2- Fluid, Electrolyte, A/B Balance (40) Flashcards
Amount of fluid intake and loss in 24hrs
1,500 x - 3,500 mL Average = 2,500-2,600 mL with 1,500 being from urine.
Intake and output should be evenly balanced. May not occur over 24 hr period but should normally be achieved over 2-3 day period
Functions of water (in the body)
- Provides a medium for transporting nutrients to cells and wastes from cells
- Medium for transporting hormones, enzymes, platelets, R and W cells
- Facilitate intracellular metabolism and proper cellular functioning
- Solvent for electrolytes and nonelectrolytes
- Help maintain normal body temperature
- Facilitate digestion and promote elimination
- Act as a tissue lubricant
Electrolytes
Substances that are capable of breaking into particles called Ions.
ECF electrolytes= sodium, chloride, calcium, bicarbonate.
ICF electrolytes= potassium, phosphorus, and magnesium.
NonElectrolytes- urea, glucose
Ions
Atom or molecule carrying an electrical charge.
Cations- positive : Na, K, H, Ca, Mg
Anions- negative : chloride, bicarbonate, phosphate.
Solvents and Solutes
Solvent- Liquids that hold a substance in solution. (Water)
Solute- substance that are dissolved in a solution.
Electrolytes
Osmosis
SOLVENT (water) moves from an area with fewer solutes to an area with greater amount of solutes.
Osmolarity
Concentration of particles in a solution.
“Pulling power”
Isotonic
Solution that has the same concentration of particles (osmolarity) as plasma
Hypertonic
Greater osmolarity than plasma. Water moves out of cells and into the intraday ulnar compartment causing cells to shrink.
Hypotonic
Solution has less osmolarity than plasma. Moves out of intravascular space and into intracellular fluid causing cells to swell
Diffusion
SOLUTES move freely from higher concentration to lower concentration.
Active transport
Requires energy.
Movement of substances through a cell membrane from an area of lesser solute concentration to an area of higher solute concentration.
Filtration
Passage of fluid through permeable membrane. Fluid moves from high pressure to low pressure.
Filtration pressure is the difference between colloid osmotic pressure and blood hydrostatic pressure
Hydrostatic pressure
The pushing force inside capillaries.
Colloid osmotic pressure
The pulling force. plasma proteins in the intravascular space or plasma facilitate this reabsorption by “pulling” the fluid back into capillaries.