Chapter 24 Flashcards
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A person is in a state of fluid balance when daily gains and losses are equal
The gains come from two sources one is metabolic water which is ___________ Per day?
The other is performed water including ingested food Which is ________ per day and drink Which is _________ Per day?
Metabolic water 200 mL per day
Food 700 mL per day
Drink 1600 mL per day
Body water is distributed among certain fluid compartments. The 5 major fluid compartments are?
65% Intracellular fluid ICF and 35% Extracellular fluid Subdivided into 25% tissue (Interstitial) fluid 8% blood plasma and Lymph 2% transcellular fluid (CSF, synovial, serous, humors, etc.)
The routes of water loss per day are:
Urine? Cutaneous transpiration? Breath? Feces? Sweat?
Urine 1500 mL per day Cutaneous transpiration 400 mL per day Breath 300 mL per day Feces 200 mL per day Sweat 100 mL per day
Regulation of output –The only way to control water output significantly is through variations in Urine volume
The kidneys only support existing _________ _________ And _________ The rate of water loss.
Fluid levels
Slow
What are changes in urine volume linked to?
They are linked to an adjustment in sodium reabsorption
What stimulates the collecting ducts to synthesize Aquaporins which allow the kidneys to reabsorb more water and produce less urine?
ADH
What is it called when proportionate amounts of water and sodium are lost without replacement?
Volume depletion (hypovolemia)
This occurs when the body eliminates significantly more water than sodium, so the ECF osmolarity rises?
Dehydration
What is it called when both sodium and water are retained?
Volume excess
What is it called when more water than sodium is retained or ingested?
Hypotonic hydration
These are charged particles that are chemically reactive, Participate in metabolism, determine electrical potential across cell membranes and affect the osmolarity of the body fluids, etc.?
Electrolytes
Salts or individual ions are?
Electrolytes
The major cations are?
Sodium, potassium, calcium, hydrogen
The anions are?
Chloride, bicarbonate ion, phosphate
What is the principle cation in the ECF?
Sodium