Final answer:
The kidneys maintain acid-base balance by reabsorbing bicarbonate and excreting hydrogen ions to neutralize acidity, and by adjusting bicarbonate production and reabsorption based on the body's pH level.
Step-by-step explanation:
The kidneys regulate acid-base balance through two primary mechanisms:
- By reabsorbing bicarbonate (HCO3-) and excreting hydrogen ions (H+), which helps to neutralize acidity and raise blood pH.
- By regulating the production and reabsorption of bicarbonate depending on the body's pH level. When the blood is too acidic, the kidneys conserve bicarbonate and excrete more H+; when the blood is too alkaline, they lower bicarbonate conservation.
These processes not only maintain the acid-base balance but are also vital in maintaining homeostasis of mineral ions and controlling the volume of extracellular fluid, including the blood.