BIOC34H3 Lecture Notes - Lecture 20: Tubular Fluid, Distal Convoluted Tubule, Respiratory Acidosis

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4 Jan 2018
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Lecture 20: acid-base balance: acid-base regulation in the proximal tubule during acidosis. Kidneys increase h+ section: kidneys increase bicarbonate reabsorption, filtered hco3- + h+ co2 + h2o: In alkalosis, h+ secretion and bicarbonate reabsorption is decreased. Co2 diffuse via tubular fluid epithelial cell. Carbonic anhydrase: hydrated into hco3- + h+ h+ secreted into tubules. H+ pumps and h+/k+ antiporters: on basolateral membrane: Look at all diagrams understand disturbances + how the body compensates: acid base disturbances (2 classifications): Ph dec = acidosis, ph inc = alkalosis. Change of pco2 = respiratory disturbance on davenport diagram, there will be a movement along buffer line from one pco2 isobar to another pco2 isobar. No change in pco2 = metabolic disturbance on dd, it"s shown as a movement up or. Down a pco2 isobar: 4 major uncompensated disturbances (top, middle (left and right), bottom)) Top = metabolic alkalosis no change in pco2, ph increase, high bicarbonate lvls.

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