Electrolytes: Fluids Flashcards

1
Q

Who are most vulnerable to water changes?

A

:Very young

:Very old- lose muscle, less body mass, decrease thirst, decrease kidney function

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2
Q

3 Main body fluid compartments

A

Intracellular
Extracellular
Transcellular

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3
Q

Intracellular

A

:contain within the cell

:2/3 of all body water

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4
Q

Extracellular

A

:Interstitial- Between the cell

:Intravascular- Blood vessels

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5
Q

Transcellular

A

Compartments that don’t move around the body
ex. Fluids in pericardium sac
cerebral spinal fluid

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6
Q

“Corridor Effect”

A

it needs to pass the interstitial space to get to one to another

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7
Q

Hydrostatic Pressure

A

:force exerted on vessel walls by fluids flowing through them.
:tends to force fluids and electrolytes out of capillaries into the interstitial space
:created by the pumping of the heart

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8
Q

Plasma Protiens

A
Albumin
Glucose
Urea
"Big Dogs"
Bigger molecules that pulls back water in capallaries
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9
Q

Active transport

A

:Energy spent

:moves large molecules across a pressure gradient from an area of decrease concentration.

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10
Q

Two types of Active Transports

A

Sodium Pump: Intercellular

Potassium Pump: Intervascular

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11
Q

Avg. Fluid input/output

A

2500ml

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12
Q

Insensible Losses

A

Fluid output we cannot measure: feces, sweat, lungs, skin

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13
Q

Sensible Losses

A

Kidney (urine)

GI System

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14
Q

Hypothalmus

A

:Thirst Center
:Produces ADH
:Regulator of H2O intake

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15
Q

Posterior Pituitary

A

:Stores and Secretes ADH

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16
Q

Kidneys: Adrenals

A

Saves NA (increase NA absorption)

17
Q

ADH

A

:Antidiuretic Hormone (vasopressin)
:Stimulates kidneys to reabsorb H2O back into plasma
:Decrease urine output

18
Q

What inhibits ADH?

A

:normal osmolarity

:Too much fluids

19
Q

ADH production disorders

A

:Diabetes Insipidus

:SIADH (Syndrome Inappropriate Antidiuretic Hormone Secretion)

20
Q

Diabetes Insipidus

A

:Decrease ADH
:concentrated electrolytes
S&S: Polyuria (excess urination), Polydepsia (excess thirst)
:based on fluid excretion not glucose

21
Q

Types of diabetes insipidus

A

Central D.I.

Nephrogenic D.I.

22
Q

Central DI

A

Problems in Hypothalmus/Pituitary

brain injury, brain tumor

23
Q

Nephrogenic DI

A

Kidneys lost sensitivity to ADH

24
Q

SIADH

A

:Increase ADH
:Diluted electrolytes
:Retaining urine
:very little, concentrated urine

25
Q

RAAS

A

Renin-Angiotensin-Aldosterone System

Stimulated by fluids deficiency