Body fluids and compartments Flashcards

1
Q

water accounts for what percent of body weight

A

60 to 70%

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2
Q

Bodily fluids are divided into what compartments

A
  1. extracellular compartment (20%)
    plasma: 4% bwt
    interstitial fluid 15% bwt
  2. intracellular compartment (30-40% bwt)
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3
Q

Which components are found in greater concentration in intracellular than in extracellular fluid?

A

potassium
magnesium
sulfate
phosphates
protein
amino acids
cholesterol
phospholipids
neutral fat

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4
Q

What are the predominant cation and anion in extracellular fluid?

A

Na and Cl

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5
Q

Why is Na concentration of plasma greater than that of interstitial fluid and the Cl concentration of interstitial fluid greater than that of plasma?

A

Donnan effect (the protein anions of plasma tend to attract Na and repel Cl)
- more protein anions in plasma than in interstitial fluid

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6
Q

Clinical manifestations of saline excess result from:

A

extracellular fluid volume overload

-clinical manifestations: edema, hypertension, pulmonary congestion and/or ascites

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7
Q

Extracellular fluid volume changes

A

ICF and ECG osmolarity are approximately equal, plasma osmolarity reflects ICF size

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8
Q

Which of the following would most likely cause a decrease in serum NA concentration:
a. hyperglycemia or hyperlipidemia
b. isotonic saline infusion
c. a marked elevation in the bun concentration
d.an aldosterone-secreting tumor
e. diabetes insipidus

A

a. hyperglycemia or hyperlipidemia

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9
Q

Omsotic pressure

A

is a colligative property of solution related to the number of osmotically active particles dissolve therein
(other colligative property: boiling point, freezing point, vapor pressure)

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10
Q

definition of osmosis

A

movement of solvent molecules (ie. water molecules) through a semipermeable membrane, from an area of higher to lower solvent concentration (down a concentration gradient)

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11
Q

although the osmotic property of a solution is dependent upon the total number of osmotically active particles in that solution, it is independent of

A

the size of those particles

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12
Q

isotonic solution

A

cells neither shrink or swell (no net movement of water0 when placed into that solution

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13
Q

hypotonic solution

A

net movement of water into the cell

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14
Q

hypertonic solution

A

net movement of water out of the cell

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15
Q

What percentage of the circulating blood volume is normally in capillaries at any one time?

A

5%

-60% is in veins

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16
Q

blood normally moves slowly through capillaries at what rate?

A

0.07 cm/sec at rest

17
Q

The major blood pressure drop in the circulation occurs in:

A

precapillary resistance vessels (arterioles)

18
Q

The plasma colloid osmotic pressure (approximately 28 mmhg) is caused by:

A

dissolved protein in plasma (19 mmhg) as well as by cations held in plasma by these negatively charged particles (9 mmHg), which is the so-called Donnan effect

19
Q

Lymph flow is faciltiated by

A

-movements of skeletal mm
-the suction effect of high velocity flow of blood in veins in which lymphatics terminate
-rhythmic contractions of the walls of large lymph ducts (ie, lymph pump)
-the negative intrathoracic pressure created during inspiration