Fluid Electrolytes Flashcards

1
Q

Major determinant of resting membrane potential

A

ration of K cell and K in ECF

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2
Q

most important in the regulation of K balance

A

Na K ATPase

Plasma K

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3
Q

Increases activity of Na K ATPase

A

catecholamines and insulin

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4
Q

Inhibits NaKATPase

A

Digitalis

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5
Q

Increase in K for every unit 0.1 fall in pH

A

0.2 to 1.7 meq/L

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6
Q

Increase in plasma K for every 10 mOsm/kg elevation in POsm (hypergly, hypernat, mannitol)

A

0.4 to 0.8 meq/L

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7
Q

secretion of K to lumen

A

Distal nephron
principal cells CCT
cells in adjacent connecting segment
outer medillary collecting tubule

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8
Q

K proximal tubile

A

passive transport

almost complete reabsorption

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9
Q

K thick ascending LOH

A

Na K 2Cl carrier

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10
Q

K absorption

A

intercalated cells in cortical and outer medillary collecting tubule
H K ATPase

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11
Q

Major physiologic regulators of K secretion

A

Aldosterone

Plasma K

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12
Q

Augments K secretion by Increasing the number of open Na K Channels in the luminal membrane and activity of Na K ATPase

A

Aldosterone

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13
Q

Enhancr distal K secretion by increase number of luminal channels

A

ADH

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14
Q

K in hypoaldosteronism vs hypoaldosteronism

A

Hyperkalemia

Hypokalemia (enhance urinary K loss)

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15
Q

Decrease distal flow rate volume depletion: K secretion

A

Decrease K secretion, hyperkalemia

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16
Q

extracellular pH and K

A

alkalemia: Hypokalemia (inc K secretion)
acidemia: Hyperkalemia (Dec K secretion)