Introduction
The
human body structures are organised into numerous systems, each having their
own particular function. A group of organs, tissues and cells that work
together to perform important roles in the body are called body systems. The
human body is composed of several different systems including the
Integumentary, Urinary, Muscular, Nervous, Skeletal, Immune, Digestive,
Endocrine and Circulatory System. All these body systems are crucial for out
bodies to be functioned the correct way. In this case study we will be mainly
discussing the anatomical and physiological functions of the Cardiovascular,
Renal and Respiratory system and how the disease ‘Metabolic Acidosis’ affects
its homeostasis. The report will also discuss how the body systems integrate
and affect one another during this homeostasis disruption.
Maintenance of Homeostasis in the Body
The
human body must utilise many physiological modifications to maintain
homeostasis. One of these adaptations is having an acid-base balance
maintained. To have a normal cell metabolism, function and physiology, it is
crucial to have an acid-base homeostasis as well as pH regulation (Hamm et al.,
2015). Normally, the pH of the human body varies between 7.35 to 7.45, making
the average at 7.40. This is where the pH is at neutral, not too acidic and not
too basic. This pH level is perfect for various biological processes, oxygenation
of the blood being one of the main processes (Hopkins, 2019). The end products
of cellular metabolism are formed by body acids. When physiological conditions
are normal, an individual generates 50-100 mEq of acid a day (Hamilton 2017).
This acid derives from the metabolism of nutrients such as protein,
carbohydrates and fats. Additionally, base is lost in the stool. Therefore
there must be a balance in the excretion and neutralisation in acid production
for the maintenance of acid-base homeostasis. The main regulators of the
acid-base homeostasis are the kidneys and the lungs. Carbon dioxide is released
from the lungs which is the end product in carbonic acid (Hamilton, 2017).
All
the systems in the human body rely on pH balance, but the respiratory and renal
system are the main modulators. The respiratory system uses carbon dioxide to
adjust pH, then upon expiration, the carbon dioxide is released to the
environment (Hopkins 2019). Carbon dioxide also creates a buffer system to help
maintain blood pH at a normal range. A buffer is a type of chemical system that
stops a thorough change in pH. This is done by reducing the changes in the concentrations
of hydrogen ion when there’s excess base or acid. Some of these buffer systems
include phosphate, carbonic acid, plasma proteins and bicarbonate buffers. The
kidneys also assist in maintaining acid-base balance and blood plasma pH by
expelling hydrogen ions and creating bicarbonate (Hamm et al., 2015). They also
have the function of controlling blood pressure and getting rid of wastes
through urination. The kidneys are structured as a bean shape and the two have
brown organs that are as big as human fists. The renal capsule, a strong seal of
fibrous connective tissue, covers the pair and is protected by layers of fat
(Keoppen 2009). There are two components in the function of the kidneys; one is
to effectively reabsorb all the filtered bicarbonate and the other to produce
new bicarbonate to replace the normal/pathological acids consumed. During
standard conditions, around one-third to a half of the kidneys’ net acid
excretion is in the form of titratable acid (Hamm et al., 2015). The remaining
half or two-thirds is ammonium excretion. The kidneys also regulate blood
pressure and this is done changing the liquids that are outside of the cells to
create long-term pressure on the arteries.
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