SlideShare a Scribd company logo
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

Blood buffer system
Blood buffer systemBlood buffer system
Blood buffer system
Angel Yoanna
 
Acid base balance - Regulation of pH of body fluids
Acid base balance - Regulation of pH of body fluidsAcid base balance - Regulation of pH of body fluids
Acid base balance - Regulation of pH of body fluids
Ramesh Gupta
 
Renal control of acid base balance
Renal control of acid base balanceRenal control of acid base balance
Renal control of acid base balance
Saba Chaudhary
 
5.sakina respiratory regulation of ph
5.sakina respiratory regulation of ph5.sakina respiratory regulation of ph
5.sakina respiratory regulation of ph
sakina hasan
 
Physiological buffers new
Physiological buffers  newPhysiological buffers  new
Physiological buffers new
Mary Theresa
 
Acid Base Balance
Acid Base BalanceAcid Base Balance
Acid Base Balance
Khalid
 
Oxygen transport
Oxygen  transportOxygen  transport
Oxygen transport
Chandan Gowda
 
Ph and buffer
Ph and bufferPh and buffer
Ph and buffer
Prakash Pokhrel
 
ACID BASE BALANCE
ACID BASE BALANCEACID BASE BALANCE
ACID BASE BALANCE
Dr Nilesh Kate
 
Acid base balance simplified
Acid base balance simplifiedAcid base balance simplified
Acid base balance simplified
subramaniam sethupathy
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curve
DIVYA JAIN
 
DEGRADATION OF CHOLESTEROL
DEGRADATION OF CHOLESTEROLDEGRADATION OF CHOLESTEROL
DEGRADATION OF CHOLESTEROL
YESANNA
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curverajkumarsrihari
 
Acid base balance 2
Acid base balance 2Acid base balance 2
Acid base balance 2Simba Syed
 
Acid base balance(summary)
Acid base balance(summary)Acid base balance(summary)
Acid base balance(summary)Sana Arbab
 
Acid base disorders
Acid base disordersAcid base disorders
Acid base disorders
subramaniam sethupathy
 
Electron Transport Chain ETC
Electron Transport Chain ETCElectron Transport Chain ETC
Electron Transport Chain ETC
Sanjai
 

What's hot (20)

Blood buffer system
Blood buffer systemBlood buffer system
Blood buffer system
 
Acid base balance - Regulation of pH of body fluids
Acid base balance - Regulation of pH of body fluidsAcid base balance - Regulation of pH of body fluids
Acid base balance - Regulation of pH of body fluids
 
Renal control of acid base balance
Renal control of acid base balanceRenal control of acid base balance
Renal control of acid base balance
 
5.sakina respiratory regulation of ph
5.sakina respiratory regulation of ph5.sakina respiratory regulation of ph
5.sakina respiratory regulation of ph
 
Physiological buffers new
Physiological buffers  newPhysiological buffers  new
Physiological buffers new
 
Acid Base Balance
Acid Base BalanceAcid Base Balance
Acid Base Balance
 
Oxygen transport
Oxygen  transportOxygen  transport
Oxygen transport
 
Acid base balance
Acid base balanceAcid base balance
Acid base balance
 
Buffers
BuffersBuffers
Buffers
 
Ph and buffer
Ph and bufferPh and buffer
Ph and buffer
 
ACID BASE BALANCE
ACID BASE BALANCEACID BASE BALANCE
ACID BASE BALANCE
 
Acid base balance simplified
Acid base balance simplifiedAcid base balance simplified
Acid base balance simplified
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curve
 
DEGRADATION OF CHOLESTEROL
DEGRADATION OF CHOLESTEROLDEGRADATION OF CHOLESTEROL
DEGRADATION OF CHOLESTEROL
 
Electron transport chain
Electron transport chainElectron transport chain
Electron transport chain
 
Oxygen dissociation curve
Oxygen dissociation curveOxygen dissociation curve
Oxygen dissociation curve
 
Acid base balance 2
Acid base balance 2Acid base balance 2
Acid base balance 2
 
Acid base balance(summary)
Acid base balance(summary)Acid base balance(summary)
Acid base balance(summary)
 
Acid base disorders
Acid base disordersAcid base disorders
Acid base disorders
 
Electron Transport Chain ETC
Electron Transport Chain ETCElectron Transport Chain ETC
Electron Transport Chain ETC
 

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.pptx
AbdallahAlasal1
 
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
Rubanjews
 
ACID BASE IMBALANCE 2.pptx
ACID BASE IMBALANCE  2.pptxACID BASE IMBALANCE  2.pptx
ACID BASE IMBALANCE 2.pptx
LwitikoAmos
 
Acid-Base-Balance
Acid-Base-BalanceAcid-Base-Balance
Acid-Base-Balance
Raghu Veer
 
Copmpensation mechanism acd & base
Copmpensation mechanism acd & baseCopmpensation mechanism acd & base
ACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERSACID-BASE BALANCE & DISORDERS
ACID-BASE BALANCE & DISORDERS
YESANNA
 
Blood gas analysis.pptx
Blood gas analysis.pptxBlood gas analysis.pptx
Blood gas analysis.pptx
irmameiwita
 
Acid
AcidAcid
Acid
Ayub Abdi
 
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
AlabiDavid4
 
Acid base balance
Acid base balanceAcid base balance
Acid base balance
ravichandra matcha
 
ACID BASE BALANCE.pptx
ACID BASE BALANCE.pptxACID BASE BALANCE.pptx
ACID BASE BALANCE.pptx
S.M Gharib Nawaz Jan
 
ACID BASE BALANCE.pptx
ACID BASE BALANCE.pptxACID BASE BALANCE.pptx
ACID BASE BALANCE.pptx
SahibzadaGharibNawaz
 
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
Rajendra 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.pptx
MichaelSaif
 
ACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptxACID_BASE_BALANCE_MECHANISMS.pptx
ACID_BASE_BALANCE_MECHANISMS.pptx
Neha 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 concepts
Nyunt Wai
 
AcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigmentsAcidBase_Balance.biochemistry assigments
AcidBase_Balance.biochemistry assigments
basmaqazi89
 
physiology presentation.pptx
physiology presentation.pptxphysiology presentation.pptx
physiology presentation.pptx
Aklilu26
 
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
abdulqudus23
 

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 surgery
Dr Kumar
 
Telemedicine in Anaesthesia
Telemedicine in AnaesthesiaTelemedicine in Anaesthesia
Telemedicine in Anaesthesia
Dr 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 children
Dr Kumar
 
shock
shock shock
shock
Dr Kumar
 
Scavenging system in operating room
Scavenging system in operating roomScavenging system in operating room
Scavenging system in operating room
Dr Kumar
 
Renal replacement therapy
Renal replacement therapyRenal replacement therapy
Renal replacement therapy
Dr Kumar
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic management
Dr Kumar
 
Neuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illnessNeuromuscular weakness related to critical illness
Neuromuscular weakness related to critical illness
Dr 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 protection
Dr Kumar
 
Latex allergy and its management
Latex allergy and its managementLatex allergy and its management
Latex allergy and its management
Dr Kumar
 
Intra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaIntra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbia
Dr Kumar
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesia
Dr 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 management
Dr Kumar
 
Effects of anaesthesia on immune system
Effects of anaesthesia on immune systemEffects of anaesthesia on immune system
Effects of anaesthesia on immune system
Dr 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 neuroradiology
Dr Kumar
 
Ambulatory anaesthesia
Ambulatory anaesthesiaAmbulatory anaesthesia
Ambulatory anaesthesia
Dr Kumar
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its management
Dr 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

24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
DrSathishMS1
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Savita Shen $i11
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
MedicoseAcademics
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
kevinkariuki227
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
Sujoy Dasgupta
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
DR SETH JOTHAM
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
addon Scans
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
greendigital
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
NEHA GUPTA
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
Anujkumaranit
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
د.محمود نجيب
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 

Recently uploaded (20)

24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 

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+