extracellular fluid Flashcards

1
Q

what is ECF

A

all the fluids outside the cells
(in constant motion thru body)

extracellular fluid

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2
Q

what does extracellular fluid contain

A
  • ions and nutrients to maintain life
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3
Q

what 5 things are found in the phospholipid bilayer + (percentage make up)

A
  • proteins 55%
  • phosphloipids 25%
  • cholesterol 13%
  • other lipids 4%
  • carbs 3%
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4
Q

what is the role of lipids in the phospholipid bilayer

A
  • provide barrier preventing movement of water and water-soluble substances
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5
Q

role of proteins in phospholipid bilayer?

A

provide specific pathways for passage of substances

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6
Q

what are the 3 means of transport through a membrane

A

active transport
facilitated trasnport
diffusion

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7
Q

describe active transport, facilitated diffusion, diffusion

A

active transport = against conc gradient, movement of ions using Na+/K+ pump and sodium/glucpse symport protein (protein carriers) uses ATP

facilitated diffusion = down conc gradient, ion movement with help of channel/carrier protein

diffusion = movement of molecules down conc gradient

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8
Q

What criteria of molecules can diffuse thru membranes

A
  • small hydrophobic e/g o2
  • small uncharged e.g h10
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9
Q

why can glomerulus allow passage of molecules with slightly bigger size compare to regular cell membran

A

has bigger pores allowing passage of substances with Mol WT of up to 55-60000

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10
Q

define osmolarity

A

concentration of a solution expressed as the total number of solute particles per litre.

(a number of osmoles per kg of solvent)

( number of active particles per unit volume (not size))

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11
Q

what is osmosis

A

a process by which molecules of a solvent tend to pass through a semipermeable membrane from a less concentrated solution into a more concentrated one till equilibrium is reached

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12
Q

quantifying osmolairt:

number of osmoles of substance in 1L of solution

1 mole provides 1 osmole if the molecules remain unchanged in solution

A
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13
Q

80% of the total osmolarity of the interstitial fluid and plasma is due to what

A

Na+ and Cl- (NaCl)

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14
Q

if the solute dissociates into ions, they each become osmotically active

plasma osmolarity is 280-290 mOsm/L, how does this effect administration of IV fluids

A

most fluids that are administered via IV must have same osmolarity as plasma to prevent water movement/shifting

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15
Q

how is a cell affected if placed in isotonic, hypertonic or hypotonic solution

A

isotonic = no change

hypertonic = shrinks

hypotonic = swells

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16
Q

what percentage of human body is fluid and what fraction of this is intracellular or extracellular fluid

A

60%

2/3 = intracellular
1/3 = extracellular

(remaining 40% = bones and tissue)

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17
Q

For a 70kg person:
ICF = 25L
IF = 12L
Plasma = 3L

these proportions change with age, gender and degree of obesity

A
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18
Q

how much water is lost thru the skin and lungs dailyq

A

700ml

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19
Q

fluid composition differs in interstitial, plasma and intracellular fluid.

What is the majority 2 ionic components found in each of them

A

interstitial = Na+ (140g/L) and Cl- (115)

plasma = Na+, Cl-

intracellular = K+ (140) and HPO4 2- (100)

(vast majority of osmolarity in ECF made by NaCl)

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20
Q

compare fluid composition of ECF and ICF

A

ECF = NaCL, bicarbonate, o2, glucose, fatty acids and amino acids

ICF = K+, Mg2+ and phosphate ions

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21
Q

what structure responds as a result of too high or low osmolarity

A

hypothalamus

  • repsons to changes of 2-3 moles or 350ml
22
Q

what is osmoregulation Brought about by

Osmoregulation is the active regulation of the osmotic pressure of an organism’s body fluids, detected by osmoreceptors, to maintain the homeostasis of the organism’s water content;

A
  • alterations in WATER content of urine
  • changing degree of thirst
23
Q

what hormone is used in osmoregulation

A

ADH (vasopressin)

24
Q

urine can vary form 300ml/day (very concentrated) to 10L/day (very dilute)

A
25
Q

what 2 hypothalamic osomoreceptors are involved in osmolarity homeostasis

A

supraoptic and paraventricular nuclei

and

lateral preoptic area

26
Q

how does the supraoptic and parventricular nuclei (hypothalamic osmoreceptor) work to increase water absorption when there is high ECF osmolarity

A
  • ADH released from posterior pituitary
  • collecting duct made water permeable
  • water retention by kidney
27
Q

how does the lateral preoptic area work to increase water absorption when there is high ECF osmolarity

A
  • makes you thirsty
  • drink water
28
Q

how does the supraoptic and parventricular nuclei (hypothalamic osmoreceptor) work to decrease water absorption when there is low ECF osmolarity

A
  • ADH release supressed
  • Collecting duct made impermeable
  • water excretion by kidney
29
Q

how does the lateral preoptic area work to decrease water absorption when there is low ECF osmolarity

A

thirst surpassed

30
Q

where is ADH made and what releases its

A
  • made in hypothalamus
  • pituitary gland releases it into bloodstream
31
Q

what 2 other things can stimulate ADH release besides osmoreceptors

A
  • nicotime
  • angiotensin II (apart of shock response)
32
Q

what 2 things can inhibit ADH release

A
  • alcohol
  • ANP Atrial natriuretic peptide
33
Q

what is ANP/atrial natriuretic peptide

A

a cardiac hormone that regulates salt-water balance and blood pressure by promoting renal sodium and water excretion and stimulating vasodilation.

34
Q

the volume of ECF is determined by the total quantity of solute (mainly Nacl) so the regulation of ECF fluid is all about?

A

sodium balance

35
Q

note where Na+ leads, water follows

A
36
Q

Glomerular filtration is used as a major regulator of what 2 tings

A
  • cardiovascular system
  • body fluid volume
37
Q

the juxtaglomerular apparatus is located between afferent arteriole and distal convoluted tube,

decrease in pressure in afferent arteriole and decrease tubular Na+ flow in DCT is sensed by what in each stucute

A

afferent arteriole : decrease in pressure sensed by GRANULAR CELLS

DCT : decrease tubular Na+ flow sensed by MACULA DENSA cells

38
Q

what is the juxtaglomerular apparatus innervated by

A

sympathetic fibres (part of baroreceptor response)

39
Q

what hormone increase Na+ reabsorption in DCT (and gut, sweat/salivary glands)

A

aldosterone

40
Q

where is aldosterone produced

A

adrenal glands

41
Q

what 2 thing does aldosterone stimulate

A
  • channel synthesis (increase Na+ reabsorption/ K+ excretion)
  • pump activity (to keep intracellular Na+)
42
Q

besides aldosterone, what is the other volume sensor

A

atrial natriuretic peptide

43
Q

How exactly does atrial natriuretic peptide work to overall increase Na+ excretion

A
  • increased blood volume stretches the atria causing ANP release
  • this increases GFR,
  • decreases aldosterone secretion
  • decreases renin release
  • decreases ADH release

0verall increase Na+ secretion

44
Q

what is hyponataemia

A

low sodium due to Na+ depletion or excess H20

leads to cerebral odema

45
Q

what is hypernatraemia

A

high sodium due to h20 depletion

(lethargy –> drowsiness –> coma)

46
Q

what is hypokalaemia

A

low potassium due to diet, GI disorder or diuretics

causes muscle weakness

47
Q

what is hypocalcaemia

A

low calcium due to hyperthyroidism or kidney failure or hyperventilation

can form muscle spasms or paraesthesia (thinking)

48
Q

what is ionised calcium

A

calcium in blood not attached to proteins

49
Q

what is hypercalcaemia

A

high calcium due to hyperthyroid or malignancy

can lead to coma,

50
Q

what system is activated due to long term low bp

A

RAAS

51
Q

what nephron structure does RAAS use to detect low bp

A

macula densa

52
Q
A