Acids & Bases (acid base balance)

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Outline

Overview

  1. Acids- solutions that contain more hydrogen ions or hydronium ions than hydroxide ions. (pH below 7 to 0)
  2. Bases-solutions that contain more hydroxide ions than hydrogen ions or hydronium ions (pH above 7-14)
  3. pH is German for “the potenz/potential to make a H ion”.
    1. Negative log number measures amounts of H+ to OH- as water dissociates
    2. When H+ (H3O+) = OH- pH is 7 and considered neutral
    3. When H+ (H3O+) > OH- pH is below 7 and considered Acidic
    4. When H+ (H3O+) < OH- pH is above 7 and considered Basic
    5. Vaules close but below 7 are weak acids whereas values close but above 7 are weak bases
    6. Buffers produced by the body to bring pH levels back in homeostatic range

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Transcript

Hello there! Today our lesson is on understanding acids and bases.

So acid is defined by the number of hydrogen ions or more specifically how many hydronium ions there are in a solution compared to the number of hydroxide ions. So a water or H2O  molecule looks like a Mickey Mouse and the ears of Mickey are the hydrogens. And liquid water molecules are constantly colliding into one another and at any given time a Mickey mouse can lose an ear or gain one as these polar molecules interact. Pure water will have an equal or balanced amount of hydrogens or hydronium ions to hydroxide ions. But when the solution has and unbalanced amount of these and in this case has more Hydrogen ions and hydronium ions than hydroxide ions the solution is said to be acidic. So some great examples of this in life is hydrochloric acid, carbonic acid, uric acid, ascorbic acid and acetic acid. 
A solution that contains more hydroxide ions than hydrogen ions or hydronium ions is called a base. Examples of a base include baking soda, soap, milk of magnesia, egg shells and bleach. Bases tend to be bitter in taste and slimy to the touch.

And a great way to measure how acidic or basic a solution is is by measuring its pH. pH which is thought to mean “the potential to make hydrogen ions” and it actually measures the H+ or H30+ ions in a solution. So when a solution is neutral there is a 10^-7 M concentration of hydronium ions and equally, there is a 10^-7 M concentration of hydroxide ions.  The pH scale is based on that negative logarithmic value of 10 to the negative 7th power. So when both are at that we say the pH is 7. Should the Hydronium concentration increase and an increase in a negative number would be to go from say -7 to -4 (-4 is bigger than -7) then the pH value drops as the concentration of hydronium ions increases. When the hydroxide values are greater than the hydronium values we say it has a pH greater than 7 and that it is basic.

So here are some common solutions found in life and their pH values. The location has a lot to do with the pH levels and the function of different solutions. So, for example, the stomach has a  pH that is very low to aid in digestion. Lysosomes and the pH of our skin are both working hard to break down foreign materials and acid solutions can definitely assist with that. Most solutions in the human body hover around 7. However, that doesn’t happen magically. Feedback mechanisms work really well if the pH of saying the blood shifts too far from normal (7.35-7.45. To maintain that critical range the body will release what are known as buffers to bring back pH levels to normal. If it leans towards being more acidic the body will secret a weak base and vice versa. Maintaining Homeostasis is crucial and constant for survival.

So to review acids are solutions that have a higher number of hydrogen or hydronium ions than hydroxides and have a pH under 7. Bases are just the opposite in that the -OH levels are higher than the H30+ and the pH level is above. pH is an important measure of these ion concentrations, especially in life and it measures the amount of H+/H30+ ions in a given solution. And since balanced pH levels are so important to live organisms buffers are constantly being made to maintain homeostasis.

Thank you for reviewing the Acids and bases in this lesson. Now go out and be your best self today and Happy Nursing.

 

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Concepts Covered:

  • Cardiac Disorders
  • Cardiovascular
  • Emergency Care of the Cardiac Patient
  • Circulatory System
  • Nervous System
  • Skeletal System
  • Shock
  • Shock
  • Disorders of the Posterior Pituitary Gland
  • Endocrine
  • Disorders of Pancreas
  • Disorders of the Thyroid & Parathyroid Glands
  • Hematology
  • Gastrointestinal
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Newborn Complications
  • Lower GI Disorders
  • Multisystem
  • Neurological
  • Central Nervous System Disorders – Brain
  • Renal
  • Respiratory
  • Urinary System
  • Respiratory System
  • Noninfectious Respiratory Disorder
  • Test Taking Strategies
  • Note Taking
  • Basics of NCLEX
  • Prefixes
  • Suffixes
  • Medication Administration
  • Gastrointestinal Disorders
  • Respiratory Disorders
  • Pregnancy Risks
  • Labor Complications
  • Hematologic Disorders
  • Fundamentals of Emergency Nursing
  • Factors Influencing Community Health
  • Delegation
  • Perioperative Nursing Roles
  • EENT Disorders
  • Basics of Chemistry
  • Immunological Disorders
  • Vascular Disorders
  • Studying
  • Integumentary Disorders
  • Musculoskeletal Trauma
  • Sexually Transmitted Infections
  • Newborn Care
  • Microbiology
  • Proteins
  • Oncology Disorders

Study Plan Lessons

02.18 Cardiovascular Practice Questions for CCRN Review
01.01 CCRN Test Overview for CCRN Review
02.01 Hypertensive Crisis for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
04.01 Hematology for CCRN Review
04.02 Hematology Review Questions for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.03 Jaundice for CCRN Review
05.04 Ruptured Spleen for CCRN Review
05.05 GI Practice Questions for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
06.02 Poisoning for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
07.03 Uncal Herniation for CCRN Review
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
08.01 Psychological Review for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review
09.04 Continuous Renal Replacement Therapy for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
09.06 Renal Practice Questions for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
10.04 Pulmonary Question Review for CCRN Review
12 Points to Answering Pharmacology Questions
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
54 Common Medication Prefixes and Suffixes
6 Rights of Medication Administration
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Abdomen (Abdominal) Assessment
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placenta for Certified Emergency Nursing (CEN)
Absolute Neutrophil Count (ANC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Absolute Words
Abuse
Abuse and Neglect for Certified Emergency Nursing (CEN)
Access to Care
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
ACE (angiotensin-converting enzyme) Inhibitors
Acetaminophen (Tylenol) Nursing Considerations
Acids & Bases (acid base balance)
Asthma (Severe) for Progressive Care Certified Nurse (PCCN)
Asthma Concept Map
Asthma for Certified Emergency Nursing (CEN)
Asthma management Nursing Mnemonic (ASTHMA)
At Risk for Gout Nursing Mnemonic (MALE)
Atenolol (Tenormin) Nursing Considerations
Atorvastatin (Lipitor) Nursing Considerations
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AVPU Mnemonic (The AVPU Scale)
Avoiding Alarm Fatigue
Avulsions and Degloving Injuries for Certified Emergency Nursing (CEN)
Azithromycin (Zithromax) Nursing Considerations
Babies by Term
Backwards and Forwards
Bacteria
Bariatric Surgeries
Betamethasone and Dexamethasone
Beta Hydroxy (BHB) Lab Values
Bicarbonate (HCO3) Lab Values
Biochemistry Course Introduction
Biopsy
Bisacodyl (Dulcolax) Nursing Considerations
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations