Body Fluids and Kidneys Flashcards

1
Q

What are two sources of intake of H2O

A

How much you drink

Molecular H2O from metabolism

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2
Q

Two output of H2O mechanisms

A

Insensible: not conscious loss of H2O

Respiration- breathing out: losing H2O from lungs

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3
Q

What percent of BW is water?
Extracellular fluid?
Intracellular fluid

What is a third source of fluid?

A

60 percent BW=water

20 percent BW= extracellular

40 percent BW= intracellular

Transcellular fluids (synovial, peritoneal, pericardial)

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4
Q

Blood volume is what percent of BW

A

7 percent of body weight

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5
Q

Ionic composition of plasma and interstitial fluid is similar except for…
Why?

A

PROTEIN

Plasma membrane highly permeable to water and ions
Low permeability to proteins
Donnan effect of negatively charge plasma proteins

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6
Q

Intracellular and extracellular separted by cell membranes which is highly permeable to what but not what?

A

Permeable to water but not to most other electrolytes

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7
Q

What can be used to measure fluid volumes in different body fluid compartments?

A

Radioactive isotopes

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8
Q

Relationship between moles and osmoles?

A

Moles= concentration of molecules

Osmoles= concentration of osmotically active molecules
(glucose vs NaCl….NaCl completely dissociates=2 mOsmol…glucose=1 mOsmol)

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9
Q

1 mOsmol/L of impermeant solute causes ____ osmotic pressure

A

19.3 mmHg

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10
Q

T/F Tonicity takes into account the total concentration of only penetrating solutes

A

F

Non-penetrating

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11
Q

What’s an example of a substance that can penetrate membrane?

A

Urea

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12
Q

Isosmotic

A

Osmolarity same as cell regardless of whether solute can permeate membrane

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13
Q

Hyperosmotic and hypoosmotic

A

Osmolarity higher or lower than cell regardless of whether solute can permeate

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14
Q

What happens to cell dropped in hypertonic saline solution

A

ECF increases
ICF volumes decreases
Cell shrinks

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15
Q

Hyponatremia

A

Low plasma sodium

Cell swells

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16
Q

Hypernatremia

A

High plasma sodium

Cell shrinks

17
Q

Hyponatremia dehydration

A

Overuse of diuretics

Low Na+
Low ECF
High ICF

18
Q

Hyponatremia overhydration

A

Xs ADH

Low Na+
High ECF
High ICF

19
Q

Hypernatremia dehydration

A

Diabetes insipidus

High Na+
Low ECF
Low ICF

20
Q

Hypernatremia overhydration

A

Cushing’s disease

High Na+
High ECF
Low ICF

21
Q

Examples of isotonic fluids

A

Normal saline
Lactated ringers solution
5 percent dextrose in water
Ringer’s solution