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Acid base balance - general concept and mechanism

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Mechanism of regulation First line of defence- Blood buffers 1. Bicarbonate 2. Phosphate 3. Protein Second line of defence -Respiratory regulation 1. Hypoventilation 2. Hyperventilation Third line of defence - Renal mechanism 1. Excretion of H+ 2. Conservation of HCO3- 3. Excretion of titrable acid 4. Excretion of ammonium ions Bicarbonate buffer Major buffer in ECF Bicarbonate: carbonic acid in a ratio of 20:1 pKa-6.1 It is main buffer system because a. High HCO3 -concentration b. Components are under physiological control, CO2 by lungs and HCO3- by kidneys Phosphate buffer Major intracellular buffer Na2HPO4: NaH2PO4 in a ratio of 4 pKa-6.8 More potent because pKa value is nearer to the body pH Protein buffers Hemoglobin Albumin Imidazole group of histidine is the most effective contributor in this buffer system

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