Module 1 3 Notes

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BIOCHEMISTRY LECTURE P1

INTRODUCTION TO BIOCHEMISTRY • Assimilation – selective absorption


• Utilization -cell is the important unit of
DEFINITION OF TERMS
life. Hence a large number of chemical
• CHEMISTRY – a branch of science which reactions in the cell utilize the nutrients
deals with the study of the composition and absorbed to produce materials needed
properties of matter and; for our existence
➢ the changes it undergoes • Integration - refers to the overlap of
➢ the energy accompanying the many functions of the systems of the
changes human body, as well as its
➢ the laws and principles governing accompanied form.
such changes
• Metabolism
• GENERAL AND INORGANIC CHEMISTRY
➢ Metabolic degradation – conversion
– study of elements in the periodic table and
of a substance into an active
an overview of chemistry in general
metabolite
• ORGANIC CHEMISTRY – study of carbon
➢ Biotransformation – conversion of a
containing compounds
substance to another for
• BIOCHEMISTRY – or biological chemistry
biosynthesis
➢ from “BIO” – which means life
• Excretion
➢ “CHEMISTRY “– science which deals
with the study of the composition and pH and BUFFERS
properties of matter
➢ the study of compounds, chemical A. DISSOCIATION OR IONIZATION
changes and reactions occurring in ➢ a process by which a polar compound
living systems (contains (+) and (-) ions) is broken apart
into its individual ionic components when
• MOLECULAR BIOCHEMISTRY –
placed in an aqueous solution
concerned with the study of
➢ occurs in the presence of water.
macromolecules and their metabolic
B. ELECTROLYTES – substances whose water
activities in the body. It includes the
solutions conduct electricity
entrance in the human body, digestion,
➢ Strong electrolytes – completely ionized in
absorption, assimilation, utilization,
H2O solutions
integration into the tissues, metabolic
Examples:
degradation and eventually, excretion from
the body. • Strong acids – HCl, HNO3, H2SO4
• Strong bases – NaOH, KOH, Ca(OH)2
• Salt solutions - any salt dissolved in
water such as NaCl sol’n & CaF sol’n
2 ASPECTS OF BIOCHEMISTRY:
➢ Weak electrolytes – incompletely or
1. MOLECULAR ANATOMY – different partially ionized in H2O solution
biomolecules which comprise the cell - a large percent remains unionized
Examples:
Examples of biomolecules:
• Weak acids – acetic acid
• Carbohydrates (CHO)
• Weak bases – aniline, ammonia
• Proteins ➢ Non – electrolytes - substances whose
• Lipids water solution do not conduct electricity
• Nucleic acid Examples:
• Enzymes • Dry solids
• Hormones • Organic compounds (eg. ethyl alcohol)
• Vitamins
• Minerals

2. MOLECULAR PHYSIOLOGY – dynamic


part of biochemistry which includes the
functions and metabolic activities of
biomolecules in the cell.
• Digestion
➢ Physical – mechanical breakdown
➢ Chemical – further breakdown with
the aid of enzymes
• Absorption – passage of end products
of digestion from the small intestine into
the blood

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION


BIOCHEMISTRY LECTURE P1
pH EXPRESSION
- introduced by a Danish biochemist by the name of
C. IRREVERSIBLE REACTION Sorensen
➢ a reaction which goes to completion
pH = -log [H3O+] OR log
➢ the products no longer react to form back
pOH = - log [OH-]
the reactants pKw = -log Kw
• Evidences of irreversible reaction: pKw = pKa + pKb; 14 = pKa + pKb
1. Evolution of gas (formation of bubbles) pKw = pH + pOH
2. A precipitate is formed
14 = pH + pOH
3. Work is one of the products
pKa = - log Ka ; ionization constant of weak acid
D. REVERSIBLE REACTION
pKb = - log Kb ; ionization constant of weak base
➢ a reaction which does not go to completion
[H3O] = antilog – pH
➢ products can react to form back the reactant [OH-] = antilog – pOH
➢ this reaction is governed by the law of
chemical equilibrium BUFFER – a mixture of a weak electrolyte with its salt
Function: Resist drastic / great / marked change in pH of
E. CHEMICAL EQUILIBRIUM a system even upon the addition of either a Strong Acid
(SA) or Strong Base (SB)
➢ state at which 2 opposing reactions proceed
at the same rate 2 TYPES:
1. ACID BUFFER – mixture of weak acid + salt
of weak acid
E.g. HAc +NaAc, (KAc , MgAc-)
2. BASE BUFFER – mixture of WB + salt of WB
E.g. NH4OH + NH4Cl
NH4OH + NH4NO3

HOW BUFFERS WORK:


Buffers work by neutralizing any added acid (H+
ions) or base (OH- ions) to maintain the moderate pH,
making them a weaker acid or base.

ACID & BASES THEORIES:


a) Arrhenius / ionic theory
Acid – yield H+ in water solution
Base – yiels OH- in water solution
b) Lewis theory
WATER Acid – electron pair acceptor
Base – electron pair donor
WATER EQUILIBRIUM / IONIZATION OF WATER c) Bronsted – Lowry theory / Conjugated aci-base
● Water – considered as a weak electrolyte. It is pair theory
amphoteric and amphiprotic in nature. Acid – Proton donor
● Amphoteric: can react both as an acid and as a Base – Proton acceptor
base.
● Amphiprotic: a substance that can both accept ● Conjugate Base – anion produced from the
and donate a proton or H dissociation of acid; removal of hydrogen
● Conjugate Acid - proton hydrogen donor; formed
when it combines with hydrogen
CONJUGATE ACID CONJUGATE BASE
HCl Cl
H3O+ H2 O
HAc Ac-
HNO2 NO2-
H2O OH-
HCO3- CO3=
H2CO3 HCO3-

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BIOCHEMISTRY LECTURE P1
TREATMENT:
• Administration of sodium bicarbonate along with
fluids and other electrolytes
• Metabolic acidosis can be compensated through
intravenous

2. Respiratory Acidosis (hypoventilation) – associated


with an increased level of CO2 in the blood, occurring
when there is interference with respiratory gas exchange
- carbon dioxide combines with water to form carbonic
acid (H2CO3)
- Hypoventilation - breathing is slower than 12 breaths
per minute

Causes:
a. depression to respiration
b. obstruction to respiration
TREATMENT:
• Respiratory Acidosis can be compensated
through suction of H2CO3 or through oxygen
tanks
BLOOD PH
Acidosis can be compensated through:
● NORMAL BLOOD pH : 7.35 - 7.45 a. Increase production of ammonia in the kidney
b. Increase excretion of acids by the kidneys
FACTORS AFFECTING BLOOD pH: c. Increase excretion of H2CO3 through the lungs
1. Nature of diet
a. Proteins, fats, ketogenic substances ALKALOSIS – condition in which the alkalinity of body
● Tend to acidify blood pH fluids and tissues is abnormally high. This arises
● Presence of SO4=, PO4, H+ because of a failure of the mechanisms that usually
(acids) maintain a balance between alkalis and acids in the
b. Fruits and vegetables arterial blood.
● Tend to alkalinize blood pH -associated with loss of acid through vomiting or
● Na , K , Mg , Ca , OH excessive sodium bicarbonate intake
(bases) -due to an increase in blood pH
2. Vigorous Exercise
● Tend to acidify blood pH
• Conversion of ATP to lactic acid leading to
muscular cramps. TYPES OF ALKALOSIS
1. Metabolic Alkalosis – is usually associated with
ACIDOSIS and ALKALOSIS – metabolic disturbances in excessive loss of potassium and chloride
the acid-base balance of the body. - due to an increase in blood HCO3
Causes:
ACIDOSIS – condition in which the acidity of body fluids a. overdosage of alkaline drugs
& tissues is abnormally high b. excessive loss of gastric HCl due to persistent
- due to a decrease in normal blood pH vomiting or severe vomiting (Cl- loss) or the use of
diuretics except acetazolamides.
c.diarrhea (K+)

● Gaseous acidosis – more than the normal 2. Respiratory Alkalosis – produced by hyperventilation
amount of CO2 is retained in the body. E.g., (salicylate poisoning or artificial respirator) which lowers
drowning the CO2 level of the blood.
● Renal acidosis – kidney failure results in -due to a decrease in blood H2CO3
excessive loss of bicarbonate or retention of -May produce symptoms of muscular
phosphoric and sulfuric acids weakness or cramps
● Patients with diabetes mellitus have a form of -Hyperventilation - breathing is faster than 20 breaths
acidosis in which sodium, potassium and ketone per minute
bodies are lost in the urine

TYPES OF ACIDOSIS: Alkalosis can be compensated through:


1. Metabolic Acidosis – occurs when there is excessive a. Decrease production of ammonia by the kidneys
loss of bases, such as bicarbonate (HCO3-) or b. Decrease excretion of acids by the kidney
sodium c. Decrease excretion of H2CO3 through the lungs
- due to a decrease in blood HCO3-
Causes: In interpreting the ABG results, remember
• Severe ketosis & Diabetes Mellitus (DKA) ROME - Respiratory - Opposite / Metabolic Equal
• Eclampsia
• High lipid diet The Allen’s test is performed before obtaining an
• Urinuria arterial blood specimen from the radial artery to
determine the “presence of collateral circulation and the
adequacy of the ulnar artery. Failure to determine the
presence of adequate collateral circulation could result in
THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION
BIOCHEMISTRY LECTURE P1
severe ischemic injury to the hand if damage to the
radial artery occurs with arterial puncture. The nurse first
would explain the procedure to the client. To perform the
test, the nurse applies direct pressure over the client’s
ulnar and radial arteries simultaneously. While applying
pressure, the nurse asks the client to open and close the
hand repeatedly; the hand should blanch. The nurse
then releases pressure from the ulnar artery while
compressing the radial artery and assesses the color of
the extremity distal to the pressure point. If pinkness fails
to return within 6 to 7 seconds, the ulnar artery is
insufficient, indicating that the radial artery should not be
used for obtaining a blood specimen. Finally, the nurse
documents the findings. Other sites can be used if the
radial artery is not deemed adequate, such as the
brachial or femoral artery.

pH 7.35 – 7.45 (normal)


7.35 - 7.40 (acidiotic side)
7.40 – 7.45 (alkalotic side)
<7.35 = acidic
>7,45 = basic/alkaline

PCO2 35-45 mmHg


<35 = alkalotic
>45 = acidotic
HCO3 22-26 mEq/L
<22 = acidotic
>26 = alkalotic
FULLY pH is NORMAL
COMPENSATED
PARTIALLY HCO3/PCO2 IS NOT
COMPENSATED NORMAL

UNCOMPENSATED HCO3/PCO2 IS NORMAL

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION

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