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Acid-Base Chemistry

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Acid-Base Basics - Proton Power Play

  • Acid: Proton ($H^+$) donor (Brønsted-Lowry).
  • Base: Proton ($H^+$) acceptor (Brønsted-Lowry).
  • pH: Measure of $[H^+]$.
    • $pH = -log_{10}[H^+]$.
    • Normal blood pH: 7.35-7.45.
  • pKa: Strength of a weak acid.
    • $pKa = -log_{10}K_a$ ($K_a$ = acid dissociation constant).
    • ↓pKa = ↑Acid strength.
  • pH & pKa Relationship:
    • If $pH < pKa$: Protonated form (HA) predominates.
    • If $pH > pKa$: Deprotonated form ($A^-$) predominates.
    • If $pH = pKa$: $[HA] = [A^-]$.
  • Strong Acids/Bases: Dissociate completely.
  • Weak Acids/Bases: Dissociate partially.
  • Water: Dissociates into $H^+$ and $OH^-$.
    • $K_w = [H^+][OH^-] = 10^{-14}$ at 25°C.

⭐ A change of 1 pH unit represents a 10-fold change in $[H^+]$ concentration.

Buffer Systems - pH pHight Club

Buffers are solutions that resist changes in pH upon addition of an acid or base. Their effectiveness is governed by the Henderson-Hasselbalch equation: $pH = pKa + log_{10}([A^-]/[HA])$ For the bicarbonate system: $pH = 6.1 + log_{10}([HCO_3^-]/(0.03 \times PCO_2))$

  • Major Physiological Buffers: 📌 Big Problems Prevented:

    • Bicarbonate Buffer System:
      • Most important extracellular buffer.
      • Components: $H_2CO_3$ (acid) / $HCO_3^-$ (base).
      • pKa = 6.1.
      • Regulated by lungs ($CO_2$) and kidneys ($HCO_3^-$).
    • Phosphate Buffer System:
      • Important intracellular and renal tubular buffer.
      • Components: $H_2PO_4^-$ (acid) / $HPO_4^{2-}$ (base).
      • pKa = 6.8.
    • Protein Buffer System:
      • Major intracellular buffer; includes hemoglobin (Hb) in RBCs.
      • Amphoteric: carboxyl (-COOH) and amino (-$NH_2$) groups. Histidine residues are key.
  • Isohydric Principle: All buffer systems in a common solution (e.g., blood) are in equilibrium with the same $[H^+]$.

⭐ The bicarbonate buffer system is the most important extracellular buffer due to its high concentration and the ability of lungs and kidneys to regulate its components (PCO2 and HCO3- respectively).

Bicarbonate reabsorption in proximal tubule

Physiological Regulation - Lungs & Kidneys Tango

Key reaction: $CO_2 + H_2O \rightleftharpoons H_2CO_3 \rightleftharpoons H^+ + HCO_3^-$ (carbonic anhydrase).

  • Lungs (Respiratory): Rapid $PCO_2$ Control (Volatile Acid)

    • Adjust alveolar ventilation → alters blood $PCO_2$.
    • Chemoreceptors: Central (medulla: $H^+$ in CSF from $CO_2$) & peripheral (carotid/aortic bodies: arterial $P_{O_2}$, $PCO_2$, $H^+$).
    • Response: Minutes-hours; rapid, often partial.
  • Kidneys (Renal): Slow, Powerful $HCO_3^-$/$H^+$ Control (Fixed Acids)

    • Regulate $HCO_3^-$ reabsorption/generation & $H^+$ secretion/excretion to manage fixed (non-volatile) acids.
    • Response: Hours-days; slower onset, but provides more complete and sustained correction.
    • Mechanisms:
      • $H^+$ Secretion: Na-H exchanger (NHE3 in PCT), H-ATPase (collecting ducts).
      • $HCO_3^-$ Reabsorption: Mainly PCT (~80-90%); also TAL, collecting ducts.
      • New $HCO_3^-$ Generation: $NH_4^+$ excretion (glutamine metabolism) & titratable acid ($H_2PO_4^-$) formation.

Renal H+ and HCO3- Handling in Proximal Tubule

⭐ Respiratory compensation for metabolic acid-base disturbances is rapid but often incomplete, while renal compensation for respiratory disturbances is slower but can be more complete.

High‑Yield Points - ⚡ Biggest Takeaways

  • Acids are proton donors; bases are proton acceptors.
  • Normal arterial pH is 7.35-7.45; $pH = -log[H^+]$.
  • Henderson-Hasselbalch equation ($pH = pKa + log \frac{[Base]}{[Acid]}$) quantifies pH of buffer solutions.
  • Key physiological buffers: bicarbonate (ECF), phosphate (ICF/renal), proteins (hemoglobin).
  • pKa is the pH of 50% dissociation; a buffer is most effective near its pKa.
  • Strong acids dissociate completely; weak acids dissociate partially, acting as buffers.
  • Lungs excrete volatile acid (CO2); kidneys handle fixed acids and regenerate bicarbonate.

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