Fluid Balance Flashcards

1
Q

What is the composition of bodily fluids in an adult

A

Male - 60% fluids
Female - 55% fluids
67% intracellular fluid
33% extracellular fluid
- 80% interstitial fluid
- 20% blood plasma

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2
Q

What is the function of electrolytes

A

Control osmosis of water between fluid compartments
maintain acid-base balance
involved in nerve conduction and muscle contraction
cofactors for enzyme activity

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3
Q

which electrolyte is most present in the Interstitial fluid

A

Na +

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4
Q

which electrolyte is most present in intracellular fluid

A

K+

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5
Q

Which electrolyte is most present in extracellular fluid

A

Na +

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6
Q

What term refers to sodium imbalance

A

Hyponatraemia/hypernataemia

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6
Q

What term refers to potassium imbalance

A

hyperkalaemia/hypokalaemia

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7
Q

what term refers to calcium imbalance

A

hypercalcaemia/hypocalcaemia

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8
Q

What is the average fluid input required by an adult

A

2500ml
(1500ml drink
750ml food
250ml metabolism)

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9
Q

What is the average fluid output required by an adult

A

2500ml
(1500ml urine
100ml feces
200ml sweat
700ml insensible losses)

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10
Q

How does fluid enter and exit body tissues

A

via plasma compartment

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11
Q

What are the clinical signs of fluid retention or overload

A

weight gain
hypertension
oedema
neurological disturbance

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12
Q

What are the two types of oedema

A

Localised - local swelling often resulting from injury
generalised - collection of fluid within chest cavity, abdomen

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13
Q

What are the clinical signs of dehydration

A

weight loss
hypotension
tachycardia
sticky oral mucus and dry tongue
low urine output (oliguria)
neurological disturbances

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14
Q

What is the function of the thirst center in hypothalamus

A

stimulates desire to drink fluids

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15
Q

what is the function of Angiotensin II

A

stimulates secretion of aldosterone

16
Q

what is the function of aldosterone

A

Promotes urinary reabsorption of Na+ and Cl- thereby increasing water reabsorption via osmosis

17
Q

what is the function of atrial natriuretic peptide (ANP)

A

promotes natriuresis (sodium excretion) and Cl- excretion accompanied by water

18
Q

What is the function of Antidiuretic hormone

A

promotes insertion of water channel proteins into plasma membrane in collecting ducts of kidneys to increase water permeability - more water is reabsorbed

19
Q

what is the function of renin

A

converts angiotensinogen to angiotensin

20
Q

what is the function of angiotensin

A

triggers adrenal cortex to release aldosterone

21
Q

what process triggers the release of renin

A

reduced blood volume + BP