fluid stuff Flashcards

1
Q

How does fluid distribution in compartments remain constant in healthy adults?

A

Fluid distribution stays constant as solutes shift within the body, maintaining a balance between compartments.

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2
Q

What conditions can alter fluid distribution in the body?

A

Medical conditions like heart failure and sepsis can alter fluid distribution in the body, leading to imbalances such as edema.

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3
Q

How does the distribution of total body fluid change with age?

A

Total body fluid decreases with age: Newborns (70-80%), Children (65%), Adults (60%).

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4
Q

What is the relationship between body fat and total body water?

A

Adipose tissue is hydrophobic; individuals with more body fat have less total body water.

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5
Q

What are the common ways the body loses water?

A

Water is lost through urination, stooling, and insensible losses like sweating and breathing.

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6
Q

What is diffusion?

A

Diffusion is the movement of molecules from an area of high concentration to an area of low concentration.

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7
Q

What is osmosis?

A

Osmosis is the diffusion of water across a semi-permeable membrane.

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8
Q

What is filtration?

A

Filtration is the passage of molecules through a membrane by physical force.

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9
Q

What are the functions of hydrostatic and oncotic pressures?

A

Hydrostatic pressure pushes water out of the capillaries, and oncotic pressure pulls water back in, balancing fluid movement.

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10
Q

What is capillary hydrostatic pressure and its clinical example?

A

Capillary hydrostatic pressure pushes water and solutes from the capillary to the interstitial space. Example: High blood pressure pushes water out.

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11
Q

What is capillary oncotic pressure and its clinical example?

A

Capillary oncotic pressure pulls water and solutes from the interstitial space into the capillary. Example: Low oncotic pressure can lead to edema.

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12
Q

What is interstitial hydrostatic pressure and its function?

A

Interstitial hydrostatic pressure pushes water and solutes from the interstitial space back into the capillary, with some draining into the lymphatic system.

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13
Q

What is interstitial oncotic pressure and its function?

A

Interstitial oncotic pressure pulls water and solutes from the capillary into the interstitial space, largely due to albumin’s role.

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14
Q

What are the four places water/solutes can go once in the interstitial space?

A
  1. Absorbed into cells 2. Reabsorbed into bloodstream 3. Stay in interstitial space 4. Move into lymphatic system.
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15
Q

What is edema and what are its classifications?

A

Edema is the excess accumulation of fluid in the interstitial space. Classifications include 1st space (normal), 2nd space (mild edema), and 3rd space (pitting edema).

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16
Q

What are the physiologic mechanisms of edema?

A

Mechanisms include increased capillary hydrostatic pressure, decreased plasma oncotic pressure, increased capillary permeability, and lymphatic obstruction.

17
Q

What are common etiologies of edema?

A

Etiologies include deep vein thrombosis, sepsis, ARDS, liver failure, kidney failure, heart failure, allergic reactions, burns, IV infiltration, cellulitis, and trauma.