Buffering and Henderson-Hasselbalch equation

Buffering and Henderson-Hasselbalch equation

Watch later

Watch later

Shock: Clinical
Leg ulcers: Clinical
Cardiovascular system anatomy and physiology
Renal azotemia
Nephrotic syndromes: Pathology review
Nephritic syndromes: Pathology review
Urinary tract infections: Pathology review
Kidney stones: Pathology review
Renal failure: Pathology review
Peritonitis
Ludwig angina
Temporomandibular joint dysfunction
Diffuse esophageal spasm
Gastroenteritis
Tropical sprue
Intestinal adhesions
Irritable bowel syndrome
Anal fissure
Cholestatic liver disease
Alcohol-associated liver disease
Primary biliary cholangitis
Viral hepatitis
Acute cholecystitis
Chronic cholecystitis
Ascending cholangitis
Gallstone ileus
Acute pancreatitis
Chronic pancreatitis
Pancreatic pseudocyst
Gallbladder disorders: Pathology review
Viral hepatitis: Pathology review
Inflammatory bowel disease: Pathology review
Esophageal disorders: Pathology review
Gastrointestinal bleeding: Pathology review
Pancreatitis: Pathology review
Jaundice: Pathology review
Cirrhosis: Pathology review
Adrenal insufficiency: Pathology review
Hyperthyroidism: Pathology review
Diabetes mellitus: Pathology review
Hypothyroidism: Pathology review
Parathyroid disorders and calcium imbalance: Pathology review
Cushing syndrome and Cushing disease: Pathology review
Back pain: Pathology review
Seronegative and septic arthritis: Pathology review
Neuromuscular junction disorders: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
Myalgias and myositis: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Disorders of sex chromosomes: Pathology review
Testicular tumors: Pathology review
Ovarian cysts and tumors: Pathology review
Vaginal and vulvar disorders: Pathology review
Breast cancer: Pathology review
Congenital TORCH infections: Pathology review
Prostate disorders and cancer: Pathology review
Uterine disorders: Pathology review
Cervical cancer: Pathology review
Benign breast conditions: Pathology review
Complications during pregnancy: Pathology review
Pigmentation skin disorders: Pathology review
Papulosquamous and inflammatory skin disorders: Pathology review
Skin cancer: Pathology review
Acneiform skin disorders: Pathology review
Vesiculobullous and desquamating skin disorders: Pathology review
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Eye conditions: Inflammation, infections and trauma: Pathology review
Nasal, oral and pharyngeal diseases: Pathology review
Eye conditions: Retinal disorders: Pathology review
Vertigo: Pathology review
Thyroid nodules and thyroid cancer: Pathology review
Immunodeficiencies: T-cell and B-cell disorders: Pathology review
Immunodeficiencies: Combined T-cell and B-cell disorders: Pathology review
Microcytic anemia: Pathology review
Intrinsic hemolytic normocytic anemia: Pathology review
Macrocytic anemia: Pathology review
Coagulation disorders: Pathology review
Mixed platelet and coagulation disorders: Pathology review
Lymphomas: Pathology review
Plasma cell disorders: Pathology review
Non-hemolytic normocytic anemia: Pathology review
Extrinsic hemolytic normocytic anemia: Pathology review
Heme synthesis disorders: Pathology review
Platelet disorders: Pathology review
Thrombosis syndromes (hypercoagulability): Pathology review
Leukemias: Pathology review
Myeloproliferative disorders: Pathology review
Congenital neurological disorders: Pathology review
Seizures: Pathology review
Traumatic brain injury: Pathology review
Dementia: Pathology review
Movement disorders: Pathology review
Demyelinating disorders: Pathology review
Headaches: Pathology review
Cerebral vascular disease: Pathology review
Spinal cord disorders: Pathology review
Central nervous system infections: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Neurocutaneous disorders: Pathology review
Acyanotic congenital heart defects: Pathology review
Atherosclerosis and arteriosclerosis: Pathology review
Peripheral artery disease: Pathology review
Cardiomyopathies: Pathology review
Supraventricular arrhythmias: Pathology review
Heart blocks: Pathology review
Pericardial disease: Pathology review
Hypertension: Pathology review
Vasculitis: Pathology review
Dyslipidemias: Pathology review
Coronary artery disease: Pathology review
Valvular heart disease: Pathology review
Heart failure: Pathology review
Ventricular arrhythmias: Pathology review
Shock: Pathology review
Cardiac and vascular tumors: Pathology review
Neonatal respiratory distress syndrome
Acute respiratory distress syndrome: Clinical
Respiratory acidosis
Respiratory syncytial virus
Choanal atresia
Laryngomalacia
Laryngitis
Bacterial epiglottitis
Respiratory distress syndrome: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Apnea, hypoventilation and pulmonary hypertension: Pathology review
Cystic fibrosis: Pathology review
Tuberculosis: Pathology review
Restrictive lung diseases: Pathology review
Lung cancer and mesothelioma: Pathology review
Otitis externa
Otitis media
Pseudomonas aeruginosa
Delirium
Osteoarthritis
Renal tubular acidosis: Pathology review
Electrolyte disturbances: Pathology review
Renal tubular defects: Pathology review
Acid-base disturbances: Pathology review
Renal and urinary tract masses: Pathology review
Anatomy of the coronary circulation
Anatomy clinical correlates: Heart
Blood pressure, blood flow, and resistance
Laminar flow and Reynolds number
Compliance of blood vessels
Pressures in the cardiovascular system
Resistance to blood flow
Control of blood flow circulation
Microcirculation and Starling forces
Measuring cardiac output (Fick principle)
Stroke volume, ejection fraction, and cardiac output
Cardiac contractility
Frank-Starling relationship
Cardiac preload
Cardiac afterload
Law of Laplace
Cardiac cycle
Cardiac work
Pressure-volume loops
Changes in pressure-volume loops
Physiological changes during exercise
Normal heart sounds
Abnormal heart sounds
Action potentials in myocytes
Action potentials in pacemaker cells
Excitability and refractory periods
Cardiac excitation-contraction coupling
Cardiac conduction system
Cardiac conduction velocity
ECG basics
ECG rate and rhythm
ECG intervals
ECG QRS transition
ECG axis
ECG normal sinus rhythm
ECG cardiac infarction and ischemia
ECG cardiac hypertrophy and enlargement
Baroreceptors
Chemoreceptors
Renin-angiotensin-aldosterone system
Anatomic and physiologic dead space
Alveolar surface tension and surfactant
Compliance of lungs and chest wall
Combined pressure-volume curves for the lung and chest wall
Airflow, pressure, and resistance
Gas exchange in the lungs, blood and tissues
Diffusion-limited and perfusion-limited gas exchange
Alveolar gas equation
Oxygen binding capacity and oxygen content
Oxygen-hemoglobin dissociation curve
Carbon dioxide transport in blood
Reading a chest X-ray
Lung volumes and capacities
Ventilation
Zones of pulmonary blood flow
Regulation of pulmonary blood flow
Ventilation-perfusion ratios and V/Q mismatch
Pulmonary shunts
Breathing cycle
Hydration
Body fluid compartments
Movement of water between body compartments
Renal clearance
Glomerular filtration
Measuring renal plasma flow and renal blood flow
Regulation of renal blood flow
Tubular secretion of PAH
Tubular reabsorption of glucose
Urea recycling
Proximal convoluted tubule
Distal convoluted tubule
Loop of Henle
Sodium homeostasis
Potassium homeostasis
Phosphate, calcium and magnesium homeostasis
Osmoregulation
Vitamin D
Erythropoietin
Physiologic pH and buffers
Buffering and Henderson-Hasselbalch equation
The role of the kidney in acid-base balance
Acid-base map and compensatory mechanisms
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Plasma anion gap
Nervous system anatomy and physiology
Neuron action potential
Cerebral circulation
Blood brain barrier
Cerebrospinal fluid
Pyramidal and extrapyramidal tracts
Muscle spindles and golgi tendon organs
Spinal cord reflexes
Somatosensory receptors
Somatosensory pathways
Sympathetic nervous system
Adrenergic receptors
Parasympathetic nervous system
Cholinergic receptors
Enteric nervous system
Body temperature regulation (thermoregulation)
Cerebellum
Basal ganglia: Direct and indirect pathway of movement
Skeletal system anatomy and physiology
Bone remodeling and repair
Cartilage structure and growth
Fibrous, cartilage, and synovial joints
Gastrointestinal system anatomy and physiology
Anatomy and physiology of the teeth
Liver anatomy and physiology
Esophageal motility
Gastric motility
Chewing and swallowing
Carbohydrates and sugars
Fats and lipids
Proteins
Vitamins and minerals
Intestinal fluid balance
Pancreatic secretion
Bile secretion and enterohepatic circulation
Prebiotics and probiotics
Introduction to the immune system
Cytokines
Innate immune system
Complement system
T-cell development
B-cell development
MHC class I and MHC class II molecules
T-cell activation
B-cell activation, differentiation, and contraction
Cell-mediated immunity of CD4 cells
Cell-mediated immunity of natural killer and CD8 cells
Antibody classes
Somatic hypermutation and affinity maturation
Contracting the immune response and peripheral tolerance
B- and T-cell memory
VDJ rearrangement
Vaccinations
Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hypersensitivity
Anatomy and physiology of the eye
Photoreception
Optic pathways and visual fields
Anatomy and physiology of the ear
Auditory transduction and pathways
Vestibular transduction
Vestibulo-ocular reflex and nystagmus
Olfactory transduction and pathways
Taste and the tongue
Blood components
Blood groups and transfusions
Platelet plug formation (primary hemostasis)
Coagulation (secondary hemostasis)
Role of Vitamin K in coagulation
Clot retraction and fibrinolysis
Anatomy and physiology of the male reproductive system
Puberty and Tanner staging
Testosterone
Anatomy and physiology of the female reproductive system
Estrogen and progesterone
Menstrual cycle
Menopause
Endocrine system anatomy and physiology
Adrenocorticotropic hormone
Oxytocin and prolactin
Growth hormone and somatostatin
Antidiuretic hormone
Thyroid hormones

Flashcards

Buffering and Henderson-Hasselbalch equation

0 of 5 complete

Transcript

Watch video only

Every single moment, there are trillions of biochemical reactions occurring throughout the human body that are mediated by enzymes. Enzymes are types of proteins, and they’re generally sensitive to even slight changes in the environment - in particular things like the hydrogen ion concentration.

For this reason, the blood pH which corresponds to the hydrogen ion concentration needs to stay in a very narrow range---between 7.37 and 7.42.

If the blood pH rises or falls by more than a few tenths of a unit, it can lead to death.

Now, acids and bases are generated by cells all the time. So, the body has a few mechanisms to deal with these molecules and keep blood pH within normal range.

The first scientist who studied one of these mechanisms was Robert Pitts.

Pitts injected 150 mEq of hydrochloric acid HCl into his dog.

He calculated this his dog’s body contained a total 11.4 liters of water, so separately, Pitts put 150mEq of hydrochloric acid HCl in a volume of 11.4 liters of water.

The dog’s blood pH dropped from 7.44 to 7.14, which is very low, but not fatal.

In the water, the pH dropped from 7 to 1.84, and that would have killed the dog instantly.

Based on this, Pitts concluded that his dog had a buffer contained in its body fluids, and the dog concluded that he could no longer trust Pitts to take care of him.

Physiologic buffers shield the pH from rising or falling too quickly.

The reason the body needs buffers is that acids - molecules that readily give up their hydrogen ion - are being generated by the body all the time.

So the body needs a way to handle the extra hydrogen ions that are released without having a major shift in the overall pH.

To accomplish this, buffers are usually a weak acid with its conjugate base form, or a weak base with its conjugate acid form.

The weak acid could be symbolized as HA, where A represents molecules like fluorine or acetate. And the fact that it’s weak means that it has a “weak” effect on pH, because it doesn’t fully dissociate in water.

For example, if we were to add 100 HA molecules in 1 ml of water, only a tiny fraction, let’s say 5 of the 100 HA molecules would dissociate or break down into hydrogen H+ and their conjugate base A-: 10 HA ⇄ 9 HA + 1 H+ + 1 A-.

They like to maintain this balance. So if we remove some hydrogen ions, HA will dissociate and release a hydrogen ion and A-, maintaining that equilibrium. And if we add hydrogen ions, the A- will bind to a hydrogen ion to form HA.

Since it maintains this equilibrium, we call it an equilibrium reaction, and HA ⇄ H+ + A-.

By definition, this equilibrium reaction can move forward or backward depending on the concentrations of the molecules, and this is known as the Le Chatelier’s principle.

So, let’s imagine you’ve got this tank of water, which at any one time has some hydrogen ions floating around as well as some hydroxide ions that are in equilibrium with the water. Imagine that we add a strong base like sodium hydroxide NaOH to water.

Since it’s a strong base, the sodium hydroxide would dissociate almost completely into sodium Na+ ions and hydroxide OH- ions, and the hydroxide ions would bind to any available hydrogen H+ ions, and this rapid loss of hydrogen increases the pH really fast.

Key Takeaways

The Henderson-Hasselbalch equation is a mathematical expression that is used to predict how much of a given acid or base is required to produce a desired pH in a given solution. The equation is named after British chemists Louis Hodgkin and Frederick Gowland Hopkins, who developed it in 1898, and German chemist Wilhelm Hasselbalch, who published it in 1909. The Henderson-Hasselbalch equation can be expressed as follows:

pH = pKa + log [base]/[acid] The pH is the desired pH of the solution, pKa is the dissociation constant of the acid, [base] is the concentration of the base, and [acid] is the concentration of the acid.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "Understanding Acid Base Disorders" Critical Care Clinics (2015)
  6. "Acid-Base Assessment" Veterinary Clinics of North America: Food Animal Practice (2014)
  7. "pH and the Henderson-Hasselbalch equation" The American Journal of Medicine (1973)