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ACID BASE BALANCE

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BUFFER SYSTEM<br />

• Fastest acting defense mechanism (seconds)<br />

• Chief buffer is bicarbonate<br />

– Bicarbonate combines with excess hydrogen ions to form<br />

carbonic acid in a dynamic relationship:<br />

HCO3 + H+ H2CO3<br />

– For every molecule of carbonic acid, there are 20 molecules<br />

of bicarbonate<br />

– Any change in 20:1 ratio is immediately corrected to<br />

maintain pH<br />

» An increase in H+ causes an increase in H2CO3<br />

» A decrease in H+ causes a decrease in H2CO3

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