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Acid-Base Balance: Bicarbonate Buffer System and Acid-Base Disturbances

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Q10. How does the equation below shift when the plasma CO2 concentration rises?

Bicarbonate buffer system equation

Background

Topic: Acid-Base Balance & Buffer Systems

This question tests your understanding of the bicarbonate buffer system, which is crucial for maintaining acid-base balance in the body. The equation shows how carbon dioxide (CO2) is converted to carbonic acid (H2CO3), which then dissociates into hydrogen ions (H+) and bicarbonate ions (HCO3-).

Key Terms and Formulas

  • Bicarbonate Buffer System Equation:

  • Le Chatelier's Principle: If the concentration of a reactant increases, the equilibrium shifts to reduce that change (i.e., toward the products).

  • Acid-Base Disturbances: Changes in CO2 or HCO3- can lead to respiratory or metabolic acidosis/alkalosis.

Step-by-Step Guidance

  1. Examine the equation:

  2. Recall that an increase in CO2 means more reactant on the left side of the equation.

  3. Apply Le Chatelier's Principle: The system will shift to the right to use up the excess CO2, producing more H2CO3, H+, and HCO3-.

  4. Consider the physiological effect: Increasing H+ will lower pH, leading to acidosis if not compensated.

Try solving on your own before revealing the answer!

Final Answer: The equation shifts to the right.

When plasma CO2 rises, the equilibrium shifts to produce more H2CO3, which then dissociates into H+ and HCO3-. This can result in a decrease in blood pH (acidosis) if not compensated by the respiratory or renal systems.

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