BODY FLUID + ELECTROLYTE BALANCE 2 Flashcards

1
Q

what are the four key regulator hormones in water output

A

ADH, aldosterone, antinaturetic pepide, angitensin II

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2
Q

what makes ADH different

A

the only one that acts on water itself; the other hormones act on salt to act on water

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3
Q

how does ADH maintain blood pressure, blood volume and tissue water content

A

by controlling the amount of water (urine concentration) excreted by the kidney

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4
Q

why does aldosterone effect blood pressure

A

because it regulates salt and water in the body

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5
Q

how does ANP regulate salt-water balance and blood pressure

A

by promoting renal sodium and water excretion and stimulating vasodilation

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6
Q

what makes ANP different

A

only hormone thats released in response to high blood pressure

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7
Q

how does ANG II raise blood pressure

A

vasoconstriction, sympathetic nervous stimulation, increased aldosterone biosynthesis and renal actions

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8
Q

increased ECF osmolarity + increased NA concentration in plasma stimulates osmoreceptors in hypothalamus. what does this result in

A

the posterior pitaurty releasing renin which causes the kidney tubules to absorb more water which decreases urine volume and ECF osmolarity and increases plasma volume

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9
Q

decreased plasma volume and blood pressure inhibit baroreceptors in atria and large vessels. what does this result in

A

the posterior pitaurty releasing renin which causes the kidney tubules to absorb more water which decreases urine volume and ECF osmolarity and increases plasma volume

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10
Q

what are some causes of dehydration

A

hemorrhage, severe burns, prolonged vomiting/diarrhea, profuse sweating, diuretic
abuse, water deprivation

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11
Q

what are some signs / symptoms of dehydration

A

dry mouth, thirst, dry skin, decreased urine output, weight loss, fever,
mental confusion

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12
Q

what causes hypotonic hyperhydration

A

renal insufficiency or drinking too much too fast

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13
Q

whats the effect of hypotonic hyperhydration

A

hyponatremia, cell swelling

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14
Q

what are some signs / symptoms of hypotonic hyperhydration

A

nausea, vomiting, muscle cramps, cerebral edema, disorientation, convulsions, coma, death

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15
Q

what edema

A

Atypical accumulation of fluid only in interstitial spaces

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16
Q

what does edema result in an increase in

A

capillary hydrostatic pressure and permeability

17
Q

whats the effect of edema

A

impaired tissue function, gas & nutrient exchange

18
Q

what are some salts

A

Sodium, potassium, calcium, phosphate

19
Q

what does salt balance control

A

fluid movements and balance

20
Q

what is salt balance essential for

A

membrane excitability, secretory activity, permeability

21
Q

what are some examples of salt intake and loss

A

Intake: foods, fluids
Loss: sweat, feces, urine, vomit

22
Q

whats the most abundant cation in ecf

A

sodium

23
Q

sodium exerts significant osmotic pressure (water follows salt). what does this result in

A

Plays role in ECF volume and body water distribution

24
Q

what does sodium content control and why is this important

A

sodium controls ECF volume which determines blood pressure

25
Q

what is sodium controlling ECF volume regulated by

A

RAAS, ANP

26
Q

what does sodium concentration determine and what is this important for

A

determines ECF osmolality
Important for neuron and muscle excitability

27
Q

what is Na concentration controlled by

A

osmosis, ADH

28
Q

when is aldosterone released

A

due to low Na+ or BP

29
Q

what does aldosterone result in (Na reabsorption + BV)

A

» ↑ Na+ reabsorption from kidneys
→ Passive ↑ water reabsorption into blood
→ ↑ blood volume
→ ↑ blood pressure

30
Q

when is atrial neurotic peptide released

A

due to high Na+ or BP

31
Q

what does atrial neurotic peptide result in (Na reabsorption + BV)

A

» ↓ ADH release
→ ↓ Na+ reabsorption from kidneys
→ Passive ↓ water reabsorption into blood → ↓ blood volume
→ ↓ blood pressure

32
Q

what is ADH (sodium?) released in response to

A

high [Na+] or low BP

33
Q

what does ADH result in (Na concentration + BV)

A

» ↑ water reabsorption from kidneys
→ ↓ urine volume
→ ↓ Na+ concentration
→ ↑ blood volume/pressure