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
Q

Mechanisms that regulate water input and output?

A

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
Q

Mechanisms that regulate water input and output?

A

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
Q

An increase in plasma osmolarity or decrease in blood volume promotes thirst
(mechanisms that regulate water input and output)

A

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
Q

A decrease in extracellular fluid osmolarity decreases ADH production
(mechanisms that regulate water input and output)

A

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
Q

Large decreases in blood pressure increases ADH production

mechanisms that regulate water input and output

A

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
Q

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?

A

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
Q

Mechanisms involved in regulating sodium (and therefore water) balance
6

A
  1. Aldosterone
  2. Cardiovascular baroreceptors
  3. Atrial natriuretic peptide (ANP)
  4. Estrogen
  5. Progesterone
  6. Glucocorticoids
31
Q

Aldosterone;

Mechanisms involved in regulating sodium (and therefore water) balance

A

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
Q

Cardiovascular baroreceptors;

Mechanisms involved in regulating sodium (and therefore water) balance

A

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
Q

Cardiovascular baroreceptors
EXAMPLES? HR

Mechanisms involved in regulating sodium (and therefore water) balance

A

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
Q

Cardiovascular baroreceptors
EXAMPLES? LOW bp

Mechanisms involved in regulating sodium (and therefore water) balance

A

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
Q

Atrial natriuretic peptide (ANP) overview

Mechanisms involved in regulating sodium (and therefore water) balance

A

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
Q

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

A

This occurs when there is more blood volume and a higher blood pressure

37
Q

EFFECTS of ANP
WHAT is it?
WHAT does it decrease?

Atrial natriuretic peptide (ANP) a mechanism involved in regulating sodium (and therefore water) balance

A

ANP is a vasodilator
—–Increases filtration

ANP decreases ADH secretion
——This decreases the reabsorption of water

38
Q

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

A

This reduces aldosterone production

—–Decreases sodium reabsorption

39
Q

What does ANP LEAD TO?

Atrial natriuretic peptide (ANP) a mechanism involved in regulating sodium (and therefore water) balance

A

to a reduction in blood volume and blood pressure

40
Q

ESTROGEN;

mechanism involved in regulating sodium (and therefore water) balance

A

Causes an increase in sodium reabsorption
—–Water follows sodium

Estrogen is cyclic in women
—–Why bloating occurs during menstrual cycles

41
Q

PROGESTERONE;

mechanism involved in regulating sodium (and therefore water) balance

A

Decreases sodium reabsorption

42
Q

GLUCOCORTICOIDS

mechanism involved in regulating sodium (and therefore water) balance

A

Also produced in the adrenal cortex

Increases sodium reabsorption
—–Leads to an increase in blood volume and blood pressure

43
Q

Acidosis

A

Abnormally low body pH

44
Q

Respiratory acidosis
Caused by what?
What increases in the blood stream?

A

Caused by reduced ventilation (breathing rate)

Carbon dioxide levels increase in the bloodstream and the blood becomes acidic
——-pH decreases

45
Q

Metabolic acidosis

A

A buildup of any other acid other than carbon dioxide in the bloodstream

46
Q

Alkalosis

A

Abnormally high body pH

47
Q

Respiratory alkalosis

A

Caused by rapid ventilation

Carbon dioxide levels decrease in the bloodstream and the blood becomes alkaline
—-pH increases

48
Q

Metabolic alkalosis

A

Having too little of an acid other than carbon dioxide in the bloodstream

49
Q

Three major chemical buffer systems

A

Bicarbonate

Phosphate

Protein

50
Q

Chemical Buffer Systems

act AS WHAT?

A

Act as proton donors/acceptors

—-Temporarily helps to resist changes in blood pH

51
Q
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.
A

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
Q

PHOSPHATE;
MAJOR CHEMICAL BUFFER SYSTEMS
and describe how they resist pH change.

A

Buffer that operates intracellularly

53
Q

PROTEIN;
MAJOR CHEMICAL BUFFER SYSTEMS
and describe how they resist pH change.

A

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
Q

PROTEIN;
MAJOR CHEMICAL BUFFER SYSTEMS
and describe how they resist pH change.

examples???

A

Myoglobin and hemoglobin is an intracellular protein that can act amphoterically

Albumin is an extracellular protein that can act amphoterically

55
Q

Physiological Buffer Systems (Respiratory System)

Describe the influence of the respiratory system on acid-base balance

A

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
Q

How kidneys regulate bicarbonate ion concentration of the blood?

A

Renal Mechanisms

57
Q

Types of renal mechanisms;

How kidneys regulate bicarbonate ion concentration of the blood

A

Reabsorption of bicarbonate

Bicarbonate synthesis

Bicarbonate excretion

58
Q

Reabsorption of bicarbonate;

TYPES of renal mechanisms;
How kidneys regulate bicarbonate ion concentration of the blood

A

Bicarbonate leaves the filtrate and goes back into the bloodstream

59
Q

Bicarbonate synthesis;

TYPES of renal mechanisms;
How kidneys regulate bicarbonate ion concentration of the blood

A

Kidneys can make carbonic acid

——–This carbonic acid dissociates into bicarbonate and the bicarbonate is reabsorbed back into the bloodstream

60
Q

Bicarbonate excretion;

TYPES of renal mechanisms;
How kidneys regulate bicarbonate ion concentration of the blood

A

Kidneys can get rid of bicarbonate through secretion of bicarbonate into the tubules

  • *Can substitute bicarbonate with phosphate
  • *