Chapter 27 Flashcards
Body fluid
A substance, usually a liquid, that is produced by the body and consists of water and dissolved solutes. In lean adults, body fluids constitute between 55-60% of total body mass.
What are the two main “compartments” that body fluids are present in? Describe them:
- Intracellular fluid (ICF): the fluid within cells; where two-thirds of body fluid is.
- Extracellular fluid (ECF): the fluid outside cells; where one-third of body fluid is.
What two portions can extracellular fluid (ECF) be divided into? Describe them:
- Interstitial fluid: occupies the microscopic spaces between tissue cells; 80% of the ECF.
- Blood plasma: the lipid portion of the blood; 20% of the ECF.
What two general “barriers” separate intracellular fluid (ICF), interstitial fluid, and blood plasma?
- Plasma membrane
- Blood vessel walls
Fluid balance
The required amounts of water and solutes are present and are correctly proportioned among the various compartments.
Water
Largest single component of the body; makes up 45-75% of total body mass.
Electrolytes
Inorganic compounds that dissociate into ions.
Metabolic water
Source of water that is produced in the body mainly when electrons are accepted by oxygen during aerobic respiration, and to a smaller extent during dehydration synthesis reactions. Metabolic water gain accounts for only 200mL/day.
What is the mechanism and effect of the thirst center in the hypothalamus?
Mechanism: stimulates desire to drink fluids.
Effect: water gained if thirst is quenched.
Dehydration
A decrease in volume and an increase in osmolarity of body fluids. Occurs when water loss is greater than water gain.
Urinary salt (NaCl) loss
The main factor that determines body fluid volume. The reason for this is that “water follows solutes” in osmosis, and the two main solutes in extracellular fluid (ECF) (and in urine) are sodium ions (Na+) and chloride ions (Cl-)
Urinary water loss
The main factor that determines body fluid osmolarity
What is the mechanism and effect of antidiuretic hormone (ADH) (vasopressin)
Mechanism: promotes insertion of water-channel proteins (aquaporin-2) into apical membranes of principal cells in collecting ducts of kidneys. As a result, water permeability of these cells increases and more water is reabsorbed.
Effect: reduces loss of water in urine.
What are the two most important hormones that regulate the extent of renal Na+ absorption (and thus how much is lost in the urine)?
- Aldosterone
- Atrial natriuretic peptide (ANP)
What is the mechanism and effect of aldosterone?
Mechanism: by promoting urinary reabsorption of Na+, increases water reabsorption via osmosis.
Effect: reduces loss of water in urine.
What is the mechanism and effect of atrial natriuretic peptide (ANP)?
Mechanism: promotes natriuresis, elevated urinary excretion of Na+, accompanied by water.
Effect: increases loss of water in urine.
Natriuresis
Elevated excretion of Na+ into the urine.
What happens if there is an increase in the osmolarity of extracellular fluid (ECF)?
Might occur, for example, after you eat a salty meal. The increased intake of NaCl produces an increase in the levels of Na+ and Cl− in extracellular fluid. As a result, the osmolarity of extracellular fluid increases, which causes net movement of water from cells into extracellular fluid. Such water movement shrinks the cells of the body.
What happens if there is a decrease in the osmolarity of extracellular fluid (ECF)?
Might occur, for example, after drinking a large volume of water. This dilution causes the levels of Na+ and Cl− in extracellular fluid to fall below the normal range. When the extracellular concentrations of Na+ and Cl− decrease, the osmolarity of extracellular fluid also decreases. The net result is movement of water from extracellular fluid into cells, which causes the cells to swell.