Body Fluids Flashcards
60% of body weight
Total Body Water (TBW)
Marker for TBW
Tritiated water
Marker for ECF
Large molecule that CANNOT cross cell membranes
Excluded from the ICF
Mannitol
Marker for PLASMA VOLUME
Binds to serum albumin
Confined to the plasma compartment
Evans blue
Dilution Method Formula
VOLUME = amount injected - amount excreted/ concentration
A 70 kg man is administered inulin. Because it is freely filtered and not secreted or reabsorbed, inulin offers an accurate calculation of GFR. Inulin would be found in what amount of this patient’s body water?
In order to answer this question, you need to know two pieces of information about body fluid compartments
. First of all, you need to remember
the 60-40-20 rule related to body weight. 60% of body weight is total body water, 40% of body weight is intracellular fluid and 20% is extracellular fluid
Inulin is found in the extracellular fluid and can be used to measure extracellular fluid volume
. To answer this question, it easiest to divide 70 by 10, which tells us that 10% of her body weight is 7 kg.
Multiplying this value by 2 would give us 20% of body weight, or 14 kg, which is equivalent to 14 L of water
14 L
The major cation of the extracellular fluid is .
Na
Women typically have a (higher/lower) percentage of body water.
LOWER
Approximately two-thirds of body water by volume is contained in the (intracellular/extracellular) fluid compartment.
ICF
The fluid compartment of the body is divided into plasma and interstitial fluid.
ECF
The major anions of the extracellular fluid are (two) .
Cl
Bicarbonate
The major cations in the intracellular fluid are (two) .
K
Mg
Approximately 40% of body weight is in the (intracellular/extracellular) fluid compartment.
ICF
Approximately one-third of body water by volume is contained in the (intracellular/extracellular) fluid compartment.
ECF
fluid is the fluid in microscopic spaces between cells.
Interstitial fluid
Exchange of fluid from plasma to the interstitial fluid occurs across walls.
Capillary walls
The major anions of the intracellular fluid are proteins and like ATP and ADP.
Organic phosphates
Isotopic water, like D2O or tritiated water, are used as a markers for (intracellular/extracellular/total) body water.
TBW
Generally speaking, obese individuals will have a (higher/lower) percentage of body weight as water.
LOWER
A large molecular weight protein or sugar like mannitol or inulin would be distributed only to the (intracellular/extracellular) compartments.
ECF
Of the one-third of body water in the extracellular fluid compartment, approximately 20% is found in the .
Plasma
Hyperosmotic volume expansion, e.g. excess intake of sodium chloride, results in relatively greater increased volume in the (intracellular/extracellular) fluid compartment.
ECF
Hypo-osmotic volume expansion, e.g. syndrome of inappropriate antidiuretic hormone, results in increased volume of the (intracellular/ extracellular/ both) fluid compartment(s).
ICF and ECF
Infusion of isotonic saline results in a relatively greater volume increase of the (intracellular/extracellular) fluid compartment.
ECF
NaCl, NaHCO3, and mannitol are generally assumed to be confined in the (intracellular/extracellular) fluid compartment(s).
ECF
Hypo-osmotic volume contraction, like
adrenal insufficiency, can cause a relatively greater increased volume in the (intracellular/extracellular) intracellular fluid compartment(s).
ICF
The of a body fluid compartment depends on the amount of solute contained.
VOLUME
Hyperosmotic volume expansion, e.g. excess intake of hypertonic saline, results in a relatively greater volume DECREASE in the (intracellular/extracellular) fluid compartment.
ICF
Sweat is (isosmotic/hyposmotic/hyperosmotic) relative to extracellular fluid.
HYPOOSMOTIC
Hyperosmotic volume contraction, like sweating, fever, or diabetes insipidus, can DECREASE the volume in the (intracellular/ extracellular/ both) fluid compartment(s).
BOTH
Iso-osmotic volume contraction like diarrhea and burns can cause a relatively greater volume DECREASE in the (intracellular/extracellular) fluid compartment(s).
ECF
The normal osmolarity of body fluids is milliosmoles/liter
290
Volume contraction describes a decrease in (intracellular/extracellular) fluid volume.
ECF
Intracellular osmolarity is (greater than, less than, equal to) extracellular osmolarity in the steady state.
EQUAL
The terms hyperosmotic, hypoosmotic, and isosmotic refer to the osmolarity of the (intracellular/extracellular) fluid.
ECF