Fluid, Electrolyte, Acid Base Balance Flashcards

1
Q

What is body fluid?

A

Refers to body water and it’s dissolved substances.

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2
Q

How would a diuretic drug affect a person’s water balance?

A

Increases urine flow rate, which increases loss of fluid from the body and decreasing the volume of body fluids.

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3
Q

How does excessive aldosterone secretion cause edema?

A

Promotes high renal reabsorption of NaCl and water, which expands blood volume and increases blood pressure. Increased BP causes more fluid to filter out of capillaries and accumulate in interstitial fluid - edema.

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4
Q

What is the major cation in ECF?

A

Na+ (sodium)

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5
Q

If you hold your breath for 30 seconds what is likely to happen to your blood pH?

A

Cause blood pH to decrease slightly as CO2 and H+ accumulate.

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6
Q

Define the term extracellular fluid and identify the types.

A

ECF is all the fluids of the body that are outside of the cells.
Interstitial fluid, plasma, lymph, cerebrospinal fluid, synovial fluids, etc.

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7
Q

Identify the sources of water required by the human body and the approx amount taken from each source.

A

Metabolic water 200ml
Ingested food 700ml
Ingested liquids 1600ml

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8
Q

List the functions served by electrolytes.

A

Control the osmotic movement of water and help maintain the acid-base balance

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9
Q

Which is the most common cation in extracellular fluids?

A

Sodium

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10
Q

Which is the most common anion in extracellular fluids?

A

Chloride

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11
Q

Which is the most common cation in intracellular fluids?

A

Potassium

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12
Q

Define the term buffer systems.

A

A combination of chemicals, often a weak acid and the salt of the acid that acts as a weak base, which tends to resist changes in the pH of a solution.

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13
Q

List the 3 common buffer systems found in the body.

A

Protein
Carbonic acid-bicarbonate
Phosphate

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14
Q

Explain how amino acids can act as buffers.

A

The proteins have many carboxyl and amino groups that can act as acids or bases.

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15
Q

Explain the effect that an increased breathing rate would have on the pH of the blood.

A

More carbon dioxide is expelled which would cause a loss of acid making the blood more basic.

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16
Q

Define the term acidosis.

A

Acidosis is a condition in which the blood pH is below 7.35.

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17
Q

About 80% of extracellular fluid is__.

A

Interstitial fluid

18
Q

The primary method of water movement in and out of body compartments is:

A

Osmosis

19
Q

Name some things that occur during dehydration.

A

Decreases saliva production
increases blood osmotic pressure
Decreases blood volume and thus blood pressure

20
Q

Normally, fluid loss is adjusted by:

A

ADH
ANP
Aldosterone

21
Q

The chief difference between plasma and interstitial fluid is that plasma contains more __.

A

Protein anions

22
Q

The regulation of Cl- seems to be passively controlled by __

A

Na+

23
Q

The electrolyte that is important in establishing the resting membrane potentials in nervous and muscle tissue is __.

A

K+

24
Q

Regarding calcitrol, what are some true factors?

A

It is a form of vitamin A

It contributes to the development of ulcers

25
Q

The most abundant buffer in the body cells and plasma is the __ __ __.

A

Protein buffer system

26
Q

Which substance is an effective buffer in RBCs?

A

Hemoglobin

27
Q

The physiological response to an acid-base imbalance is termed __.

A

Compensation

28
Q

Body water content is greatest in:

A

Infants

29
Q

Potassium, magnesium, and phosphate ions are the predominant electrolytes in:

A

Intracellular fluid

30
Q

Sodium balance is regulated primarily by control of amount(s) :

A

Excreted in urine

31
Q

Water balance is regulated by control of amount(s):

A

Ingested and excreted in urine

32
Q

Two main substances regulated by the influence of aldosterone on the kidney tubules are:

A

Potassium and sodium

33
Q

Two substances regulated by parathyroid hormone are:

A

Calcium and phosphate

34
Q

Two substances secreted into the proximal convoluted tubules in exchange for sodium ions are:

A

Ammonium ions and hydrogen ions

35
Q

What substance is part of an important chemical buffer system in plasma?

A

Bicarbonate

36
Q

Two ions produced during catabolism of glutamine are:

A

Ammonium ions and bicarbonate

37
Q

What substance is regulated by ADHs effects on the renal tubules?

A

Water

38
Q

Which factors enhances ADH release?

A

Decrease in ECF volume and increases in ECF osmolality

39
Q

The pH of blood varies directly with:

A

HCO3-

40
Q

In an individual with metabolic acidosis, a clue that the respiratory system is compensating is provided by:

A

Rapid deep breathing