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Multiple Choice
In a respiratory acidosis, which of the following actions would the kidney most likely take to compensate?
A
Increase hydrogen ion secretion
B
Decrease hydrogen ion secretion
C
Decrease bicarbonate reabsorption
D
Increase bicarbonate reabsorption
Verified step by step guidance
1
Understand the condition: Respiratory acidosis occurs when there is an excess of carbon dioxide (CO2) in the blood, leading to a decrease in blood pH (more acidic). This is often due to hypoventilation or lung diseases that impair CO2 removal.
Identify the body's compensatory mechanisms: The body attempts to restore normal pH levels through various compensatory mechanisms. In the case of respiratory acidosis, the kidneys play a crucial role in compensating for the increased acidity.
Consider the role of the kidneys: The kidneys help regulate blood pH by adjusting the excretion of hydrogen ions (H+) and the reabsorption of bicarbonate ions (HCO3^-).
Determine the appropriate kidney response: To compensate for the acidosis, the kidneys would aim to increase the blood's buffering capacity. This is achieved by increasing the reabsorption of bicarbonate ions (HCO3^-), which can neutralize excess hydrogen ions (H+).
Conclude the compensatory action: Therefore, in response to respiratory acidosis, the kidneys would most likely increase bicarbonate reabsorption to help restore normal pH levels in the blood.