Fluids Flashcards
What is the largest source of fluid entering the body?
Intake of water containing foods and beverages
What are examples of “insensible” fluid loss from the body?
- Lungs humidify the air as it comes in, and releases it during exhale
- Sweating
What are “sensible” ways in which the body losses water?
Urine
Diarrhea maybe
- What is the 60-40-20 Rule for the average male
- What is body weight % of water in males vs femals
- How many liters of water are inside the body?
- 60% of total body weight is water, 40% of total body weight is intracellular, and 20% of body weight is extracellular
- Lean male - 70%, Obese Woman - 50% (because they are predispositioned for more fat)
- 40 Liters
How many liters of H20 do most people injest in a day?
How many liters of water do most people lose in a day?
- 2.5 L
- 2.5 L
What organ is the primary site of H20 loss/gain regulation?
Kidneys
What are the 4 body fluid compartments? What are the boundaries of each?
-
Interstitial Space - fluid that bathes the cells of the body
- Boundary is everything cuz, this is sandwhiched between all of the other compartments
-
Intracellular Space - fluid within the cells of the body
- Boundary would be the double layered plasma membrane
-
Transcellular Space - fluid within specialized fluid spaces - like cerebrospinal fluid, pleural, synovial, peritoneal
- Boundary - epithelial cells (very hard to get into these…)
-
Plasma - fluid found within blood vessels
- Boundary - endothelial. Has small cleft opening that let molecules with a SMALL molecular weight pass through.
What is the reflection coefficient?
- The ability of a solute to pass through a barrier - reflected numerically
- 0 = free solute permeability
- 1 = impermeable solute
Rank these fluid compartment boundaries from most restrictive –> least restrictive
Endothelial
Plasma Membrane
Epithelial
Epithelial > Plasma Membrane > Endothelial
The composition of the plasma and interstitial fluid is very similar except for [] ….
Large MW proteins are found in the Plasma and not the interstitial fluid
[] is the primary mechanism of transport for the solutes within the body fluids
Diffusion
How is the majority of water moved throughout the body?
- Bulk Flow
- As teh heart pumps, water and dissolved solutes are pumped through the endothelial cells and into the interstitial fluid
- most of this water returns to the plasma but some of goes to the lymph system.
The lymph system is a [] of the extracellular fluid
Subset
Define these Fluids
- Total Body Water
- Intracellular Fluid
- Extracellular Fluid
- Lymph
- Plasma
- Interstitial Fluid
- Transcellular Fluid
- Total Body Water - all water within the body
- Intracellular Fluid - Fluid found within the boundary of the plasma membrane
-
Extracellular Fluid - Fluid found within the body outside of plasma membranes
- Lymph - fluid within the boundary of endothelial cells in the lumpahtic vessels
- Plasma - fluid within the boundary of endothelial cells in blood vessels
- Interstitial Fluid - Fluid located between the body fluid compartments
- Transcellular Fluid - fluid found within epithelial cell boundaries
T/F
Water moves via Osmosis to an area of High solute concentration to low solute concentration
FALSE
Its moves water from low solute concentration to high solue concentration
- The [] of the solution, is based on the number of particles after dissociation per volume of fluid
- The [] of the solution si based on the amount of charged solute per volume of fluid
- Osmolarity
- Equivalency
What molecules are found in a higher concentration within the Intracellular fluids?
Potassium
Proteins
Phosphates
What molecules are concentrated more in teh extracellular fluids?
Sodium (Na+)
Chloride (Cl-)
Calcium (Ca2+)
Bicarbonate
Which extracellular compartment would you expect to have a higher osmolarity, interstitial fluid or the plasma? Why?
- The Plasma
- Remember, the composition of the two is very similar except for the fact that the plasma has a large amount of large proteins….this drives the osmolarity of the plasma up!
Even though membrane potentials exist (the difference in positive/negative across the membrane), what is the overall charge of body fluids on any side of a barrier?
- The body fluid compartments must have the same concentration of cations and ions
- Therefore our compartments are electroneutral
What is the Gibbs-Donnan effect?
- It has to do with the fact that Large MW weight proteins remain in the plasma
- These proteins have a negative charge which attracts cations to the endothelial lining
- It also repels small anions towards the interstitial space
This redistribution of cationsa nd anoions is the Gibbs-Donnan effect. It does not have a substantial effect on charge balance or anything.
Describe the difference in intracellular concentration between a Hypotonic solution and a Hypertonic solution?
- Hypotonic - larger concentration of solutes in the cell
- Hypertonic - larger concentration of solutes in the surrounding fluid
Molecules considered to be [] do not penetrate the plasma membrane?
What are some examples?
- Tonic
- Na+, Cl-, K+
- inulin
Molecules considered to be []-[] can penetrate the plasma membrane…
What are some examples?
- Non-tonic
- Ethanol
- alcohol