Page 154 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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A.  Bicarbonate buffers in closed and open systems
                     1          [HCO 3 ] mmol/L
                                    –
                         6.1 + log         =      pH
                         (pK a )  [CO 2 ] mmol/L
         2  [HCO 3 ]       Henderson-Hasselbalch equation
                –
                                                    pH
                                         [CO 2 ]
            24                                      8.0
                                         1.2        7.4   pH
                                                          7.40         Bicarbonate/Carbon Dioxide Buffer
                                                    7.0
          24mmol/L                     1.2mmol/L

                                 Addition of H +
                               H +       H +            CO 2


         3           –  +              4
                                                    +
                 2HCO 3 +2H → 2CO 2 +2H 2 O  2HCO 3 +2H →   2CO 2 +2H 2 O  Plate 6.2
                                                 –
           22                     8.0   22                     8.0
                            3.2   7.4                   1.2    7.4
                                  7.0                          7.0
         Closed system:   pH 6.93      Open system:   pH 7.36
         B.  Bicarbonate buffers in blood (open system)

           1         H +                 2         OH –


                        Tissue
                  CO 2                           CO 2
                                                   –
                   +
                   H elevated          OH – +CO 2  OH elevated
              P CO 2                        P CO 2
                  +H +                        + OH –
         H + +HCO 3 –
                    Normal                       Normal
                        Constant       HCO 3 –         Constant
         CO 2
                Alveolar contact time         Alveolar contact time
                                 P CO 2                        P CO 2
                                constant                     constant
                     CO 2
                                                   CO 2
         P CO 2
         rises  Increased elimination  P CO 2  Decreased elimination
                                       falls
                                                                     141

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