<< Chapter < Page Chapter >> Page >

Metabolic compensation

Metabolic and renal compensation for respiratory diseases that can create acidosis revolves around the conservation of bicarbonate ions. In cases of respiratory acidosis, the kidney increases the conservation of bicarbonate and secretion of H + through the exchange mechanism discussed earlier. These processes increase the concentration of bicarbonate in the blood, reestablishing the proper relative concentrations of bicarbonate and carbonic acid. In cases of respiratory alkalosis, the kidneys decrease the production of bicarbonate and reabsorb H + from the tubular fluid. These processes can be limited by the exchange of potassium by the renal cells, which use a K + -H + exchange mechanism (antiporter).

Diagnosing acidosis and alkalosis

Lab tests for pH, CO 2 partial pressure (pCO 2 ), and HCO 3 can identify acidosis and alkalosis, indicating whether the imbalance is respiratory or metabolic, and the extent to which compensatory mechanisms are working. The blood pH value, as shown in [link] , indicates whether the blood is in acidosis, the normal range, or alkalosis. The pCO 2 and total HCO 3 values aid in determining whether the condition is metabolic or respiratory, and whether the patient has been able to compensate for the problem. [link] lists the conditions and laboratory results that can be used to classify these conditions. Metabolic acid-base imbalances typically result from kidney disease, and the respiratory system usually responds to compensate.

Reference values (arterial): pH: 7.35–7.45; pCO 2 : male: 35–48 mm Hg, female: 32–45 mm Hg; total venous bicarbonate: 22–29 mM. N denotes normal; ↑ denotes a rising or increased value; and ↓ denotes a falling or decreased value.
Types of Acidosis and Alkalosis
pH pCO 2 Total HCO 3
Metabolic acidosis N, then ↓
Respiratory acidosis N, then ↑
Metabolic alkalosis N, then↑
Respiratory alkalosis N, then ↓

Metabolic acidosis is problematic, as lower-than-normal amounts of bicarbonate are present in the blood. The pCO 2 would be normal at first, but if compensation has occurred, it would decrease as the body reestablishes the proper ratio of bicarbonate and carbonic acid/CO 2 .

Respiratory acidosis is problematic, as excess CO 2 is present in the blood. Bicarbonate levels would be normal at first, but if compensation has occurred, they would increase in an attempt to reestablish the proper ratio of bicarbonate and carbonic acid/CO 2 .

Alkalosis is characterized by a higher-than-normal pH. Metabolic alkalosis is problematic, as elevated pH and excess bicarbonate are present. The pCO 2 would again be normal at first, but if compensation has occurred, it would increase as the body attempts to reestablish the proper ratios of bicarbonate and carbonic acid/CO 2 .

Respiratory alkalosis is problematic, as CO 2 deficiency is present in the bloodstream. The bicarbonate concentration would be normal at first. When renal compensation occurs, however, the bicarbonate concentration in blood decreases as the kidneys attempt to reestablish the proper ratios of bicarbonate and carbonic acid/CO 2 by eliminating more bicarbonate to bring the pH into the physiological range.

Chapter review

Acidosis and alkalosis describe conditions in which a person's blood is, respectively, too acidic (pH below 7.35) and too alkaline (pH above 7.45). Each of these conditions can be caused either by metabolic problems related to bicarbonate levels or by respiratory problems related to carbonic acid and CO 2 levels. Several compensatory mechanisms allow the body to maintain a normal pH.

Watch this video to see a demonstration of the effect altitude has on blood pH. What effect does high altitude have on blood pH, and why?

Because oxygen is reduced, the respiratory rate increases to accommodate, and hyperventilation removes CO 2 faster than normal, resulting in alkalosis.

Got questions? Get instant answers now!

Questions & Answers

what is meant by control center?
Freeman Reply
what is anatomy
Ajibola Reply
is the study of the structure of the body and their relationship to each refers to the shapes iyo sizes
Khadar
what is a blastomere?
Toluba Reply
In biology, a blastomere is a type of cell produced by cleavage (cell division) of the zygote after fertilization and is an essential part of blastula formation.
Adnan
what is cell
Shivaani
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
cell is a membrane bound unit that contains the fundamentals molecules of life
Sushma
A1
Adnan
excellent
Adnan
movement,reproduction, excretion, respiration ,growth ,nutrition, response to external stimuli.
Sushma
good
Adnan
sister excellent
Adnan
questions pushy ja sukty hy kya
Maryam
jwab forun milta hy ya ak do din k bad
Maryam
Maryam Riaz sister what you say
Adnan
i want to say that k kush questions k answer mil sukty hy mjhy
Maryam
inshallah
Adnan
zaror mere behen
Adnan
question kari
Adnan
hn mil mil sakte h na esly
Ziya
Which muscle of the gluteal region originates from lumber spine? a. Gluteus medius b. Psoas major c. Iliacus d. Gluteus maximus
Maryam
sweet sister's
Adnan
question tu kari Inshallah Allah behtar kariga
Adnan
to mcqs kia to hy
Maryam
answer ni mila abhi
Maryam
wait sister
Adnan
what is the functional unit of kidneys
Khadar
nephron is the functional unit of kidney
Maryam
Maryam Riaz sister option. d. gluteus maximus
Adnan
thanks
Maryam
sorry Maryam Riaz sister
Adnan
option b. psoas major
Adnan
right answer this one
Adnan
nephron is the functional unit of kidney
Ihsan
I discussed with to my teachers
Adnan
d
Ihsan
d. is right option bro
Adnan
yes
Ihsan
what is cell
Shilpa
cell is the smallest unit of life
Maryam
ok
Shilpa
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
Maryam Riaz sister I m clear option d. also right thank you ihan bro
Adnan
type structure function origin insertion action of muscles
DAMINI Reply
oxygn amount in our body
Tg Reply
A normal level of oxygen is usually 95% or higher. Some people with chronic lung disease or sleep apnea can have normal levels around 90%. The “SpO2” reading on a pulse oximeter shows the percentage of oxygen in someone's blood
Adnan
What is the difference between cytoplasmic and endoplasmic
Ajibola Reply
The cytoplasm is 90℅ water and 10℅ of organic and inorganic compounds. The cytoplasm contains mitochondria. ... Lysosomes of Cytoplasm contains 50 different enzymes that digest proteins, lipids, and nucleic acids. The endoplasmic reticulum produces process and transport proteins, lipids for all the
Adnan
tarsal are cube shaped broad and long whiles metatarsal they are longer than they are wide
Priscilla Reply
articular cartilage serve as shock absorber and also reduces friction
Priscilla
articular cartilage serve as shock absorber and also reduces friction
Priscilla
when a bone joint with another bone
Priscilla
to know how you body function to know the relationship between the body parts to know specific functions of a certain body parts
romeo Reply
To know our body function we shd know chemical secretion of our glands, we can map all the function of our body and also relation ship between the body parts.
KUSUMA
that z it kusuma
kanaku
can you get fungi infection by seating on a public toilet?
Calls Reply
explain how blood acts as a connective tissue in the body
Rymz Reply
how does blood act as a connective tissue in the body
Rymz
what is anatomy
Victoriah Reply
fat deficiency in the body
Agbor Reply
Explain how body exercise regulates blood pressure
dranimva Reply
thank you
Thelma
what is cillia and flangella
Kalah Reply
what are the proceduers of condactive system ?
Salua Reply

Get Jobilize Job Search Mobile App in your pocket Now!

Get it on Google Play Download on the App Store Now




Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Anatomy & Physiology' conversation and receive update notifications?

Ask