Questions: Essentials of General, Organic, and Biochemistry
Denise Guinn
THIRD EDITION
presented by Macmilan Learning
The pH of blood is tightly regulated and normally falls between 7.35 and 7.45. A condition called acidosis occurs when blood pH falls below 7.35 and is too acidic. A condition called alkalosis occurs when blood pH rises above 7.45 and is too basic.
A patient with respiratory depression is at risk of developing an acid-base imbalance in the blood. Why does this imbalance occur and what is the resulting medical condition called?
The carbonic acid/hydrogen carbonate buffer system as the major buffer system responsible for controlling blood pH.
H^+(aq) + HCO3^-(aq) <=> H2CO3(aq) <=> CO2(g) + H2O(l)
When the equilibrium shifts to consume the additional CO2 in the blood as the result of respiratory depression, what happens to the blood pH?
The pH increases because the equilibrium shifts to consume H^+.
The pH decreases because the equilibrium shifts to consume H^+.
The pH decreases because the equilibrium shifts to produce more H^+.
The pH increases because the equilibrium shifts to produce more H^+.
Transcript text: Essentials of General, Organic, and Biochemistry
Denise Guinn
THIRD EDITION
presented by Macmilan Learning
The pH of blood is tightly regulated and normally falls between 7.35 and 7.45. A condition called acidosis occurs when blood pH falls below 7.35 and is too acidic. A condition called alkalosis occurs when blood pH rises above 7.45 and is too basic.
A patient with respiratory depression is at risk of developing an acid-base imbalance in the blood. Why does this imbalance occur and what is the resulting medical condition called?
The carbonic acid/hydrogen carbonate buffer system as the major buffer system responsible for controlling blood pH .
\[
\mathrm{H}^{+}(\mathrm{aq})+\mathrm{HCO}_{3}^{-}(\mathrm{aq}) \rightleftharpoons \mathrm{H}_{2} \mathrm{CO}_{3}(\mathrm{aq}) \rightleftharpoons \mathrm{CO}_{2}(\mathrm{~g})+\mathrm{H}_{2} \mathrm{O}(\mathrm{l})
\]
When the equilibrium shifts to consume the additional $\mathrm{CO}_{2}$ in the blood as the result of respiratory depression, what happens to the blood pH ?
The pH increases because the equilibrium shifts to consume $\mathrm{H}^{+}$.
The pH decreases because the equilibrium shifts to consume $\mathrm{H}^{+}$.
The pH decreases because the equilibrium shifts to produce more $\mathrm{H}^{+}$.
The pH increases because the equilibrium shifts to produce more $\mathrm{H}^{+}$.
Solution
Solution Steps
Step 1: Understanding the Buffer System
The carbonic acid/hydrogen carbonate buffer system is responsible for maintaining the pH of blood. The equilibrium reaction is:
\[
\mathrm{H}^{+}(\mathrm{aq}) + \mathrm{HCO}_{3}^{-}(\mathrm{aq}) \rightleftharpoons \mathrm{H}_{2}\mathrm{CO}_{3}(\mathrm{aq}) \rightleftharpoons \mathrm{CO}_{2}(\mathrm{g}) + \mathrm{H}_{2}\mathrm{O}(\mathrm{l})
\]
Step 2: Effect of Respiratory Depression
Respiratory depression leads to an accumulation of CO\(_2\) in the blood because the body is not expelling CO\(_2\) efficiently. This increase in CO\(_2\) shifts the equilibrium to the right to produce more H\(_2\)CO\(_3\), which then dissociates into H\(^+\) and HCO\(_3^-\).
Step 3: Impact on Blood pH
As the equilibrium shifts to the right, more H\(^+\) ions are produced. An increase in H\(^+\) concentration leads to a decrease in pH, making the blood more acidic.
Final Answer
The pH decreases because the equilibrium shifts to produce more \(\mathrm{H}^{+}\).
\[
\boxed{\text{The pH decreases because the equilibrium shifts to produce more } \mathrm{H}^{+}.}
\]