Chapter's 7-10 Flashcards
What are the two types of fluid?
Intracellular
Extracellular
What percent of a healthy adult body weight is fluid?
50-70%
What are the two types of extracellular fluids and what do they make up?
Interstitial- flows between cells that make up a particular tissue or organ.
Intravascular- water in the blood and lymph.
What is plasma?
Transports blood cells within arteries, veins, and capillaries.
How does body fluid composition of tissue vary?
Tissue type-lean tissues have higher fluid content
Gender- males have more lean tissue than females
Age-lean tissue is lost with age
What are the functions of fluids?
Dissolves and transport substances.
Account for blood volume.
Helps maintain body temperature.
Protect and lubricate body tissues.
What is body fluid composed of?
Water
Electrolytes
What are electrolytes?
Mineral salts: Sodium Potassium Chloride Phosphorus Calcium
What electrolytes carry positive charges?
Sodium
Potassium
Calcium
What electrolytes carry a negative charge?
Chloride
Phosphorus
What electrolytes are carried in intracellular fluid?
Potassium
Phosphorus
What electrolytes are carried in extracellular fluid?
Sodium
Chloride
What are the functions of electrolytes?
Helps regulate fluid balance
Helps nerves respond to stimuli
Signals our muscles to contract
What is water lost through?
Skin-sweat
Lungs-exhale
Kidneys-urine
Feces
What is water gained through?
Fluids-drinks
Foods-up to 99% water
Metabolism
What two organs work together to maintain water balance?
Brain
Kidneys
What monitors the water content of the blood?
Hypothalamus
Fat soluble substances must be attached to or surrounded by what?
Water soluble proteins.
When blood volume increases blood pressure does what?
Increase
What helps regulate blood volume and pressure?
Kidneys
What are four types of fluids and what are their functions?
Cerebrospinal fluid-protects brain and spinal cord
Amniotic fluid-protects fetus
Synovial fluid-lubricates around joints
Digestive secretions- allow for easy passage
What is osmotic pressure?
Keeps electrolytes in solution from drawing liquid toward them across semipermeable membrane.
What moves into a muscle cells that stimulates the muscle to contract?
Calcium
The hypothalamus prompts us to drink when…
Increased concentration of salt in blood
Reduction of blood volume and pressure
Dryness in the mouth or throat
What triggers the kidneys to reabsorb water?
A hormone released from the pituitary gland, triggered by the hypothalamus.
What are some factors that increase water needs?
Age Diseases Diarrhea or vomiting Hot weather Exercise Pregnancy
What is hypernatremia?
Abnormally high blood sodium concentration.
Results in high blood volume, edema, and high blood pressure.
Happen to patients with heart failure or kidney disease.
What is one main source of potassium?
Banana
What happens if you consume to much potassium?
Hyperkalemia. Can occur in patients with kidney disease.
Can alter normal heart rhythm resulting in heart attack and death.
What is hypokalemia?
Not enough potassium. May result in fatal changes in heart rate.
What are the functions of chloride?
Maintains fluid balance when coupled with sodium in extracellular fluid.
Assists in immune system.
Part if HCl in stomach aiding in digestion.
What is a result of too much chloride?
Hypertension
What are some common sources of phosphorus?
Dairy, bakery products, sodas, and meat
What happens in you consume too much phosphorus?
Can occur with kidney disease or when taking to many vitamin D supplements.
Can cause muscle spams or convulsions.
What is dehydration?
When water loss exceeds intake.
What are some functions of sodium?
Fluid, electrolyte, and pH balance
Associated with blood pressure
Required for nerve impulse transmission
Assists in transport of nutrients into body cells
What is the recommended intake for sodium?
1500mg
What are the functions of potassium?
Fluid and electrolyte balance
Important in muscle contractions and transmission of nerve impulses
Helps maintain lower blood pressure
What is the recommended intake for potassium?
4,700mg
What is the recommended chloride intake?
2300mg
What are the functions of phosphorus?
Major intracellular negatively charged electrolyte
Required for fluid balance
Critical role in bone formation
Regulates biochemical pathways by activating of deactivating enzymes
Found in ATP, DNA, and RNA
What is the recommended phosphorus intake?
700mg
_________ is a protein that forms strong fibers in bone and connective tissue.
Collagen
______________ is a very dense tissue making up 80% of the skeleton.
Cortical Bone
________ supports cortical bone and makes up 20% of the skeleton.
Trabecular Bone
Osteoclasts
Cells that erode the surface of bones.
Osteoblasts
- build up bone.
- produces collagen
Bone processes with ages: 20 30 35 40
20- bone stops growing in length.
30- peak in bone density
35- bone loss begins in the spine
40- bone loss starts in women
What is DEXA?
Dual Energy X-Ray Absorptiometry (DEXA)
- measures bone density
- uses very low level x-ray energy
- provides full body scan.
- noninvasive procedure
- recommended for post-menopausal women.
Calcium: Function Recommendation Source Toxicity Deficiency
Function:
- Forms and maintains bones and teeth.
- Assists in acid-bace balance
- Transmission of nerve impulses.
- Assist in muscle contraction.
Recommendation:
1,000- 1,300 mg/day
Source: dairy
Toxicity: hypercalcema
Deficiency: osteoporosis, hypocalcemia
Vitamin D:
Fat-soluble vitamin
Enhances intestional calcium absorption
No RDA (AL 5-15 mg/day)
Milk
Toxicity:Hypercalcemia (from supplements)
Deficiency: Rickets (children) or Osteomalacia (adults)
What is the best form of vitamin D?
Sunlight
Vitamin K
Fat soluble vitamin Functions: -Blood coagulation -Bone metabolism: - assists in the production of osteocalcin, a protein that is associated with bone turnover.
No RDA (AL 120 for men and 90 for women Sources: liver, green leafy vegetables
Toxicity: no side effects but can interfere with anticoagulant medicine (warfarin)
Deficiency: reduce blood clotting, excessive bleeding
Phosphorus
- Critical to mineral composition of bone
-calcium and phosphorus crystallize to form hydroxyapatite crystals which provide the hardness of bone.- 85% of phosphorus is stored in bones
- needed for nucleotide formation
Dark sodas
Toxicity- too much vitamin D cause high phosphorus levels (muscle spasms), high risk for kidney disease.
Deficiency- results in inefficient kidney function - chronic imbalance of phosphate ions that bind to calcium may lead or bone loss. Drinking several soft drinks without drinking or eating milk products may result in calcium deficiency.
Magnesium
Sources: dark chocolate and green leafy vegetables.
Toxicity, supplements can cause diarrhea, nausea, cramps, And dehydration
Deficiency: hypomagnesemia (can result in low blood calcium and osteoporosis.
Fluoride
Function
Development and maintenance of teeth and bones.
Sources: dental products and fluoridated water
Toxicity: fluorosis
Deficiency: cavities
What is the relationship between vitamin D and calcium?
Calcium absorption requires vitamin D.
Too much vitamin D can result in hypercalcemia.
Not enough vitamin D can result in insufficient absorption of Ca.
What is osteoporosis?
- low bone mass
- deterioration of bone tissue
- fragile bones leading to bone fractures
- Compaction of bone; decreased height
- shortening and hunching of the spine.
Risk factors of Osteoprosis:
Age All women Premature menopause Family history Smoking Heavy/regular use of alcohol Underweight Poor dietary intake Sedentary lifestyle or bed-confinement
Treatment for osteoporosis:
There is no cure.
The progression may be slowed by:
Adequate calcium and vitamin D intake
Regular weight bearing exercise
Anti-resorptive medications (fosamax, estrogen)
Hormone replacement theory (Premarin, prempro)
Water Soluble Vitamins
- B complex and Vitamin C
- Absorbed directly into the blood.
- Travels freely
- Excess excreted in the urine
- Needed in frequent doses (1-3 days)
- B1, B2,B3, B5, B7, B9, B12
Fat Soluble Vitamins
- Vitamins A, D, E, K
- absorbed in the lymph and then the blood.
- Require a protein or lipid carrier for transport
- Can accumulate in the liver or adipose tissue
- Needed in periodic doses (weeks or months)
Grain/ Cereal products are enriched with ___________, __________, __________, _____________, ______________ according to Enrichment Act of 1998.
Thiamin, riboflavin, niacin, folate, iron
What is coenzyme?
A molecule that combines with an enzyme to facilitate enzyme function.
Not all metabolic reactions require coenzymes.
Thiamin’s coenzyme:
TPP
Riboflavin coenzyme:
FAD
FMN