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WELCOME MESSAGE
Medical and surgical nursing need not be difficult to study if you have the right foundation and basic concepts of the human body and how it works. An integration of your knowledge in biochemistry, physics, anatomy and physiology would make this course more interesting for you. I will attempt to explain a lot of concepts here in an easy to read and digest manner even for the lay person to enjoy reading it.
Tuesday, January 17, 2017
WHAT ARE BUFFERS?
Buffer is a substance that can act to keep body fluid pH at normal
levels (pH 7.35-7.45)
Can react in two ways: as an acid
(releasing a hydrogen ion) or as a base (binding a hydrogen ion)
Buffers always try to bring the fluid
as close as possible to the normal body fluid pH of 7.35 to 7.45
o If the fluid is basic (with few free
hydrogen ions), the buffer releases hydrogen ions into the fluid
o If the fluid is acidic (with many
free hydrogen ions), the buffer acts as a base, binding some of the excess
hydrogen ions
TYPES OF BUFFERS
1. Chemical buffers
·
Usually
a weak base and an acid salt
·
Most
common chemical buffers:
o Bicarbonate (active in both
extracellular fluid [ECF] and intracellular fluid [ICF])
o Phosphate (active in ICF)
2. Protein buffers
· - Most
common buffers
· - Proteins
in body fluids can either bind or release free hydrogen ions as needed
· - Both
ICF and ECF proteins serve as buffers
o Extracellular protein buffers are
albumin and globulins
· Major
cell protein buffer is hemoglobin
o Hemoglobin buffers hydrogen ions
directly and also buffers acids formed during the production of carbon dioxide
o Free hydrogen ions in blood increase à excess hydrogen ions cross membranes
of RBC à hydrogen ions bind to the large
numbers of hemoglobin molecules in each RBC à
decrease in hydrogen ions in blood à increase
in pH back to normal
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