Chapter 24 Flashcards

1
Q

Fluids in the 2% category

A

Trancellular cerebrospinal synovial

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2
Q

To ways fluid is continually exchange between compartments

A

Capillary walls

Plasma membrane

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3
Q

How does water moves from the digestive tract to the bloodstream

A

Osmosis

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4
Q

How does water move from the blood to the tissue fluid

A

Capillary filtration

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5
Q

What three things can happen to water from the interstitial fluid

A

Reabsorbed by capillaries

Osmotically absorbed into cells

Taken up by lymphatic organ

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6
Q

When a person is in a state of fluid balance

A

Daily gains and losses are equal

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7
Q

Give the two ways in which water is gained

A

Metabolic water

Performed water

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8
Q

Give the five ways in which water is lost

A

Urine feces expired breath sweat cutaneous transpiration

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9
Q

Fluid sequestration

A

Excess fluid accumulates in a particular location

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10
Q

Why is fluid sequestration dangerous

A

Volume of circulating blood may drop to the point of causing circulatory shock

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11
Q

What is the most common cause of fluid sequestration

A

Edema abnormal accumulation of fluid in the interstitial fluid

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12
Q

Pleural effusion

A

Several liters of fluid accumulate in the pleural cavity

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13
Q

Three reasons why electrolytes are physiologically important

A

Chemically reactive participate in metabolism

Electrical potential across cell membranes

Osmolarity of body fluid body’s water content

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14
Q

Five major cations

A

Sodium potassium calcium magnesium hydrogen

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15
Q

Three major anions

A

Chloride bicarbonate phosphate

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16
Q

Dominant cation of the ICF

A

Potassium

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17
Q

Dominant cation of the blood plasma

A

Sodium

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18
Q

Electrolyte concentration in the interstitial fluid verse blood plasma

A

Great differences

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19
Q

What two things have their reabsorption inhibited by the natdiuretic peptides

A

Sodium and water

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20
Q

What 2 you things have their secretion inhibited by the natriuretic peptide

A

Renin and ADH

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21
Q

How does angiotensin II affect sodium reabsorption

A

Increases

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22
Q

How does angiotensin II affect urinary sodium output

23
Q

What does estrogen mimic the effects of

A

Aldosterone

24
Q

What does progesterone do

A

Reduces sodium reabsorption diuretic effect

25
What do high levels of glucocorticoids permit
Sodium reabsorption and edema
26
Prefix hypo
Below normal
27
Prefix hyper
Above normal
28
Why are true sodium imbalances uncommon
Sodium excess or depletion is almost always accompanied by proportionate changes in water volume
29
Hypernatremia
Causes administration of intravenous Saline Consequences Water retention hypertension Edema
30
Hyponatremia
Possible causes Excess body water Hypotonic hydration
31
Hyperkalemia
Possible causes transfusion from outdated blood Consequences cardiac arrest
32
Hypokalemia
Possible causes depressed appetite Consequences muscle weakness
33
Hypercalcemia
causes alkalosis Consequences muscle weakness cardiac arrhythmia
34
Hypocalcemia
Causes vitamin D deficiency diarrhea pregnancy Consequences nervous and muscular system to be overly excited
35
Buffer
Any mechanism that resist changes in pH by converting strong acid or base to a weak one
36
The bodies 2 physiological buffering systems
Urinary stabilize pH by controlling output of acid bases Respiratory exerts effect in a minute but can't alter pH as much as urinary system
37
The bodies three physiological buffering systems
Bicarbonate solution of carbonic acid and bicarbonate ions Phosphate solution of HPO and H2PO Protein 3/4 of all chemical buffering amino acid residue
38
What enzyme catalyzes the bicarbonate buffer reaction
Bicarbonate converting enzyme
39
How does adding CO2 to body fluids affect H concentration and pH
Raises h concentration and lowers the pH
40
How does removing CO2 from body fluids affect H concentration and pH
Lowers H concentration raises pH
41
What do increasing CO2 concentration and decreasing pH stimulate
Pulmonary ventilation
42
Acidosis
PH below 7.35 H diffuses down concentration gradient into the cell and K diffuses out Net loss of cations from the cell
43
Alkalosis
PH above 7.45 H diffuses out of the cell and K diffuses into the seller net gain of positive intracellular charges
44
Respiratory acidosis
Occurs when rate of alveolar ventilation fails to keep pace with the bodies rate of CO2 production CO2 accumulates in the ECF and lowers it's pH
45
Respiratory alkalosis
Hyperventilation in which CO2 is eliminated faster than it is produced
46
Metabolic acidosis
Increased production of organic acids ingestion of acidic drugs or loss of base
47
Metabolic alkalosis
Result from overuse of bicarbonate or from loss of stomach acid due to chronic vomiting
48
Causes of respiratory acidosis
Hypoventilation apnea respiratory arrest asthma cystic fibrosis
49
Respiratory alkalosis
Hyperventilation due to pain or emotions such as anxiety oxygen deficiency
50
Metabolic acidosis
Production of organic acids chronic diarrhea excessive alcohol consumption
51
Metabolic alkalosis
Chronic vomiting overuse of bicarbonates aldosterone hypersecretion
52
Respiratory compensation
Changes in pulmonary ventilation correct the pH of body fluid by expelling or retaining CO2
53
Renal compensation
Adjustment of pH by changing the rate of age secretion by the renal tubule's