Biomedical Basics

Acid-base balance and buffer systems

  • Created by Henry Stewart Talks
Published on February 26, 2026   4 min

A selection of talks on Gastroenterology & Nephrology

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This talk introduces acid base balance and buffer systems, using it as a basis for further exploration of the fundamental importance of acid base balance in maintaining physiological pH and the mechanisms the body uses to regulate it, including buffer systems, respiratory control, and renal function. We will discuss how buffers like bicarbonate and proteins provide immediate defense against pH fluctuations, while the lungs and kidneys offer rapid and long term compensation respectively. Additionally, we will examine the clinical implications of acid based disturbances such as acidosis and alkalosis, highlighting the coordinated roles of these systems in preserving homeostasis. Acid based balance is a fundamental aspect of human physiology, keeping the pH of body fluids within a narrow optimal range. The pH, reflecting hydrogen ion concentration is carefully regulated because slight deviations can disrupt cellular functions, enzyme activity, and organ systems. Normal arterial blood pH is maintained between 7.35 and 7.45 due to buffering systems, respiratory mechanisms, and renal function. This lecture explores how the body maintains this balance and the clinical implications of its disturbances. Buffer systems serve as front line defenders against rapid pH changes. The most significant in extracellular fluid is the bicarbonate buffer system, a reversible reaction between bicarbonate ions, HCO three, and carbonic acid H two CO three,

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Acid-base balance and buffer systems

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