MechanismGains and losses of acid and base must be balanced. The study of the acid-base reactions in the body is acid base physiology. Buffering agentsAny substance that can reversibly bind hydrogen ions is called a buffering agent. They function to impede any change in pH. Hydrogen ions are buffered by extracellular (e.g., bicarbonate, ammonia) and intracellular buffering agents (including proteins and phosphate). The buffering ability of plasma acts as an immediate defense against pH imbalance. Active regulationA short term method of compensating for acid-base imbalance involves regulating ventilation rate. By changing the ventilation rate, the body can alter the concentration of carbon dioxide in the blood, which alters the pH. In the long term, the kidneys maintain acid-base homeostasis by altering the excretion of excess acid or base. See also
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