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ERIC Number: EJ756276
Record Type: Journal
Publication Date: 2007-Mar
Pages: 4
Abstractor: Author
Reference Count: 0
ISBN: N/A
ISSN: ISSN-1043-4046
What is the Ultimate Goal in Acid-Base Regulation?
Balakrishnan, Selvakumar; Gopalakrishnan, Maya; Alagesan, Murali; Prakash, E. Sankaranarayanan
Advances in Physiology Education, v31 n1 p51-54 Mar 2007
It is common to see chapters on acid-base physiology state that the goal of acid-base regulatory mechanisms is to maintain the pH of arterial plasma and not arterial PCO [subscript 2] (Pa[subscript CO[subscript 2]]) or plasma HCO[subscript 3]. A hypothetical situation in which the (Pa[subscript CO[subscript 2]]) of arterial plasma is 80 mmHg and the plasma HCO[subscript 3] concentration is 48 mM is presented and analyzed to get over this misconception. As per the modified Henderson equation, the pH of arterial plasma would be 7.4; however, we explain that this may be associated with intracellular acidosis due to intracellular hypercapnia and that derangement of homeostasis is evident from the occurrence of respiratory depression and, eventually, coma in the patient described. This suggests that the ultimate goal of acid-base regulatory mechanisms is not just the maintenance of the pH of arterial plasma but the maintenance of the steady-state pH of intracellular fluid as well.
American Physiological Society. 9650 Rockville Pike, Bethesda, MD 20814-3991. Tel: 301-634-7164; Fax: 301-634-7241; e-mail: webmaster@the-aps.org; Web site: http://advan.physiology.org/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A