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