Bicarbonate handling in kidney

  • Freely filtered at glomerulus
  • 80% HCO3 reabsorbed at proximal tubule
    • transported into interstitium by Na/HCO3 symporter
  • 10-15% reabsorbed at thick ascending limb of Loop of Henle

correcting alkalosis

  • ↓ pCO2 = ↓ secretion of H+
  • Bicarb that cannot react with H+ is not reabsorbed and excreted in urine