electrolytes Flashcards

1
Q

define electrolyte

A

Any substance containing free ions that make the substance
electrically conductive
◦ Electrolyte solutions are normally formed when a salt is placed into a solvent
such as water, and the individual components dissociate
◦ E.g. NaCl (s) → Na+ (aq) + Cl- (aq

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2
Q

define ion

A

An atom or molecule in which the total number of electrons is not equal to
the total number of protons, giving it a net positive or negative electrical charge

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3
Q

define nonelectrolyte

A

A substance whose molecules in solution do not dissociate to
ions and thus do not conduct an electric current

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4
Q

what are the functions of body fluids

A

Transport gases, nutrients, wastes
*Transform food into energy
*Maintain overall function of body
*Generate electrical activity needed to power body functions
In general, fluid volume and composition are closely regulated
Environmental stress/disease → impair intake, increase fluid loss, change fluid
volume, composition, pH, distribution

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5
Q

Which of the following is NOT an ion?
a) Sodium (11p+, 10e-)
b) Potassium (19p+, 18e-)
c) Calcium (20p+, 18e-)
d) Carbon (6p+, 6e-)

A

D

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6
Q

Which of the following CANNOT easily
dissolve in water?
a) A molecule with nonpolar covalent bonds
b) A molecule with polar covalent bonds
c) A salt formed of ionic bonds
d) A protein with some non-polar covalent bonds, but mostly polar
covalent bonds

A

A

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7
Q

how is intracellulae and interstitial fluid kept constant

A

Volume of fluid in each compartment is kept
constant. To keep water balanced, electrolytes must
be balanced as well (since water follows solutes)

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8
Q

where are the only 2 places for change between extracellular fluid and intracellular fluid

A

Only 2 places for exchange between
compartments:
◦cell membranes separate intracellular
from interstitial fluid.
◦capillaries are the only BV with walls thin
enough for exchange between plasma
and interstitial fluids

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9
Q

describe hydrostatic pressure and osmotic pressure in the arterial end of capillaries

A

At the arterial end of capillaries, the hydrostatic
pressure is higher than the osmotic pressure. The net
movement of fluid is outwards (filtration).

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10
Q

describe hydrostatic pressure and osmotic pressure in the venous end of capillaries

A

At the venous end of capillaries, the osmotic
pressure is higher than the hydrostatic pressure. The
net movement of fluid is inwards (reabsorption)

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11
Q

what happens to 85% of fluid that gets out of the capillaries through filtration

A

85% of the fluid that gets out of the capillaries
through filtration is reabsorbed by capillaries. The
remaining 15% is reabsorbed by lymph vessels.

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12
Q

role of lymph vessels and lymph capillaries in electrolyte balance

A

Lymph capillaries begin in all tissues of
the body. They reabsorb interstitial fluid.
Lymph vessels drain lymph
away from tissues.
Lymph vessels merge to form increasingly larger vessels, and
eventually merge with blood vessels at the junctions of the
jugular and subclavian veins; lymph gets sent into the blood.

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13
Q

What force causes filtration (movement
of fluid out of capillaries)?
a) Blood colloid osmotic pressure
b) Net filtration pressure
c) Blood hydrostatic pressure
d) Interstitial fluid pressure

A

Blood hydrostatic pressure (c): This is the pressure exerted by blood against the walls of capillaries. It forces fluid out of the capillaries into the surrounding interstitial space, driving filtration

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14
Q

What force acts in retaining blood volume
in the capillaries?
a) Blood colloid osmotic pressure
b) Net filtration pressure
c) Blood hydrostatic pressure
d) Interstitial fluid pressure

A

Blood hydrostatic pressure (c): This is the force exerted by blood against the capillary walls, which promotes the movement of fluid out of the capillaries (filtration), not retention.

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15
Q

how does the body maintain fluid balance

A

Body fluid
◦ All the water and dissolved solutes in the body
Homeostasis of body fluids is crucial
Malfunction may seriously endanger nervous system and organ functioning
Need to regulate
◦ Total volume of fluid
◦ Distribution of fluid
◦ Concentration of solutes and pH

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16
Q

mechanisms of sodium/water balance

A

The movement of body fluids between the ICF and ECF depends primarily on
the movement of extracellular water and Na+
◦ Na+ (~95% of ECF solutes) primarily regulates osmolality
◦ i.e., Where Na+ goes, water goes!!!
The regulation of Na+ and water is linked to the regulation of the “effective
circulating volume”
◦ The portion of the ECF that fills the vascular compartment
Monitored by baroreceptors located in the vascular system and kidneys
(respond to pressure-induced stretch of vessel walls)

17
Q

where is the thirst center in the brain and what happens when you’re thristy

A

Stimulation of thirst center in hypothalamus
◦ decrease in blood volume/pressure triggers
renin-angiotensin-aldosterone pathway
◦ Neurons in mouth detect dryness
◦ Osmoreceptors detect increased osmolality
◦ Baroreceptors detect lowered blood pressure

18
Q

which hormones regulate water and solute loss

A

Under normal conditions, fluid output (loss) is
adjusted by
◦ antidiuretic hormone (ADH)
◦ atrial natriuretic peptide (ANP)
◦ angiotensin/aldosterone
all of which regulate urine production

19
Q

describe water intoxication

A
20
Q

Thirst can be stimulated by
a) Increased blood pressure
b) Decreased blood osmolarity
c) Increased blood volume
d) Decreased flow of saliva

A

Decreased flow of saliva (d): A dry mouth or reduced saliva flow is a direct and noticeable stimulus for thirst. It prompts a desire to drink water to restore hydration.

21
Q

Atrial natriuretic peptide helps to regulate
the volume and osmolarity of body fluids by
a) stimulating the desire to drink fluids to quench thirst.
b) stimulating the secretion of aldosterone.
c) increasing urinary excretion of sodium and chloride ions
accompanied by water.
d) increasing the permeability of the collecting ducts to water.
e) increasing urinary reabsorption of sodium and chloride ions
accompanied by water.

A

C

22
Q

Decreased blood sodium levels may cause
cells to swell because of decreased
interstitial fluid osmolarity.
a) True
b) False

A

true

23
Q

what are the 4 general functions of electrolytes

A

control the osmosis of water between body compartments.
◦ maintain the acid-base balance required for normal cellular activities.
◦ carry electrical current, which allows production of action potentials and
controls secretion of some hormones and neurotransmitters.
◦ cofactors needed for optimal activity of some enzymes

24
Q

All the following are functions of electrolytes in
the body EXCEPT
a) they control osmosis of water between fluid compartments
b) they act as enzymes in some metabolic pathways
c) they serve as enzyme cofactors
d) they help maintain acid-base balance
e) they carry electrical current

A

B

25
Q

describe cellular distribution of electrolytes

A

H20 crosses by osmosis via
aquaporins = osmosis
* Lipid-soluble substances dissolve in
cell membrane moving along
concentration gradients = diffusion
* O2, CO2
* Many ions require active transport
mechanisms
* Na+/K+ pump

26
Q

what is the key difference between the composition of blood vs interstitial fluid

A

The key difference
between the composition
of blood vs. interstitial
fluid is the concentration
of protein anions

27
Q

Which ion is found at a much higher
concentration in the ECF than the ICF?
a) Na +
b) Mg +2
c) K +2
d) Ca +

A

a) Na⁺ (Sodium ion):
Sodium is the major cation in the extracellular fluid (ECF) and is found at much higher concentrations there compared to the intracellular fluid (ICF). This concentration gradient is maintained by the sodium-potassium pump.

28
Q

describe sodium

A

Accounts for most of osmolarity of ECF
◦ Critical role of fluid and electrolyte balance
◦ High extracellular concentration of Na+ driven by Na+/K+ ATPase pumps
Imperative for action potentials of neurons
and muscle fibers
Average daily intake exceeds normal requirements
Regulated by hormonal controls
◦ Aldosterone, ADH, ANP…

29
Q

Edema, Hypovolemia and Na+ Imbalance

A

Sodium retention causes water retention
◦ Causes of sodium retention include renal failure and hyperaldosteronism
◦ Results in increased BP, increased blood volume and edema (abnormal
accumulation of interstitial fluid)
Excessive urinary loss of sodium causes excessive loss of water
◦ Due to inadequate secretion of aldosterone or too many diuretics
◦ Leads to hypovolemia (low blood volume)

30
Q

describe potassium

A

Is the most abundant cation in intracellular fluid.
Helps establish resting membrane potential & repolarizes nerve & muscle tissue
Helps maintain amount of intracellular fluid
Regulation is mainly by aldosterone through Na+/Cl-/K+ pumps
◦ as Na+ and Cl- are being reabsorbed, K+ is being secreted
◦ so, decreases K+ levels
Abnormal plasma K+ levels affect cardiac and neuromuscular function – can lead
to death

31
Q

chloride

A

Is the major extracellular anion
Helps regulate electrical balance across red blood cells (antiporter with HCO3-)
Contributes to forming HCl in the stomach
Regulation
◦ Processes that regulate reabsorption of Na+ in kidneys indirectly regulate
reabsorption of Cl- (because of Na+/Cl- symporters)
◦ mostly indirectly regulated by aldosterone

32
Q
A