Chapter 11: Water and Electrolytes Flashcards

(48 cards)

1
Q

water accounts for _____ of the total body weight of an adult, making it the most abundant constituent of the body

A

60%

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2
Q

sodium, calcium, potassium, chlorine, phosphate, and magnesium are all

A

electrolytes

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3
Q

water distribution

body water is found in 2 major compartments

A

intracellular and extracellular

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4
Q

water distribution

compartment with its intracellular fluid (ICF)

A

intracellular

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5
Q

water distribution

compartment with its extracellular fluid (ECF)

A

extracellular

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6
Q

water distribution

intracellular - approximately _____ L

A

30 L

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7
Q

major cation - intracellular

A

potassium

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8
Q

major anion - intracellular

A

phosphate

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9
Q

water distribution

extracellular - approximately _____ L

A

15-17 L

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10
Q

major anion - extracellular

A

chloride

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11
Q

major cation - extracellular

A

sodium

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12
Q

extracellular (3)

all fluids within the blood vessel (around 3 L)

A

intravascular fluid compartment

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13
Q

extracellular (3)

fluids around and between the cells

A

intercellular, interstitial, or extravascular fluid

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14
Q

extracellular (3)

fluids in the eyeball (vitreous humor), around the joints (synovial fluid), and within digestive secretions

A

transcellular fluid compartment

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15
Q

is the maintenance of normal ECF or the external environment of the cells

A

homeostasis

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16
Q

water balance - maintenance

the body regulates both water _____ and _____

A

intake and excretion

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17
Q

water balance - maintenance

thirst and satiety govern our water intake, sensed by the _____ (3)

A

mouth, hypothalamus, and stomach

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18
Q

water balance - maintenance

the excretion of water, involves the brain cells (2) and _____

A

cells of hypothalamus and pituitary gland

kidney

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19
Q

water balance of fluid balance is achieved through the (2)

A

-control of fluid intake;
-control of rate of fluid lost through kidneys

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20
Q

water balance - maintenance

maintain through the actions of hormones (2)

A

anti-diuretic hormone and aldosterone

21
Q

water balance is disturbed in

refers to a condition resulting from excessive water loss, accompanied by losses of electrolytes

22
Q

water balance is disturbed in

a condition that results from excessive intake of fluids without an equivalent amount of salt

A

overhydration or water intoxication

23
Q

regulators of water balance

hormonal control

A

renin-angiotensin-aldosterone (RAA) mechanism

24
Q

regulators of water balance

an enzyme from the kidneys tat is secreted in response to low renal blood flow

converts the plasma proteins angiotensin I to angiotensin II

25
regulators of water balance hormone from the adrenal cortex that stimulates sodium retention
aldosterone
26
regulators of water balance secreted by the pituitary gland retains water
vasopressin or ADH
27
water requirements to compensate for water losses, the body must take in daily at least _____ of water based on a recommended intake of 1mL per kcal of energy expenditure
2.5 L
28
products of ionization of salt, acid, or base dissolved in water, are electrically charged particles; exists as anions and cations distributed throughout the fluid compartments of the body
electrolytes
29
electrolytes negatively-charged particles ex: chloride, bicarbonates phosphatase, and sulfates
anions
30
electrolytes positively-charged particles ex: sodium, potassium, calcium, and magnesium
cations
31
daily requirements for water infants (birth to <6 months)
800 mL
32
daily requirements for water infants (6 months to <12 months)
1000 mL
33
daily requirements for water children (1-18 y/o) acc to weight 10-20 kg
1000 ml + 50 ml/kg for each kg in excess of 10
34
daily requirements for water children (1-18 y/o) acc to weight >20 kg
1000 ml + 20 ml/kg for each kg in excess of 20
35
daily requirements for water adults older than 18 y/o
2500 ml
36
daily requirements for water older persons than 65 y/o
1500 ml
37
daily requirements for water pregnant women (2500 ml)
+ 300 ml
38
daily requirements for water lactating women (first 6 months) (2500 ml)
+750 - 1000 ml
39
electrolyte balance used by the body to help regulate the distribution, composition, and acidity of fluids without these, water molecules in the body move freely across cell membranes cells have no way to hold onto water molecules directly, with the help of electrolytes, cells move water by indirect means as water follows salt or electrolytes
electrolytes
40
electrolyte balance - mechanism _____ (both ecf electrolytes) and _____ (both icf electrolytes) are the major electrolytes regulating the water movement
sodium and chloride; potassium and phosphatase
41
electrolyte balance - mechanism when water loss exceeds electrolytes loss, the ECF becomes _____ in relation to the ICF water moves from the cells to the ECF to restore equilibrium
hypertonic
42
electrolyte balance - mechanism when water enters the ECF with insufficient electrolytes to maintain the density of the solution, the EC becomes _____ and moves into the cell
hypotonic
43
electrolyte balance - mechanism other mechanisms involve a balance between _____ (exerted by the proteins in plasma, keeps the fluids inside the blood) and _____ (exerted by the pumping action of the heart on the fluids outside the blood vessels)
oncotic pressure; hydrostatic pressure
44
acid-base balance body has certain buffer systems and uses _____ to help maintain water balance and regulate the acidity (pH) of fluids
ions
45
acid-base balance the most important electrolyte buffering system is the _____ system in the blood
bicarbonate buffer
46
maintenance of acid-base acid-balance or _____ concentration must be controlled
hydrogen ion
47
maintenance of acid-base plasma pH is
pH 7.4
48
maintenance of acid-base optimal pH at which the body can operate ranges from
pH 7.35 to pH 7.45