Page 241 - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice
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232        ACID-BASE DISORDERS



                     120                                         The ionization, or dissociation, constant for an acid is an
                                                                 indication of the strength of that acid. A large value for K a

                                                                             þ
                     100                                         means that [H ] and [A ] are much greater than [HA];
                                                                 that is, the acid is a strong one and is largely dissociated. A
                                                +
                                      pH = – log 10  [H ]                                     þ
                      80                                         small value for K a means that [H ]and [A ] are much
                    [H + ] (nEq/L)  60                           of it is dissociated. Hydrochloric acid (HCl) and sulfuric
                                                                 smaller than [HA]; that is, the acid is a weak one and little
                                                                 acid (H 2 SO 4 ) are strong acids and dissociate almost
                                                                                                        þ
                      40                                         completely in aqueous solutions, whereas NH 4 is a weak
                                                                 acid (i.e., it is a strong base) and dissociates to a small
                                                                 extent.
                      20
                                                                   Taking the base 10 logarithm of both sides of the
                                                                 dissociation equilibrium equation yields:
                       0
                          7.00  7.20  7.40  7.60  7.80  8.00
                                                                                             þ
                                      pH                                                   ½H Š½A Š
            Figure 9-1 Exponential relationship between [H ] and                logK a ¼ log  ½HAŠ
                                                 þ
            pH. (From Madias NE, Cohen JJ. Acid-base chemistry and buffering.                         ½A Š

                                                                                             þ
            In: Cohen JJ, Kassirer JP, editors. Acid-base. Boston: Little, Brown,  logK a ¼ logð½H ŠÞ þ log
            1982: 5.)                                                                                 ½HAŠ
                                                          þ
            There is an inverse relationship between pH and [H ]:  Multiplying by  1 yields:
            the greater the [H ], the lower the pH. Furthermore,
                            þ

                                                                                                    þ
            pH and [H ] vary not linearly with one another but expo-                    þ        ½H Š½A Š
                     þ
                                                                         logK a ¼  logð½H ŠÞ   log
                                              þ
            nentially as shown in Figure 9-1. The [H ] for a given pH                              ½HAŠ
            within the physiologic range is given in Table 9-1.
                                                                 Applying the concept of pH to both the hydrogen ion
            LAW OF MASS ACTION                                   concentration and dissociation constant, K a :

            The law of mass action states that the velocity of a reac-        pK ¼ pH   log   ½A Š
            tion is proportional to the product of the concentrations           a             ½HAŠ
            of the reactants. For the acid just described, there are two                        ½A Š

                                                                              pH ¼ pK þ log
            opposing reactions:                                                       a
                                                                                              ½HAŠ
                                     þ
                             HA ! H þ A                          This is the commonly used Henderson-Hasselbalch form
                               þ

                             H þ A ! HA                          of the dissociation equilibrium equation. Occasionally,

                                                                 the term salt or base is substituted for A and the term
            The velocity of the first reaction can be written:   acid for HA:
                               v 1 ¼ k 1 HA½  Š                                               ½saltŠ
                                                                               pH ¼ pK þ log
                                                                                       a
                                                                                              ½acidŠ
            and the velocity of the second reaction:
                                      þ
                             v 2 ¼ k 2 ½H Š½A Š
                                                                 CONCEPT OF BUFFERING
            At equilibrium, the rates of the two opposing reactions
            exactly counterbalance one another and the two velocities  A buffer is a compound that can accept or donate protons
            are equal:                                           (hydrogen ions) and minimize a change in pH. A buffer
                                                                 solution consists of a weak acid and its conjugate salt.
                                        þ
                           k 1 HA½  Š ¼ k 2 ½H Š½A Š             When a strong acid is added to a buffer solution
                                                                 containing a weaker acid and its salt, the dissociated
            Rearranging and substituting a new constant, K a , the ion-  protons from the strong acid are donated to the salt of
            ization, or dissociation, constant for the acid HA:  the weak acid and the change in pH is minimized.
                                                                   Consider an aqueous solution with equal amounts of
                                         þ
                                      ½H Š½A Š                   Na 2 HPO 4 and NaH 2 PO 4 . The pK a for this buffer pair
                          k 1 =k 2 ¼ K a ¼
                                        ½HAŠ                     is 6.8:
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