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| In a situation of increased H<sup>+</sup> levels the body is said to be in a state of acidosis and the kidneys stop excreting HCO<sub>3</sub><sup>-</sup> and the tubular cells produce more bicarbonate. This results in more H<sup>+</sup> being buffered and the pH increases back to normal | | In a situation of increased H<sup>+</sup> levels the body is said to be in a state of acidosis and the kidneys stop excreting HCO<sub>3</sub><sup>-</sup> and the tubular cells produce more bicarbonate. This results in more H<sup>+</sup> being buffered and the pH increases back to normal |
| + | |
| + | ===Buffers of H<sup>+</sup> in Urine=== |
| + | [[Image:buffereg1ap.jpg|right|thumb|200px|<small><center>The HPO<sub>4</sub><sup>-</sup>Buffer System</center></small>]] |
| + | * Weak acids are filtered and act as buffers |
| + | * Ability depends upon pKa<sup>+</sup> and concentration |
| + | * Once all the bicarbonate has been reabsorbed the secreted H<sup>+</sup> combine with these instead. |
| + | * The H<sup>+</sup> ion is then excreted |
| + | |
| + | =====The Role of Ammonium in the Proximal Tubule===== |
| + | [[Image:ammoniumproxitubap.jpg|right|thumb|200px|<small><center>The Role of Ammonium in the Proximal Tubule</center></small>]] |
| + | * The body is able to excrete H<sup>+</sup> as ammonium NH<sub>4</sub><sup>+</sup>. This is very useful as: |
| + | * It adds flexibility to renal acid base regulation and can help regulate NH<sub>4</sub><sup>+</sup> |
| + | * It is ionised, fat insoluble and trapped therefore is excreted |
| + | * It is easily replaced so is quite a good method |
| + | * Under physiological control |
| + | |
| + | =====The Role of Ammonium in the Collecting Ducts===== |
| + | [[Image:ammoniumcollductap.jpg|right|thumb|200px|<small><center>The Role of Ammonium in the Collecting Duct</center></small>]] |
| + | * Very different mechanism |
| + | * No bicarbonate produced |
| + | * See diagram |
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| ==Calcium== | | ==Calcium== |