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Ch. 26 Fluid, Electrolyte, and Acid-Base Balance
Chapter 25, Problem 17

Describe the role of the respiratory system in controlling acid-base balance.

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The respiratory system helps maintain acid-base balance by regulating the levels of carbon dioxide (CO2) in the blood.
CO2 is a byproduct of cellular metabolism and is transported in the blood to the lungs for exhalation.
In the blood, CO2 reacts with water to form carbonic acid (H2CO3), which dissociates into hydrogen ions (H+) and bicarbonate ions (HCO3^-). This reaction is reversible and is catalyzed by the enzyme carbonic anhydrase.
By adjusting the rate and depth of breathing, the respiratory system can increase or decrease the amount of CO2 exhaled, thus influencing the concentration of H+ in the blood and helping to maintain the pH within a narrow range.
For example, during hyperventilation, more CO2 is expelled, reducing H+ concentration and increasing pH (alkalosis), while hypoventilation retains CO2, increasing H+ concentration and decreasing pH (acidosis).

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Respiratory System Function

The respiratory system is primarily responsible for gas exchange, allowing oxygen to enter the bloodstream and carbon dioxide to be expelled. This process is crucial for maintaining homeostasis, as the levels of carbon dioxide directly influence blood pH. By adjusting the rate and depth of breathing, the respiratory system can regulate the concentration of carbon dioxide, thereby affecting acid-base balance.
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Acid-Base Balance

Acid-base balance refers to the mechanisms that maintain the pH of body fluids within a narrow range, essential for normal cellular function. The body utilizes buffers, the respiratory system, and the renal system to regulate pH. A decrease in pH (acidosis) can stimulate increased respiration to expel more carbon dioxide, while an increase in pH (alkalosis) can lead to decreased respiration, demonstrating the respiratory system's role in this balance.
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Carbon Dioxide and pH Relationship

Carbon dioxide (CO2) plays a critical role in regulating blood pH through the bicarbonate buffer system. When CO2 levels rise, it reacts with water to form carbonic acid, lowering pH and leading to acidosis. Conversely, when CO2 is removed through respiration, the pH increases, promoting alkalosis. This relationship highlights how the respiratory system's control over CO2 levels is vital for maintaining acid-base homeostasis.
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