Renal compensation

Renal compensation is a mechanism by which the kidneys can regulate the plasma pH. It is slower than respiratory compensation, but has a greater ability to restore normal values.

In respiratory acidosis, the kidney produces and excretes ammonium (NH4+) and monophosphate, generating bicarbonate in the process while clearing acid.[1]

In respiratory alkalosis, less bicarbonate (HCO3) is reabsorbed, thus lowering the pH.[2]

References

  1. Nosek, Thomas M. Essentials of Human Physiology. Section 7/7ch12/7ch12p45
  2. Nosek, Thomas M. Essentials of Human Physiology. Section 7/7ch12/7ch12p48


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