HCO3
- + H+
Acid base
 The base is bicarbonate (HCO3
-) and the carbonic
acid (H2CO3) .
 -It is not possible to measure the latter directly
 however it is in equilibrium with dissolved CO2 of
which the partial pressure (PCO2) can be estimated.
The conc. of H2CO3 is derived by multiplying this
measured value by the solubility co efficient (s) for
CO2 therefore
PH =PK-log [HCO3
-]/PCO2 XS (0.03 )
Hydrogen ion Homeostasis
PH is relatively tightly controlled in blood by the
following mechanisms
1-Hydrogen ions can be incorporated in water
H+ + HCO3
- H2CO3 CO2 + H2O
 This is normal mechanism during oxidative phos
phorylation. H+ is inactivated by combining with
the HCO3 only if the reaction is driven to the
right by the removal of CO2.
 By this would cause bicarbonate depletion
 H+ can be lost from the body only through the
kidney and the intestine .This mechanism is
coupled with the generation of bicarbonate ion
(HCO3
-)
 In the kidney this is the method which secretion
of excess H+ ensures regeneration of buffering
capacity
Control system
 CO2 and H+ are potentially toxic products of
aerobic and anaerobic metabolism
 most CO2 is lost through the lungs but some is
converted to bicarbonate
 Thus contributing important extracellular buffering
capacity
 Bicarbonate system is the most important buffer
in the body because has high capacity.
The control of CO2 (PCO2) by the
Respiratory center and lungs
The partial pressure of CO2 in plasma is normally
about 5.3 kpa (40 mmHg) and depend on the
balance between the rate of production by
metabolism and the loss through the pulmonary .
 the rate of respiration, and then therefore the rate of
CO2 elemination is controlled by chemoreceptor in
the respiratory centre in the medulla of the brain.
 The receptors respond to changes in the [CO2]or[H+]
of plasma or of the cerebrospinal fluid .
1. the PCO2 rises much above 40 mm of Hg
2. the PH falls, the rate of respiration increases .
 Normal lungs have a very large reserve capacity for CO2
elimination
 The normal respiratory centre and lungs can control CO2
conc. Within norrow limits by responding to changes in
the [H+] and therefore compensate for changes in acid-
base disturbances .
 diseases of the lungs, or abnormalities of respiratory
control, primarily affect the PCO2
The Control of Bicarbonate by
-The Kidneys and Erythrocytes
The renal tubular cells and erythrocytes
generate bicarbonate, the buffer base in the
bicarbonate system from CO2 under physiological
conditions.
 The erythrocyte mechanism makes fine adjustments
to the plasma bicarbonate conc. In response to
changes in PCO2 in lungs and tissues.
 The kidneys play the major role in maintaining the
circulating bicarbonate conc. And in elimination H+
from the body.
The carbonate dehydratase
system
 Bicarbonate is produced following the dissociation
of carbonic acid formed from CO2and H2O.
 This is catalyzed by carbonate dehydratase (CD)
present in high conc. in erythrocytes and renal
tubular cells.
CO2 + H2O H2CO3 H+ + HCO3
-
Carbonate
dehydratas
e
 In addition to content erythrocytes and
renal tubular cell to CD they also have means of
removing one of the products, H+ thus both
reactions continues to the right and HCO3- is
formed.
 one of the reactants, water, is freely available and
one of the products, H+ is removed.
 HCO3
- generation is therefore accelerated if the
conc.of
1. CO2 rises
2. HCO3
- falls.
3. H+ falls because it is either buffered by
erythrocytes or excreted from the body by
renal tubular cells.
 Therefore an increase of intracellular P CO2 or
decrease in intracellular [HCO3
-] in the
erythrocytes and renal tubular cells maintain the
extracellular bicarbonate conc. by accelerating
the production of HCO3
-.
 This minimizes changes in the ratio of [HCO3
-] to
In normal subject, at a plasma ;
1. PCO2 of 40mm of hg (a CO2 of about 1.2
mmolL)
2. Erythrocytes and renal tubular cells keep the
extracellular bicarbonate at about 25 mmolL
3. The extracellular ratio of [HCO3
-] to [CO2] (both
in mmolL) is just over 20:1.
Bicarbonate Generation by the
Erythrocytes
 Erythrocytes produce little CO2 as they lack aerobic
pathway
 Plasma CO2 diffuses along a concentration gradient
into erythrocytes, where carbonate dehydratase
catalyses its reaction with water to from carbonic
acid (H2CO3) which then dissociates
 Much of the H+ is buffered by hemoglobin and the
DIOXIDE
DIFFUSION
28 CO2
Red Blood Cell
Systemic Circulation
H2O
H+ HCO3
-
carbonic
anhydrase
Plasma
CO2 CO2
CO2 CO2 CO2 CO2
CO2
Click for Carbon
Dioxide diffusion
+ +
Tissues
H+
Cl-
Hb
H+ is buffered by
Hemoglobin
The kidneys
Two renal mechanism control [HCO3
-]in the
extracellular fluid:
Bicarbonate reclamation (reabsorption)
 The CO2 driving in renal tubular cells is derived
from filtered bicarbonate, after action of the
carbonate dehydratase.
 There is no correct to an acidosis but can
maintain a steady state.
 Normal urine is nearly HCO3
- free. An amount
equivalent to that filtered by the glomeruli is
returned to the body by the tubular cells.
 The luminal surface of renal tubular cells are
impermeable to HCO3
- .
 Thus, HCO3
- can only be returned to the body if
first converted to CO2 in the tubular Lumina, and
an equivalent amount of CO2 is converted to
HCO3
- with in tubular cells.
 The luminal surface of renal tubular cells are
impermeable to HCO3
- , Thus, HCO3
- can only be
returned to the body if first converted to CO2 in the
tubular Lumina, and an equivalent amount of CO2
is converted to HCO3
- with in tubular cells.
32
Capillary Distal Tubule Cells
Tubular Urine
NH3
Na+ Cl-+
H2CO3HCO3
- +
NaCl
NaHCO3
Click Mouse to
Start Animation
NaHCO3
NH3Cl-
H+
NH4Cl
Click Mouse to See
Animation Again
Notice the
H+ - Na+
exchange to
maintain
electrical
neutrality
Bicarbonate generation
 A very important mechanism for correcting acidosis,
in which the levels of CO2 or [HCO3
-] affecting the
carbonate dehydratase reaction in tubular cells
reflect those in the extracellular fluid, there is a net
loss of H+
PHOSPHATE BUFFER SYSTEM
34
 1) Phosphate buffer system
Na2HPO4 + H+ NaH2PO4 + Na+
Most important in the intracellular system
Alternately switches Na+ with H+
H+ Na2HPO4+
NaH2PO4Click to
animate
Na++
PHOSPHATE BUFFER SYSTEM
35
Na2HPO4 + H+ NaH2PO4 + Na+
 Phosphates are more abundant within the
cell and are rivaled as a buffer in the ICF by
even more abundant protein
Na2HPO4
Na2HPO4
Na2HPO4
PHOSPHATE BUFFER SYSTEM
36
 Regulates pH within the cells and the urine
Phosphate concentrations are higher
intracellularly and within the kidney tubules
Too low of a
concentration in
extracellular fluid
to have much
importance as an
ECF buffer system HPO4
-2
PROTEIN BUFFER SYSTEM
37
 Behaves as a buffer in both plasma and cells
 Hemoglobin is by far the most important
protein buffer.
 Most important intracellular buffer (ICF)
 The most plentiful buffer of the body
 Proteins are excellent buffers because they contain
both acid and base groups that can give up or take up
H+
 Proteins are extremely abundant in the cell
 The more limited number of proteins in the plasma
reinforce the bicarbonate system in the ECF
38
 Hemoglobin buffers H+ from metabolically
produced CO2 in the plasma only
 As hemoglobin releases O2 it gains a great
affinity for H+
Hb
O2
O2 O2
O2
H+
39
 H+ generated at the tissue level from the
dissociation of H2CO3 produced by the
addition of CO2
 Bound H+ to Hb (Hemoglobin) does not
contribute to the acidity of blood
Hb
O2
O2 O2
O2
40
 As H+Hb picks up O2 from the lungs the Hb
which has a higher affinity for O2 releases H+
and picks up O2
 Liberated H+ from H2O combines with HCO3
-
HCO3
- H2CO3 CO2 (exhaled)
Hb
O2
O2 O2
H+
41
 Venous blood is only slightly more acidic than
arterial blood because of the tremendous
buffering capacity of Hb
 Even in spite of the large volume of H+
generating CO2 carried in venous blood
42
 Proteins can act as a buffer for both acids and
bases
 Protein buffer system works instantaneously
making it the most powerful in the body
 75% of the body’s buffer capacity is controlled
by protein
 Bicarbonate and phosphate buffer systems
require several hours to be effective
PROTEIN BUFFER SYSTEM
43
 Proteins are very large, complex molecules
in comparison to the size and complexities of
acids or bases
 Proteins are surrounded by a multitude of
negative charges on the outside and
numerous positive charges in the crevices of
the molecule
-
-
-
- - - -
-
-
-
-
-
-
--------
-
---
-
-
-
-
- - - -
+
+
++
+
+
+
+
+
+
+
+
+
++ +
+
+
+
+
+
+
+ +
+
PROTEIN BUFFER SYSTEM
44
 H+ ions are attracted to and held from
chemical interaction by the negative charges
-
-
-
- - - -
-
-
-
-
-
-
--------
-
---
-
-
-
-
- - - -
+
+
++
+
+
+
+
+
+
+
+
+
++ +
+
+
+
+
+
+
+ +
+
H+
H+
H+
H+ H+ H+ H+ H+ H+ H+
H+
H+
H+
H+
H+H+H+H+H+H+H+
PROTEIN BUFFER SYSTEM
45
 OH- ions which are the basis of alkalosis are
attracted by the positive charges in the
crevices of the protein
-
-
-
- - - -
-
-
-
-
-
-
--------
-
---
-
-
-
-
- - - -
+
+
++
+
+
+
+
+
+
+
+
+
++ +
+
+
+
+
+
+
+ +
+
OH-
OH-
OH-
OH-
OH-
OH-
OH-
OH-
OH-OH-
OH-
OH-
PROTEIN BUFFER SYSTEM
46
-
-
-
- - - -
-
-
-
-
-
-
--------
-
---
-
-
-
-
- - - -
+
+
++
+
+
+
+
+
+
+
+
+
++ +
+
+
+
+
+
+
+ +
+
OH-
OH-
OH-
OH-
OH-
OH-
OH-
OH-
OH-OH-
OH-
OH-
H+
H+
H+
H+ H+ H+ H+ H+ H+ H+
H+
H+
H+
H+
H+H+H+H+H+H+H+
Buffers in the body

More Related Content

What's hot

Renal control of acid base balance
Renal control of acid base balanceRenal control of acid base balance
Renal control of acid base balanceSaba Chaudhary
 
6) transport of oxygen and carbon dioxdide
6) transport of oxygen and carbon dioxdide6) transport of oxygen and carbon dioxdide
6) transport of oxygen and carbon dioxdideAyub Abdi
 
Acid, base, pH and buffers in the body
Acid, base, pH and buffers in the bodyAcid, base, pH and buffers in the body
Acid, base, pH and buffers in the bodyDr Usha (Physio)
 
Role of kidney in maintaining acid base balance (pH) by; Dr. Ashok Kumar J
Role of kidney in maintaining acid base balance (pH)  by; Dr. Ashok Kumar JRole of kidney in maintaining acid base balance (pH)  by; Dr. Ashok Kumar J
Role of kidney in maintaining acid base balance (pH) by; Dr. Ashok Kumar JInternational Medical School Malaysia
 
Acid base balance 2
Acid base balance 2Acid base balance 2
Acid base balance 2Simba Syed
 
Respiratory #2, Gas Transport - Physiology
Respiratory #2, Gas Transport - PhysiologyRespiratory #2, Gas Transport - Physiology
Respiratory #2, Gas Transport - PhysiologyCU Dentistry 2019
 
Blood buffer system
Blood buffer systemBlood buffer system
Blood buffer systemAngel Yoanna
 
Carbohydrate Chemistry
Carbohydrate ChemistryCarbohydrate Chemistry
Carbohydrate ChemistryAshok Katta
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curverajkumarsrihari
 
Acid Base Balance
Acid Base BalanceAcid Base Balance
Acid Base BalanceKhalid
 
TRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDETRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDEDr Nilesh Kate
 
Transport of respiratory gases
Transport of respiratory gasesTransport of respiratory gases
Transport of respiratory gasesAnuSebastian18
 

What's hot (20)

Oxygen transport
Oxygen  transportOxygen  transport
Oxygen transport
 
Renal control of acid base balance
Renal control of acid base balanceRenal control of acid base balance
Renal control of acid base balance
 
6) transport of oxygen and carbon dioxdide
6) transport of oxygen and carbon dioxdide6) transport of oxygen and carbon dioxdide
6) transport of oxygen and carbon dioxdide
 
Acid, base, pH and buffers in the body
Acid, base, pH and buffers in the bodyAcid, base, pH and buffers in the body
Acid, base, pH and buffers in the body
 
Acid base regulation
Acid base regulationAcid base regulation
Acid base regulation
 
Role of kidney in maintaining acid base balance (pH) by; Dr. Ashok Kumar J
Role of kidney in maintaining acid base balance (pH)  by; Dr. Ashok Kumar JRole of kidney in maintaining acid base balance (pH)  by; Dr. Ashok Kumar J
Role of kidney in maintaining acid base balance (pH) by; Dr. Ashok Kumar J
 
Acid base balance simplified
Acid base balance simplifiedAcid base balance simplified
Acid base balance simplified
 
Acid base balance
Acid base balanceAcid base balance
Acid base balance
 
Acid base balance 2
Acid base balance 2Acid base balance 2
Acid base balance 2
 
Hypoxia
HypoxiaHypoxia
Hypoxia
 
Respiratory #2, Gas Transport - Physiology
Respiratory #2, Gas Transport - PhysiologyRespiratory #2, Gas Transport - Physiology
Respiratory #2, Gas Transport - Physiology
 
Blood buffer system
Blood buffer systemBlood buffer system
Blood buffer system
 
Lipid chemistry
Lipid chemistryLipid chemistry
Lipid chemistry
 
Carbohydrate Chemistry
Carbohydrate ChemistryCarbohydrate Chemistry
Carbohydrate Chemistry
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curve
 
Buffers
BuffersBuffers
Buffers
 
Oxygen hemoglobin dissociation curve
Oxygen hemoglobin dissociation curveOxygen hemoglobin dissociation curve
Oxygen hemoglobin dissociation curve
 
Acid Base Balance
Acid Base BalanceAcid Base Balance
Acid Base Balance
 
TRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDETRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDE
 
Transport of respiratory gases
Transport of respiratory gasesTransport of respiratory gases
Transport of respiratory gases
 

Similar to Buffers in the body

5. Acid base balance and disorders.pptx
5. Acid base balance and disorders.pptx5. Acid base balance and disorders.pptx
5. Acid base balance and disorders.pptxAbdallahAlasal1
 
The normal pH of the blood is maintained the narrow range of 7.35-7..pdf
The normal pH of the blood is maintained the narrow range of 7.35-7..pdfThe normal pH of the blood is maintained the narrow range of 7.35-7..pdf
The normal pH of the blood is maintained the narrow range of 7.35-7..pdfRubanjews
 
ACID BASE IMBALANCE 2.pptx
ACID BASE IMBALANCE  2.pptxACID BASE IMBALANCE  2.pptx
ACID BASE IMBALANCE 2.pptxLwitikoAmos
 
Acid-Base-Balance
Acid-Base-BalanceAcid-Base-Balance
Acid-Base-BalanceRaghu Veer
 
ACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERSACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERSYESANNA
 
Blood gas analysis.pptx
Blood gas analysis.pptxBlood gas analysis.pptx
Blood gas analysis.pptxirmameiwita
 
acid and base with acid and base disorders
acid and base with acid and base disordersacid and base with acid and base disorders
acid and base with acid and base disordersAlabiDavid4
 
4. Renal Block-Acid Base Balance-for Medical students.pptx
4. Renal Block-Acid Base Balance-for Medical students.pptx4. Renal Block-Acid Base Balance-for Medical students.pptx
4. Renal Block-Acid Base Balance-for Medical students.pptxRajendra Dev Bhatt
 
acid base balance postgraduate 2022-2023.pptx
acid base balance postgraduate 2022-2023.pptxacid base balance postgraduate 2022-2023.pptx
acid base balance postgraduate 2022-2023.pptxMichaelSaif
 
ACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptxACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptxNeha Verma
 
Acid Base Balance and Primary Disturbances - basic concepts
Acid Base Balance and Primary Disturbances - basic conceptsAcid Base Balance and Primary Disturbances - basic concepts
Acid Base Balance and Primary Disturbances - basic conceptsNyunt Wai
 
AcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigmentsAcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigmentsbasmaqazi89
 
physiology presentation.pptx
physiology presentation.pptxphysiology presentation.pptx
physiology presentation.pptxAklilu26
 
ACID BASE HOMEOSTASIS slide for presentationlevel.pptx
ACID BASE HOMEOSTASIS slide for presentationlevel.pptxACID BASE HOMEOSTASIS slide for presentationlevel.pptx
ACID BASE HOMEOSTASIS slide for presentationlevel.pptxabdulqudus23
 

Similar to Buffers in the body (20)

5. Acid base balance and disorders.pptx
5. Acid base balance and disorders.pptx5. Acid base balance and disorders.pptx
5. Acid base balance and disorders.pptx
 
The normal pH of the blood is maintained the narrow range of 7.35-7..pdf
The normal pH of the blood is maintained the narrow range of 7.35-7..pdfThe normal pH of the blood is maintained the narrow range of 7.35-7..pdf
The normal pH of the blood is maintained the narrow range of 7.35-7..pdf
 
ACID BASE IMBALANCE 2.pptx
ACID BASE IMBALANCE  2.pptxACID BASE IMBALANCE  2.pptx
ACID BASE IMBALANCE 2.pptx
 
Acid-Base-Balance
Acid-Base-BalanceAcid-Base-Balance
Acid-Base-Balance
 
Copmpensation mechanism acd & base
Copmpensation mechanism acd & baseCopmpensation mechanism acd & base
Copmpensation mechanism acd & base
 
Acid base balance sharath
Acid base balance sharathAcid base balance sharath
Acid base balance sharath
 
ACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERSACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERS
 
Blood gas analysis.pptx
Blood gas analysis.pptxBlood gas analysis.pptx
Blood gas analysis.pptx
 
Acid
AcidAcid
Acid
 
acid and base with acid and base disorders
acid and base with acid and base disordersacid and base with acid and base disorders
acid and base with acid and base disorders
 
Acid base balance
Acid base balanceAcid base balance
Acid base balance
 
ACID BASE BALANCE.pptx
ACID BASE BALANCE.pptxACID BASE BALANCE.pptx
ACID BASE BALANCE.pptx
 
ACID BASE BALANCE.pptx
ACID BASE BALANCE.pptxACID BASE BALANCE.pptx
ACID BASE BALANCE.pptx
 
4. Renal Block-Acid Base Balance-for Medical students.pptx
4. Renal Block-Acid Base Balance-for Medical students.pptx4. Renal Block-Acid Base Balance-for Medical students.pptx
4. Renal Block-Acid Base Balance-for Medical students.pptx
 
acid base balance postgraduate 2022-2023.pptx
acid base balance postgraduate 2022-2023.pptxacid base balance postgraduate 2022-2023.pptx
acid base balance postgraduate 2022-2023.pptx
 
ACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptxACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptx
 
Acid Base Balance and Primary Disturbances - basic concepts
Acid Base Balance and Primary Disturbances - basic conceptsAcid Base Balance and Primary Disturbances - basic concepts
Acid Base Balance and Primary Disturbances - basic concepts
 
AcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigmentsAcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigments
 
physiology presentation.pptx
physiology presentation.pptxphysiology presentation.pptx
physiology presentation.pptx
 
ACID BASE HOMEOSTASIS slide for presentationlevel.pptx
ACID BASE HOMEOSTASIS slide for presentationlevel.pptxACID BASE HOMEOSTASIS slide for presentationlevel.pptx
ACID BASE HOMEOSTASIS slide for presentationlevel.pptx
 

More from Dr Kumar

Anaesthesia for robotic surgery
Anaesthesia for robotic surgeryAnaesthesia for robotic surgery
Anaesthesia for robotic surgeryDr Kumar
 
Telemedicine in Anaesthesia
Telemedicine in AnaesthesiaTelemedicine in Anaesthesia
Telemedicine in AnaesthesiaDr Kumar
 
TOURNIQUET AND ITS EFFECTS
TOURNIQUET AND ITS EFFECTS TOURNIQUET AND ITS EFFECTS
TOURNIQUET AND ITS EFFECTS Dr Kumar
 
Supra glottic airway children
Supra glottic airway childrenSupra glottic airway children
Supra glottic airway childrenDr Kumar
 
Scavenging system in operating room
Scavenging system in operating roomScavenging system in operating room
Scavenging system in operating roomDr Kumar
 
Renal replacement therapy
Renal replacement therapyRenal replacement therapy
Renal replacement therapyDr Kumar
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementDr Kumar
 
Neuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illnessNeuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illnessDr Kumar
 
Mechanisms of cerebral injury and cerebral protection
Mechanisms of cerebral injury and cerebral protectionMechanisms of cerebral injury and cerebral protection
Mechanisms of cerebral injury and cerebral protectionDr Kumar
 
Latex allergy and its management
Latex allergy and its managementLatex allergy and its management
Latex allergy and its managementDr Kumar
 
Intra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaIntra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaDr Kumar
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesiaDr Kumar
 
Hypertension , crf post renal transplant patient for surgery
Hypertension , crf post renal transplant patient for surgeryHypertension , crf post renal transplant patient for surgery
Hypertension , crf post renal transplant patient for surgeryDr Kumar
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its managementDr Kumar
 
Effects of anaesthesia on immune system
Effects of anaesthesia on immune systemEffects of anaesthesia on immune system
Effects of anaesthesia on immune systemDr Kumar
 
Anaesthetic management of conjoined twins’
Anaesthetic management of conjoined twins’Anaesthetic management of conjoined twins’
Anaesthetic management of conjoined twins’Dr Kumar
 
Anaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyAnaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyDr Kumar
 
Ambulatory anaesthesia
Ambulatory anaesthesiaAmbulatory anaesthesia
Ambulatory anaesthesiaDr Kumar
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its managementDr Kumar
 

More from Dr Kumar (20)

Anaesthesia for robotic surgery
Anaesthesia for robotic surgeryAnaesthesia for robotic surgery
Anaesthesia for robotic surgery
 
Telemedicine in Anaesthesia
Telemedicine in AnaesthesiaTelemedicine in Anaesthesia
Telemedicine in Anaesthesia
 
TOURNIQUET AND ITS EFFECTS
TOURNIQUET AND ITS EFFECTS TOURNIQUET AND ITS EFFECTS
TOURNIQUET AND ITS EFFECTS
 
Supra glottic airway children
Supra glottic airway childrenSupra glottic airway children
Supra glottic airway children
 
shock
shock shock
shock
 
Scavenging system in operating room
Scavenging system in operating roomScavenging system in operating room
Scavenging system in operating room
 
Renal replacement therapy
Renal replacement therapyRenal replacement therapy
Renal replacement therapy
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic management
 
Neuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illnessNeuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illness
 
Mechanisms of cerebral injury and cerebral protection
Mechanisms of cerebral injury and cerebral protectionMechanisms of cerebral injury and cerebral protection
Mechanisms of cerebral injury and cerebral protection
 
Latex allergy and its management
Latex allergy and its managementLatex allergy and its management
Latex allergy and its management
 
Intra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaIntra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbia
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesia
 
Hypertension , crf post renal transplant patient for surgery
Hypertension , crf post renal transplant patient for surgeryHypertension , crf post renal transplant patient for surgery
Hypertension , crf post renal transplant patient for surgery
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its management
 
Effects of anaesthesia on immune system
Effects of anaesthesia on immune systemEffects of anaesthesia on immune system
Effects of anaesthesia on immune system
 
Anaesthetic management of conjoined twins’
Anaesthetic management of conjoined twins’Anaesthetic management of conjoined twins’
Anaesthetic management of conjoined twins’
 
Anaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyAnaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiology
 
Ambulatory anaesthesia
Ambulatory anaesthesiaAmbulatory anaesthesia
Ambulatory anaesthesia
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its management
 

Recently uploaded

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Sheetaleventcompany
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...Sheetaleventcompany
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicMedicoseAcademics
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...dishamehta3332
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Angel
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfMedicoseAcademics
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 

Recently uploaded (20)

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 

Buffers in the body

  • 1. BUFFERS IN THE BODY 1 PRESENTOR : Dr.Kumar MODERATOR :Dr.Prabhavathy
  • 2. 2 Buffers  resist changes in pH from the addition of acid or base  in the body absorb H3O+ or OH from foods and cellular processes to maintain pH  are important in the proper functioning of cells and blood  in blood maintain a pH close to 7.4; a change in the pH of the blood affects the uptake of oxygen and cellular processes
  • 3. Buffers (continued) When an acid or base is added  to water, the pH changes drastically  to a buffer solution, the pH does not change very much; pH is maintained 3
  • 4. Components of a Buffer 4 The components of a buffer solution  are acid–base conjugate pairs  can be a weak acid and a salt of its conjugate base  typically have equal concentrations of the weak acid and its salt  can also be a weak base and a salt of its conjugate acid
  • 5. The Major Body Buffer Systems
  • 7. -Hydrogen ion Homeostasis -Control system -Control CO2 (PCO2) By lungs -Control HCO3- By Kidney and Erythrocytes
  • 8. Body Buffer system • Hydrogen Ion Homeostasis About 50 to100 m mol of hydrogen ions are released from cells into extracellular fluid each day • Hydrogen ion concentration [H+] is maintained between about 35 and 45 nano molL. (40nmol/L=pH 7.4) • Control of hydrogen ion balance depends on the secretion of H+ from the body, mainly into the urine therefore Renal impairment causes acidosis
  • 9. -Aerobic metabolism of the carbon skeletons of organic compounds converts from hydrogen, carbon and oxygen to water and carbon dioxide (CO2) 9 C C C C C C H H H H H H HHHHHH
  • 10. CO2 is essential compound of extracellular buffering system -Control of CO2 depends on normal lung function.
  • 11. Buffering Is a process by which a strong acid (or base) is replaced by a weaker one, with a consequent reduction in the number of free hydrogen ions and therefore the change in PH HCl + NaHCO3 = H2CO3 + NaCl Strong acid buffer weak acid neutral salt
  • 12. PH is a measure of hydrogen ion activity Log 100 =log 102=2 Log 107=7 If [H+] is 10-7 (0.000 0001) Then log [H+] =-7 The Henderson –hasselbalch equation PH=PK+log [base] /[acid]
  • 13.  The bicarbonate pair is an important biological buffer example; H2CO3 HCO3 - + H+ Acid base  The base is bicarbonate (HCO3 -) and the carbonic acid (H2CO3) .  -It is not possible to measure the latter directly  however it is in equilibrium with dissolved CO2 of which the partial pressure (PCO2) can be estimated.
  • 14. The conc. of H2CO3 is derived by multiplying this measured value by the solubility co efficient (s) for CO2 therefore PH =PK-log [HCO3 -]/PCO2 XS (0.03 )
  • 15. Hydrogen ion Homeostasis PH is relatively tightly controlled in blood by the following mechanisms 1-Hydrogen ions can be incorporated in water H+ + HCO3 - H2CO3 CO2 + H2O
  • 16.  This is normal mechanism during oxidative phos phorylation. H+ is inactivated by combining with the HCO3 only if the reaction is driven to the right by the removal of CO2.  By this would cause bicarbonate depletion  H+ can be lost from the body only through the kidney and the intestine .This mechanism is coupled with the generation of bicarbonate ion (HCO3 -)  In the kidney this is the method which secretion of excess H+ ensures regeneration of buffering capacity
  • 17. Control system  CO2 and H+ are potentially toxic products of aerobic and anaerobic metabolism  most CO2 is lost through the lungs but some is converted to bicarbonate  Thus contributing important extracellular buffering capacity  Bicarbonate system is the most important buffer in the body because has high capacity.
  • 18. The control of CO2 (PCO2) by the Respiratory center and lungs The partial pressure of CO2 in plasma is normally about 5.3 kpa (40 mmHg) and depend on the balance between the rate of production by metabolism and the loss through the pulmonary .
  • 19.  the rate of respiration, and then therefore the rate of CO2 elemination is controlled by chemoreceptor in the respiratory centre in the medulla of the brain.  The receptors respond to changes in the [CO2]or[H+] of plasma or of the cerebrospinal fluid . 1. the PCO2 rises much above 40 mm of Hg 2. the PH falls, the rate of respiration increases .
  • 20.  Normal lungs have a very large reserve capacity for CO2 elimination  The normal respiratory centre and lungs can control CO2 conc. Within norrow limits by responding to changes in the [H+] and therefore compensate for changes in acid- base disturbances .  diseases of the lungs, or abnormalities of respiratory control, primarily affect the PCO2
  • 21. The Control of Bicarbonate by -The Kidneys and Erythrocytes The renal tubular cells and erythrocytes generate bicarbonate, the buffer base in the bicarbonate system from CO2 under physiological conditions.
  • 22.  The erythrocyte mechanism makes fine adjustments to the plasma bicarbonate conc. In response to changes in PCO2 in lungs and tissues.  The kidneys play the major role in maintaining the circulating bicarbonate conc. And in elimination H+ from the body.
  • 23. The carbonate dehydratase system  Bicarbonate is produced following the dissociation of carbonic acid formed from CO2and H2O.  This is catalyzed by carbonate dehydratase (CD) present in high conc. in erythrocytes and renal tubular cells. CO2 + H2O H2CO3 H+ + HCO3 - Carbonate dehydratas e
  • 24.  In addition to content erythrocytes and renal tubular cell to CD they also have means of removing one of the products, H+ thus both reactions continues to the right and HCO3- is formed.  one of the reactants, water, is freely available and one of the products, H+ is removed.
  • 25.  HCO3 - generation is therefore accelerated if the conc.of 1. CO2 rises 2. HCO3 - falls. 3. H+ falls because it is either buffered by erythrocytes or excreted from the body by renal tubular cells.  Therefore an increase of intracellular P CO2 or decrease in intracellular [HCO3 -] in the erythrocytes and renal tubular cells maintain the extracellular bicarbonate conc. by accelerating the production of HCO3 -.  This minimizes changes in the ratio of [HCO3 -] to
  • 26. In normal subject, at a plasma ; 1. PCO2 of 40mm of hg (a CO2 of about 1.2 mmolL) 2. Erythrocytes and renal tubular cells keep the extracellular bicarbonate at about 25 mmolL 3. The extracellular ratio of [HCO3 -] to [CO2] (both in mmolL) is just over 20:1.
  • 27. Bicarbonate Generation by the Erythrocytes  Erythrocytes produce little CO2 as they lack aerobic pathway  Plasma CO2 diffuses along a concentration gradient into erythrocytes, where carbonate dehydratase catalyses its reaction with water to from carbonic acid (H2CO3) which then dissociates  Much of the H+ is buffered by hemoglobin and the
  • 28. DIOXIDE DIFFUSION 28 CO2 Red Blood Cell Systemic Circulation H2O H+ HCO3 - carbonic anhydrase Plasma CO2 CO2 CO2 CO2 CO2 CO2 CO2 Click for Carbon Dioxide diffusion + + Tissues H+ Cl- Hb H+ is buffered by Hemoglobin
  • 29. The kidneys Two renal mechanism control [HCO3 -]in the extracellular fluid: Bicarbonate reclamation (reabsorption)  The CO2 driving in renal tubular cells is derived from filtered bicarbonate, after action of the carbonate dehydratase.  There is no correct to an acidosis but can maintain a steady state.
  • 30.  Normal urine is nearly HCO3 - free. An amount equivalent to that filtered by the glomeruli is returned to the body by the tubular cells.  The luminal surface of renal tubular cells are impermeable to HCO3 - .  Thus, HCO3 - can only be returned to the body if first converted to CO2 in the tubular Lumina, and an equivalent amount of CO2 is converted to HCO3 - with in tubular cells.
  • 31.  The luminal surface of renal tubular cells are impermeable to HCO3 - , Thus, HCO3 - can only be returned to the body if first converted to CO2 in the tubular Lumina, and an equivalent amount of CO2 is converted to HCO3 - with in tubular cells.
  • 32. 32 Capillary Distal Tubule Cells Tubular Urine NH3 Na+ Cl-+ H2CO3HCO3 - + NaCl NaHCO3 Click Mouse to Start Animation NaHCO3 NH3Cl- H+ NH4Cl Click Mouse to See Animation Again Notice the H+ - Na+ exchange to maintain electrical neutrality
  • 33. Bicarbonate generation  A very important mechanism for correcting acidosis, in which the levels of CO2 or [HCO3 -] affecting the carbonate dehydratase reaction in tubular cells reflect those in the extracellular fluid, there is a net loss of H+
  • 34. PHOSPHATE BUFFER SYSTEM 34  1) Phosphate buffer system Na2HPO4 + H+ NaH2PO4 + Na+ Most important in the intracellular system Alternately switches Na+ with H+ H+ Na2HPO4+ NaH2PO4Click to animate Na++
  • 35. PHOSPHATE BUFFER SYSTEM 35 Na2HPO4 + H+ NaH2PO4 + Na+  Phosphates are more abundant within the cell and are rivaled as a buffer in the ICF by even more abundant protein Na2HPO4 Na2HPO4 Na2HPO4
  • 36. PHOSPHATE BUFFER SYSTEM 36  Regulates pH within the cells and the urine Phosphate concentrations are higher intracellularly and within the kidney tubules Too low of a concentration in extracellular fluid to have much importance as an ECF buffer system HPO4 -2
  • 37. PROTEIN BUFFER SYSTEM 37  Behaves as a buffer in both plasma and cells  Hemoglobin is by far the most important protein buffer.  Most important intracellular buffer (ICF)  The most plentiful buffer of the body  Proteins are excellent buffers because they contain both acid and base groups that can give up or take up H+  Proteins are extremely abundant in the cell  The more limited number of proteins in the plasma reinforce the bicarbonate system in the ECF
  • 38. 38  Hemoglobin buffers H+ from metabolically produced CO2 in the plasma only  As hemoglobin releases O2 it gains a great affinity for H+ Hb O2 O2 O2 O2 H+
  • 39. 39  H+ generated at the tissue level from the dissociation of H2CO3 produced by the addition of CO2  Bound H+ to Hb (Hemoglobin) does not contribute to the acidity of blood Hb O2 O2 O2 O2
  • 40. 40  As H+Hb picks up O2 from the lungs the Hb which has a higher affinity for O2 releases H+ and picks up O2  Liberated H+ from H2O combines with HCO3 - HCO3 - H2CO3 CO2 (exhaled) Hb O2 O2 O2 H+
  • 41. 41  Venous blood is only slightly more acidic than arterial blood because of the tremendous buffering capacity of Hb  Even in spite of the large volume of H+ generating CO2 carried in venous blood
  • 42. 42  Proteins can act as a buffer for both acids and bases  Protein buffer system works instantaneously making it the most powerful in the body  75% of the body’s buffer capacity is controlled by protein  Bicarbonate and phosphate buffer systems require several hours to be effective
  • 43. PROTEIN BUFFER SYSTEM 43  Proteins are very large, complex molecules in comparison to the size and complexities of acids or bases  Proteins are surrounded by a multitude of negative charges on the outside and numerous positive charges in the crevices of the molecule - - - - - - - - - - - - - -------- - --- - - - - - - - - + + ++ + + + + + + + + + ++ + + + + + + + + + +
  • 44. PROTEIN BUFFER SYSTEM 44  H+ ions are attracted to and held from chemical interaction by the negative charges - - - - - - - - - - - - - -------- - --- - - - - - - - - + + ++ + + + + + + + + + ++ + + + + + + + + + + H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+H+H+H+H+H+H+
  • 45. PROTEIN BUFFER SYSTEM 45  OH- ions which are the basis of alkalosis are attracted by the positive charges in the crevices of the protein - - - - - - - - - - - - - -------- - --- - - - - - - - - + + ++ + + + + + + + + + ++ + + + + + + + + + + OH- OH- OH- OH- OH- OH- OH- OH- OH-OH- OH- OH-
  • 46. PROTEIN BUFFER SYSTEM 46 - - - - - - - - - - - - - -------- - --- - - - - - - - - + + ++ + + + + + + + + + ++ + + + + + + + + + + OH- OH- OH- OH- OH- OH- OH- OH- OH-OH- OH- OH- H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+ H+H+H+H+H+H+H+