Fluids & Electrolytes Flashcards

1
Q

what is an electrolyte?

A

a compound that releases ions when in water

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2
Q

what are cations?

A

positive charged ions

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3
Q

what are anions?

A

a negative charged ion

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4
Q

what are strong electrolytes?

A

a compound that seperates into ions in water and conducts an electric current in water

ex: NaCl + H2O = Na+ + Cl-

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5
Q

what are non-electrolytes?

A

dissoves as molecules in water

doesn’t produce ions in water

no electric current in water

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6
Q

what part of the body contain electrolytes?

A

all body fluids

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7
Q

what are functions of electrolytes?

A

1) co-factor for optimal enzyme activity
2) maintains fluid balance (osmosis)
3) maintains acid-base balance (pH)
4) carries electrical currents

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8
Q

what are 3 major fluid compartments that electrolytes are composed?

A

intracellular fluid

plasma

interstitial fluid

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9
Q

what is the composition of electrolytes in extracellular (interstitial fluid/plasma) fluid?

A

1) na+ = major positive charged ion

both similar in plasma and interstitial fluid

2) Cl- = major negative charged ion

anion concentrations similar in both EXCEPT protein (higher in plasma)

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10
Q

what are the intracellular electrolyte composition?

A

K+ = major positive charge ion (cation)

Mg2+ = important to activate enzymes

phosphate = major negative charged ion (anion)

larger concentrations of protein anions

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11
Q

what is a weak electrolyte?

A

produces few ions

some does not completely seperate

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12
Q

what is acid?

A

a solution with excess H+ (hydrogen) ions

“sharp/sour”

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13
Q

what is a base?

A

a solution that has an excess of OH- (hydroxide) ions

“alkali)

substances that can accept hydrogen ions

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14
Q

what is a buffer?

A

a solution that resists change in pH on the addition of an acid/base

typically a mixture of a weak acid/salts acts as a weak base

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15
Q

what is pH?

A

a measure of how acidic or basic a solution is

p = potential

h = hydrogen

low pH = higher concentration of hydrogen ions

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16
Q

what is the range of a pH scale and what is considered acidic, basic, and neutral?

A

range = 0-14

acidic = < 7

basic = > 7

nautral = 7

17
Q

how big of a jump is each pH level to one another?

A

10x

ex: pH 3 is 10x more hydrogen as pH 4 due to inverse scale

18
Q

what are sources of acids?

A

CO2 released from total combustion of carbs

large amounts of acids from normal metabolic processes

nitrogeneous waste

HCl from gastric juices

19
Q

what are sourcs of bases?

A

bile salts + pancreatic juice

intake of alkaline drugs

20
Q

what are 3 lines on defence to regulate pH?

A

1) blood buffer
2) respiratory regulation
3) renal regulation

21
Q

what is the blood buffer system?

A

minimize change in hydrogen ions by converting strong acids + bases into weaker ones chemically

weak acid + its salt

  • in any buffer system
  • changes to weaker ones
  • works in fractions of a second
22
Q

what is respiratory regulation?

A

carbonic acid is dissolved as CO2 in plasma

hyperventilation lowers co2 + H2CO3 ( carbonic acid) int plasma

decreased/inadequate ventilation raises CO2 + H2CO3 in plasma

23
Q

what is renal control?

A

kidneys slectively retain/excrete H+ ions

reabsorb bicarbonate form urine

kidneys play a major role in preventing a change in pH

24
Q

what is the function of a buffer?

A

resist change in pH when strong acid/base is added to the solution

25
Q

what comprises of the carbonic/bicarbonate buffer system?

A

carbonic acid (H2CO3) = weak acid

sodium bicarbonate (HCO3-) = weak base

26
Q

what happens when a strong acid is added to a buffer system?

A

sodium bicarbonate converts strong acid to weak acid (carbonic acid) to resist change in pH

27
Q

what happens when a strong base is added to a buffer system?

A

carbonic acid converts strong base to weak base (sodium bicarbonate) to resist change in pH

28
Q

how do protein buffer systems work?

A

3 amino acids can act as buffers

free amino group ends with 2 hydrogen, but can act as a base (absorbs an extra H+) if pH falls

free carboxyl group (COOH) group ends at right end of amino acid and can act as a donor of hydrogen if pH rises

29
Q

what is acidosis?

A

blodd pH under 7.35

very acidic

30
Q

what are 2 causes of acidosis?

A

abnormally high Pco2 in systematic aterial blood

inadequate exhalaion of CO2

31
Q

what is metabolic acidosis?

A

abnormally low HCO3- in stsematic arterial blood

32
Q

what is alkalosis?

A

blood pH above 7.45

very basic

33
Q

what are 2 causes of alkalosis?

A

abnormally low Pco2 in systematic arterial blood

hyperventilation due to high altitudes

34
Q

what is metabolic alkalosis?

A

abnormally high HCO3- in stematic arterial blood

35
Q

what does hyperventilation and hypoventilation cause?

A

respiratory acidosis (hyperventilation)

respiratory alkalosis (hypoventilation)