How does the renal system compensates for metabolic acidosis and alkalosis?

Slowly & effectively. In response to acidosis, the kidney increases reabsorbtion of bicarbonate (sodium bicarbonate) from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate (sodium bicarbonate). Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate (sodium bicarbonate), decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion.

Related Questions

Can you tell me how the renal system compensates for metabolic acidosis and alkalosis?

Metabolic issues. The kidneys are very smart at keeping the body at the ph level. The kidneys are capable of getting rid of large amounts of acids (hydrogen ions) and reabsorbing bicarbonate (sodium bicarbonate) to keep the body in homeostasis. We excrete acid (h+) through titratable acidity and ammonium. Read more...

Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation. What's the meaning of this? Thank you.

Acid-base disorder. To give a clear answer we need to have the actual values for the ph, pco2, and the tco2 (usually called bicarbonate). A mixed disorder needs to be broken into the primary disorder and then if other disorders are present, are they primary or secondary. Normal oxygenation not relevant to this problem. Could be anxiety or medication for the resp alkalosis with a secondary hyperchloremic "acidosis". Read more...

Is serum Osmolality typically elevated in metabolic acidosis/alkalosis and ethylene glycol poisoning?

Yes. Particularly with ethylene glycol poisoning. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Read more...

Normal CBC, CMP & electrolytes. Does this exclude acid/base problems such as metabolic acidosis or alkalosis??

Sort of. All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, just the fact that you are asking this question is sufficient to conclude that you do not have serious acid/base disorder. Read more...