When the buffer is a weak acid (HA), the pH is related to the ratio of base (A–) to undissociated acid (HA) concentration. The acid is constantly in flux between its HA and [H+][A–] forms, the balance of which is determined by the equilibrium constant (K). The pH can then be expressed as:
pH = pK + log [conjugate base] [acid]
This is the Henderson Hasselbalch equation. [3]
The most important buffer system in the body is the carbonic acid/bicarbonate system due to the physiological control (ie. excretion/retention) of its component parts by the lungs and kidneys, i.e. CO2, H+ and HCO3–. This relationship is shown as:
CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3– |
For example, when more H+ is added to the system (e.g. in a metabolic acidosis), this shifts the reaction to the left, forming more carbonic acid. This in turn shifts the reaction further to the left forming easily excretable CO2. [3] The pCO2 is controlled by the lungs and the HCO3– by the kidneys (see the page on bicarbonate control).