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acid-base balance |
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balance /bal·ance/ (bal´ans) 1. an instrument for weighing. 2. equilibrium. acid-base balance a normal balance between production and excretion of acid or alkali by the body, resulting in a stable concentration of H+ in body fluids. analytical balance a balance used in the laboratory, sensitive to variations of the order of 0.05 to 0.1 mg. fluid balance the state of the body in relation to ingestion and excretion of water and electrolytes. nitrogen balance the state of the body in regard to ingestion and excretion of nitrogen. In negative nitrogen b. the amount excreted is greater than the quantity ingested; in positive nitrogen b. the amount excreted is smaller than the quantity ingested. water balance fluid b.
Acid-base balance The condition that exists when the body's carbonic acid-bicarbonate buffer system is in equilibrium, helping to maintain the blood pH at a normal level of 7.35-7.45. Mentioned in: Blood Gas Analysis, Electrolyte Disorders acid-base balance, acid-base balance, n the balance of acid to base necessary to keep the blood pH level normal (between 7.35 and 7.43). acid-base balance a state of equilibrium between acidity and alkalinity of the body fluids; called also hydrogen ion (H+) balance because, by definition, an acid is a substance capable of giving up a hydrogen ion during a chemical exchange, and a base is a substance that can accept it. The positively charged hydrogen ion (H+) is the active constituent of all acids. Most of the body's metabolic processes produce acids as their end products, but a somewhat alkaline body fluid (pH 7.4) is required as a medium for vital cellular activities. Therefore chemical exchanges of hydrogen ions must take place continuously in order to maintain a state of equilibrium. An optimal pH (hydrogen ion concentration) between 7.35 and 7.45 must be maintained; otherwise, the enzyme systems and other biochemical and metabolic activities will not function normally. Although the body can tolerate and compensate for slight deviations in acidity and alkalinity, if the pH drops below 7.30, the potentially serious condition of acidosis exists. If the pH goes higher than 7.50, the patient is in a state of alkalosis. In either case the disturbance of the acid-base balance is considered serious, even though there are control mechanisms by which the body can compensate for an upward or downward change in the pH. Shifts in the pH of body fluids are controlled by three major regulatory systems which may be classified as chemical (the buffer systems), biological (blood and cellular activity), and physiological (the lungs and kidneys). Imbalances of the acid-base ratio are discussed under acidosis and alkalosis. Diagnosis and monitoring of either of these conditions are greatly enhanced by periodic determination of the plasma pH and by blood gas analysis. acid-base balance Acid-base homeostasis Nephrology A physiologic state defined by the pH in the serum, which normally is a tad alkaline; acids CO2 and molecules containing H+, which are buffered by alkaline substances, primarily
HCO3, with some buffering by phosphate, proteins, Hb, and other substances; ↑ CO2 or ↓ HCO3 causes acidosis; conversely, ↓ CO2 or ↑ HCO3 causes alkalosis; if the defect is
caused by changes in CO2, it is a respiratory acidosis or respiratory alkalosis; if the defect is caused by changes in HCO3 levels, it is a metabolic acidosis or metabolic alkalosis; the lungs regulate the levels of
CO2 through changes in the breathing rate; CO2 is lost with faster breathing and ↑ when breathing slows, which provides fast but temporary regulation of body pH; major, long-term regulation of body pH occurs in the
kidneys, which excrete acids, and excrete or create HCO3 for use in the body How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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The finding of a significant pH acidosis in this study and in our field study suggests substantial loss of acid-base homeostasis at these temperatures. With regard to serum electrolytes, serum potassium, chloride, phosphorus, and magnesium levels were lower in patients than in controls, while no significant differences in the parameters of acid-base homeostasis were found between the two groups. |
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