Fluid Balance Flashcards

1
Q

Body’s fluid compartments

A

Intracellular (IFC)

Extracellular (EFC)

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2
Q

Intracellular (IFC);

Body’s fluid compartments

A

⅔ of the fluid in our bodies is in our cells

Water is what makes up the cytosol in the cytoplasm

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3
Q

Extracellular (EFC)

;Body’s fluid compartments

A

⅓ of the fluid in our body is in the EFC

This is fluid located outside of cells

Extracellular fluid compartments can be divided into two portions

  1. Plasma
    - Fluid within blood vessels
    - 20% of EFC
  2. Interstitial fluid
    - Fluid in between cells and blood vessels
    - 80% of the EFC
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4
Q

Composition of body fluids

A

water
non-electrolytes
electrolytes

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5
Q

Water;

Composition of body fluids, osmotic power

A

Up to 60% of the body is made of water

Water is the universal solvent
-Things must be dissolved in solution to be biologically active

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6
Q

Nonelectrolytes;

Composition of body fluids, osmotic power

A

Organic compounds like lipids and carbohydrates

These molecules don’t dissociate when they get into water, but they do dissolved

The concentration of things dissolved in water creates a concentration gradient

  • Makes water move
  • Does not create as strong of an osmotic gradient/potential in comparison to electrolytes
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7
Q

Electrolytes;

Composition of body fluids, osmotic power?

A

Do dissociate in water

Inorganic salts, acids, bases, and some proteins

Since electrolytes dissociate, they contribute even more to the osmotic gradient than nonelectrolytes

Sodium (Na+) is mostly found extracellularly

Potassium (K+) is mostly found intracellularly

The composition of electrolytes in the fluid of our cells varies depending on where in the body one is observing
-Intracellular versus extracellular composition

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8
Q

CHEMISTRY;

composition of body fluids, and explain the osmotic power of each.

A

One molecule of glucose = one molecule in water

One molecule of salt (NaCl) dissociates into one Na+ and one Cl- ion.
-Creates a bigger osmotic pressure/gradient/potential

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9
Q

Factors that control fluid exchange

A

Hydrostatic pressure and osmotic gradients are the two factors that regulate fluid movement in our body

Fluid exchange between plasma and interstitial fluid

Fluid exchange between interstitial fluid and intracellular fluid

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10
Q

Hydrostatic pressure and osmotic gradients are the two factors that regulate fluid movement in our body;

Factors that control fluid exchange

A

Hydrostatic pressure
-The pressure created from fluid pushing against something

Osmotic potential
-Concentration of ions creates a gradient that causes the movement of water

Can work together, or in opposition

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11
Q

Fluid exchange between plasma and interstitial fluid;

What is Fluid exchange between plasma and interstitial fluid regulated by?

A

Regulated by hydrostatic pressure

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12
Q

Fluid exchange between interstitial fluid and intracellular fluid;
regulated by what?

(List the factors that control fluid exchange.)

A

Regulated by osmotic gradient pressure

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13
Q

List the routes by which water enters and leaves the body

A

WATER BALNCE
ELECTROLYTE BALANCE
ACID-BASED BALANCE

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14
Q

Water Balance; water intake

List the routes by which water enters and leaves the body

A
  • Ingestion
  • —Drinking water or getting water from other drinks
  • —-Obtain water from the food we eat
  • Metabolic water
  • —-Oxidation generates water
  • —–Anabolic reactions create water
  • ———Dehydration synthesis reaction
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15
Q

Water Balance; water output
List the routes by which water enters and leaves the body

types?

A
Vaporization
Perspiration
Elimination
Urination
Vomiting
-Not a normal way to lose water

Water intake = water output (typically)

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16
Q

Electrolyte Balance types;

routes by which water enters and leaves the body

A

Electrolyte intake

Electrolyte output

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17
Q

Electrolyte Balance:
ELECTROLYTE INTAKE
IN WHAT WAYS?

routes by which water enters and leaves the body

A

Ingestion

Metabolic production

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18
Q

Electrolyte Balance:
ELECTROLYTE OUTPUT
WHAT ARE THEY?
routes by which water enters and leaves the body

A

Perspiration
Elimination
Urination
Vomiting

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19
Q

Electrolyte Balance:

What are we talking about?
How are electrolytes not lost?
What happens when you breath out?

routes by which water enters and leaves the body

A

When talking about electrolyte balance, we are talking about salt balance (not only NaCl, which is table salt)

You do not lose electrolytes from vaporization
-When you breathe out, you do not lose electrolytes but you do lose water

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20
Q
Acid-Base Balance;
Closely regulated to what?
pH of blood?
pH of intracellular?
Source of what?
****routes by which water enters and leaves the body***
A

The acid-base balance of the blood is closely regulated to maintain biochemical reactions in the body

Blood pH is 7.35-7.45

Intracellular pH is a little closer to neutral (7)

Sources of H+ ions

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21
Q

Acid-Base Balance;
The acid-base balance of the blood is closely regulated to maintain biochemical reactions in the body

routes by which water enters and leaves the body

A

Every enzyme has an optimal pH range to work in

-When out of that range, the enzyme will denature and not function

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22
Q

Acid-Base Balance;
Blood pH is 7.35-7.45

WHY? DESPITE WHAT?
routes by which water enters and leaves the body

A

The body must maintain this blood pH range despite eating acidic foods

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23
Q

Acid-Base Balance;
Intracellular pH is a little closer to neutral (7)
WHY?
routes by which water enters and leaves the body

A

This is because the carbon dioxide produced in metabolic pathways creates a slightly more acidic environment

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24
Q

Acid-Base Balance;
Sources of H+ ions

routes by which water enters and leaves the body

A

Dietary
-Most of the foods that we take into the body are acidic yet we maintain a pH that is neutral or slightly on the basic side of neutral

Metabolic processes
-Breakdown of macromolecules can produce hydrogen ions

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25
Mechanisms that regulate water input and output?
An increase in plasma osmolarity or decrease in blood volume promotes thirst A decrease in extracellular fluid osmolarity decreases ADH production Large decreases in blood pressure increases ADH production
25
Mechanisms that regulate water input and output?
An increase in plasma osmolarity or decrease in blood volume promotes thirst A decrease in extracellular fluid osmolarity decreases ADH production Large decreases in blood pressure increases ADH production
26
An increase in plasma osmolarity or decrease in blood volume promotes thirst (mechanisms that regulate water input and output)
As the blood plasma becomes more concentrated, the body becomes thirsty in an effort to get us to drink, thereby bringing us back to a homeostatic concentration Ions are not the only thing that can cause blood plasma to become too concentrated ----One symptom that is indicative of diabetes is the inability to satiate thirst due to the high blood sugar causing an increase in the osmolarity of the blood plasma
27
A decrease in extracellular fluid osmolarity decreases ADH production (mechanisms that regulate water input and output)
When extracellular fluid is dilute, ADH is shut off and urine production increases ---Blood plasma is the extracellular fluid The opposite holds true ---When extracellular fluid is concentrated (high extracellular fluid osmolarity), ADH secretion increases to dilute the extracellular fluid
28
Large decreases in blood pressure increases ADH production | mechanisms that regulate water input and output
Blood pressure is linked to blood volume When BP/BV significantly decrease, ADH production increases ----This increases the amount of water being reabsorbed back into the bloodstream; therefore increasing BP/BV
29
Importance of ionic sodium in fluid and electrolyte balance in the body? What is sodium a major regulator of? Mostly exists where? Important in what?
Sodium is the major regulator ion of fluid balance in the body Sodium mostly exists in the extracellular fraction ----Outside of the cells Incredibly important in creating osmotic gradients -----Water follows sodium
30
Mechanisms involved in regulating sodium (and therefore water) balance 6
1. Aldosterone 2. Cardiovascular baroreceptors 3. Atrial natriuretic peptide (ANP) 4. Estrogen 5. Progesterone 6. Glucocorticoids
31
Aldosterone; | Mechanisms involved in regulating sodium (and therefore water) balance
Corticosteroid hormone released by the cortex of the adrenal gland Causes an increases of sodium reabsorption in the kidneys - --Sodium moves out of the renal tubule and back into interstitial space - --------The sodium ultimately moves into circulation
32
Cardiovascular baroreceptors; Mechanisms involved in regulating sodium (and therefore water) balance
Pressure sensors in the walls of blood vessels near the heart sense changes in blood pressure -----These sensors respond by sending signals to the brain to modify activity of the kidneys
33
Cardiovascular baroreceptors EXAMPLES? HR Mechanisms involved in regulating sodium (and therefore water) balance
High blood pressure: Causes a decrease in sympathetic nervous activity to the kidneys -----Results in the dilation of the afferent arteriole Increases filtration rate, increases the amount of Na+ and water that leaves Blood volume and blood pressure decreases
34
Cardiovascular baroreceptors EXAMPLES? LOW bp Mechanisms involved in regulating sodium (and therefore water) balance
Low blood pressure: Causes an increase in sympathetic stimulation of the kidneys Results in the constriction of the afferent arteriole Decreases filtration rate, decreases the amount of Na+ and water that leaves Blood volume and blood pressure increases
35
Atrial natriuretic peptide (ANP) overview | Mechanisms involved in regulating sodium (and therefore water) balance
A hormone released by the atria of the heart in response to an increase in the stretch of the wall of the heart ANP has multiple effects ANP reduces renin secretion ANP leads to a reduction in blood volume and blood pressure
36
A hormone released by the atria of the heart in response to an increase in the stretch of the wall of the heart WHEN DOES THIS OCCUR? Atrial natriuretic peptide (ANP); Mechanisms involved in regulating sodium (and therefore water) balance
This occurs when there is more blood volume and a higher blood pressure
37
EFFECTS of ANP WHAT is it? WHAT does it decrease? Atrial natriuretic peptide (ANP) a mechanism involved in regulating sodium (and therefore water) balance
ANP is a vasodilator -----Increases filtration ANP decreases ADH secretion ------This decreases the reabsorption of water
38
ANP reduces renin secretion What does this cause to be reduced? Atrial natriuretic peptide (ANP) a mechanism involved in regulating sodium (and therefore water) balance
This reduces aldosterone production | -----Decreases sodium reabsorption
39
What does ANP LEAD TO? Atrial natriuretic peptide (ANP) a mechanism involved in regulating sodium (and therefore water) balance
to a reduction in blood volume and blood pressure
40
ESTROGEN; mechanism involved in regulating sodium (and therefore water) balance
Causes an increase in sodium reabsorption -----Water follows sodium Estrogen is cyclic in women -----Why bloating occurs during menstrual cycles
41
PROGESTERONE; mechanism involved in regulating sodium (and therefore water) balance
Decreases sodium reabsorption
42
GLUCOCORTICOIDS mechanism involved in regulating sodium (and therefore water) balance
Also produced in the adrenal cortex Increases sodium reabsorption -----Leads to an increase in blood volume and blood pressure
43
Acidosis
Abnormally low body pH
44
Respiratory acidosis Caused by what? What increases in the blood stream?
Caused by reduced ventilation (breathing rate) Carbon dioxide levels increase in the bloodstream and the blood becomes acidic -------pH decreases
45
Metabolic acidosis
A buildup of any other acid other than carbon dioxide in the bloodstream
46
Alkalosis
Abnormally high body pH
47
Respiratory alkalosis
Caused by rapid ventilation Carbon dioxide levels decrease in the bloodstream and the blood becomes alkaline ----pH increases
48
Metabolic alkalosis
Having too little of an acid other than carbon dioxide in the bloodstream
49
Three major chemical buffer systems
Bicarbonate Phosphate Protein
50
Chemical Buffer Systems | act AS WHAT?
Act as proton donors/acceptors | ----Temporarily helps to resist changes in blood pH
51
``` Bicarbonate; What reacts with what? creates what? In... in blood Can be a what? MAJOR CHEMICAL BUFFER SYSTEMS and describe how they resist pH change. ```
Carbon dioxide and water react to create carbonic acid -----Carbonic acid dissociates into bicarbonate In extracellular compartment -------Most active in the blood Can act as a hydrogen acceptor
52
PHOSPHATE; MAJOR CHEMICAL BUFFER SYSTEMS and describe how they resist pH change.
Buffer that operates intracellularly
53
PROTEIN; MAJOR CHEMICAL BUFFER SYSTEMS and describe how they resist pH change.
Proteins act as amphoteric molecules - --Amphoteric molecules can act as acids or bases - ------Most important chemical buffer for this reason Can act in intracellular or extracellular compartment
54
PROTEIN; MAJOR CHEMICAL BUFFER SYSTEMS and describe how they resist pH change. examples???
Myoglobin and hemoglobin is an intracellular protein that can act amphoterically Albumin is an extracellular protein that can act amphoterically
55
Physiological Buffer Systems (Respiratory System) | Describe the influence of the respiratory system on acid-base balance
Slower than the chemical buffer systems, but much more powerful --------Have 2x the power that all chemical buffer systems combined Respiratory mechanisms; - -If blood pH goes up (becomes more alkaline), our breathing slows down - -------Builds CO2 levels back up, blood becomes more acidic
56
How kidneys regulate bicarbonate ion concentration of the blood?
Renal Mechanisms
57
Types of renal mechanisms; | How kidneys regulate bicarbonate ion concentration of the blood
Reabsorption of bicarbonate Bicarbonate synthesis Bicarbonate excretion
58
Reabsorption of bicarbonate; TYPES of renal mechanisms; How kidneys regulate bicarbonate ion concentration of the blood
Bicarbonate leaves the filtrate and goes back into the bloodstream
59
Bicarbonate synthesis; TYPES of renal mechanisms; How kidneys regulate bicarbonate ion concentration of the blood
Kidneys can make carbonic acid | --------This carbonic acid dissociates into bicarbonate and the bicarbonate is reabsorbed back into the bloodstream
60
Bicarbonate excretion; TYPES of renal mechanisms; How kidneys regulate bicarbonate ion concentration of the blood
Kidneys can get rid of bicarbonate through secretion of bicarbonate into the tubules * *Can substitute bicarbonate with phosphate * *