Fluid Distribution Flashcards

1
Q

What percentage of water are men and women

A

Men - 60%

Women - 50%

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2
Q

What are the approximate values of fluid in the body compartments

A

Intracellular - 40% of body weight.

Extracellular - 20% of body weight. It consists of interstitial fluid (80%) and plasma (20%)

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3
Q

What is a non-electrolyte?

A

Molecules usually have covalent bonds which prevents them from dissociating in solutions. Therefore most non-electrolytes are organic molecules

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4
Q

What are electrolytes?

A

Chemical compounds that do dissociate into ions in water. Therefore they can conduct an electrical current. Typically these are ionised salts

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5
Q

Why do electrolytes have greater osmotic power than non-electrolytes?

A

Electrolytes dissociated into at least two ions whereas the non-electrolyte will remain undissociated and therefore only have 1 .

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6
Q

Contract the composition of ICF and ECF

A

ECF - high concs of sodium and chloride

ICF - high concs of potassium and phosphate

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7
Q

What causes fluid to move between the fluid compartments?

A

Hydrostatic pressure,
Osmotic Gradient,
the ICF volume is determined by the ECF solute concentration

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8
Q

What are the routes by which the body gains and loses water

A

Intake via ingested fluid and foods and some via metabolic water.
Output - Vaporises in lungs, diffuses through skin, perspiration, faeces and largely excreted by kidneys in urine

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9
Q

draw a flow chart explaining the thirst mechanism

A

Add image

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10
Q

explain the mechanisms and consequences of ADH release

A
  • Decrease in ECF solute concentration inhibits ADH release whereas an increase in ECF solute concentration causes release of ADH. ADH increases reabsorption of water in kidney tubules, increasing volume of ECF
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11
Q

What are the common causes of disturbances in water balance

A

Causes - Dehydration, oedema and hypotonic hydration.

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12
Q

What are signs, symptoms and consequences of dehydration

A

Sticky oral mucosa, thirst, dry flushed skin and decreased urine output. It can later cause weight loss, mental confusion and fever. Consequences - it may lead to hypovolaemic shock

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