How do the kidneys contribute to acid-base balance?

Prepare for the JIBC PCP Nephrology Exam. Review flashcards and multiple-choice questions, each with hints and explanations. Enhance your nephrology knowledge and excel in your test!

The kidneys play a crucial role in maintaining acid-base balance through the processes of excreting hydrogen ions and reabsorbing bicarbonate from the glomerular filtrate. When the blood becomes too acidic, the kidneys respond by secreting more hydrogen ions into the urine, which helps to raise the pH of the blood back to normal levels. Simultaneously, bicarbonate ions are reabsorbed back into the bloodstream, where they act as a buffer to neutralize excess acids.

This process is essential for homeostasis, as it helps regulate the overall acidity or alkalinity of the body fluids. The ability of the kidneys to alter excretion and reabsorption rates is a crucial mechanism for managing different metabolic needs and conditions, ensuring that the body's acid-base status remains within a narrow and healthy range. This is particularly important in conditions such as metabolic acidosis or alkalosis, where adjustments must be made to maintain balance.

The other options do not directly pertain to the kidneys' role in acid-base balance. For instance, filtering waste is a broad function of the kidneys but does not specifically relate to acid-base regulation. Storing calcium is a function associated with bones, not the kidneys’ primary role in managing blood pH levels. Regulating

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