electrolytes Flashcards

1
Q

what are electrolytes

A

minerals in the body that have an electric charge

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2
Q

where are electrolytes found

A

in blood, urine, tissues and other bodily fluids

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3
Q

what do electrolytes do

A
  • maintain homeostasis
  • ensure healthy functioning of nerves, muscles, heart and brain
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4
Q

how do electrolytes maintain homeostasis

A

by balancing water content and the body’s acid/base (pH) level

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5
Q

how are electrolytes obtained

A

from a balanced diet

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6
Q

what is homeostasis

A

a process that by which an organism keeps its internal environment relatively constant and different from its external environment to stay alive

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7
Q

is the concentrations of ions the same inside and out the cell

A

no

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8
Q

how is ion concentration maintained

A

the cell must import and export some substances

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9
Q

is sodium higher extracellularly or intracellularly

A

extracellularly

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10
Q

is potassium higher extracellularly or intracellularly

A

intracellularly

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11
Q

what is the plasma membrane

A

a selectively permeable barrier between the extracellular environment and the cytosol

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12
Q

what determines distribution between intra- and extra-VASCULAR components

A

it is determined osmotically by proteins

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13
Q

what determines the distribution between intra- and extra-CELLULAR components

A

electrolytes

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14
Q

is fluid output and input ideally balanced or unbalanced

A

balanced

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15
Q

where is renin produced

A

in the kidneys

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16
Q

what is renin produced in response to

A

sympathetic stimulation and altered blood flow

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17
Q

what does renin do

A

converts angiotensinogen to angiotensin I

18
Q

what is angiotensin I converted to

A

its converted to angiotensin II in the lungs by enzyme ACE (angiotensin converting enzyme)

19
Q

what does the conversion of angiotensin I to angiotensin II stimulate

A

the adrenal cortex to produce aldosterone

20
Q

what does aldosterone do

A

it activates the pump in the distal renal tubule which leads to reabsorption of Na+ and water from the urine in exchange for K+ and H+ ions

21
Q

what mainly controls water balance

22
Q

what does increased plasma (Na+) cause

A

thirst which causes release of antidiuretic hormone (ADH)

23
Q

where is the antidiuretic hormone (ADH) produced from

A

the posterior pituitary

24
Q

what does release of ADH cause

A

it increases the passive water reabsorption from renal collecting ducts

25
where does ion transport go on
- acid secretion in stomach - absorption in GI tract - muscle function (skeletal vs smooth muscle) - neuronal function - renal-hepatic system
26
what happens in the body when there is low body sodium
cellular over-hydration confusion, fits
27
what happens in the body when there is high body sodium
cellular dehydration thirst, confusion, coma
28
what happens in the body when there is water deficiency
- increased blood pressure - low pulse volume - decreased skin turgor - peripheral vasoconstriction - tachycardia - raised plasma protein - uraemia
29
what causes dehydration
when your body loses more fluid than you take in
30
what happens when the normal water content in the body is reduced
it upsets the balance of minerals (salts and sugar) in your body, which impacts the way it functions
31
what makes up two thirds of the human body
water
32
what does water do in the body
- it lubricates the joints and eyes - aids digestion - flushes out waste - keeps skin healthy
33
what are some of the early warning signs of dehydration
- feeling thirsty - light headed - dark coloured, strong smelling urine - passing urine less than usual
34
dehydration signs in babies
- sunken soft spot - have few or no tears when crying - fewer wet nappies - are drowsy
35
when should GP be consulted for dehydration in infants under 1
asap
36
should infants under 1 be given oral rehydration solutions
if the GP tells you to
37
why is it important to not give too much solely water to infants for dehydration
it may exacerbate the problem by diluting electrolytes/minerals further give squash/oral rehydration solutions in small amounts as recommended
38
side effects of Senna (laxative)
- watery diarrhoea with excessive loss of fluid and electrolytes - muscle weakness - weight loss - malabsorption & bowel issues - heart problems - kidney problems - red or yellow colour of faeces and urine
39
what effect does peppermint oil have
a laxative effect and limited studies show relief of IBS symptoms
40
what does peppermint oil do
- restores gut transit - purported mechanism of action against TRPM8, a cold sensing Na+/Ca2+ channel - reduces activity of pain sensing fibres in GI tract