FoM:L2 - Body Fluids Flashcards

1
Q

What is meant by the term ‘body fluids’?

A
  • water (the solvent)
  • all the solutes
    NOT cells
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2
Q

What are the 3 types of extracellular fluid?

A
  • blood plasma (not RBCs)
  • Interstitial fluid
  • transcellular; contained within spaces lined by epithelial cells, highly specialised
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3
Q

What do fluids moving in and out of Intracellular fluid cross?

A

cell membranes

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4
Q

What do substances moving between plasma and interstitial fluid have to cross?

A

epithelium of capillary wall

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5
Q

What electrolytes are in body fluids?

A

cations: Na+, Ca2+, K+, Mg2+
anions: Cl-, HCO3-, H2PO4-, SO42-
Proteins (P-)
Organic Anions (A-)

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6
Q

What non-electrolytes are in body fluids?

A
  • glucose
  • cholesterol
  • phospholipids
  • urea
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7
Q

Why are body fluids important?

A
  • site of biological reactions
  • transport (e.g. blood plasma transports RBCs)
  • temperature regulation (e.g. sweat)
  • lubricating (e.g. synovial fluid in joints)
  • cushioning
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8
Q

What are the main ways body fluids are regulated?

A
  • cardiovascular
  • behavioural
  • kidneys
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9
Q

What are 2 clinical effects of excess water?

A
  • hyponatraemia
    low [Na+] in blood (water diluting electrolytes)
  • oedema
    pooling of fluid in interstitial space
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10
Q

Which tissue has a higher water content: muscle or fat?

A

muscle

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11
Q

Why are the young more susceptible to dehydration?

A
  • cant obtain water independently
  • cant communicate need
  • SA:Vol ratio
  • immature kidneys
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12
Q

Why are the old more susceptible to dehydration?

A
  • cant obtain water independently
  • cant communicate need
  • ageing kidneys
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13
Q

What factors impact diffusion?

A
  • temp
  • conc. gradient
  • size of molecules
  • area
  • solubility
  • membrane properties
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14
Q

What is osmotic pressure?

A

opposing force that stops osmotic movement of water; because difference in concentrations is needed

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15
Q

What is osmolarity?

A
  • osmolarity is the number of solute/osmotically active particles per a lire of water
  • impacted by temperature
    PARTICLES NOT MOLECULES
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16
Q

What is osmolality?

A

number of osmotically active particles per kg of water
independent of temperature

17
Q

What is oncotic pressure?

A

pressure exerted by proteins

18
Q

What is hydrostatic pressure?

A

the effect of gravity and fluid

19
Q

What is tonicity?

A
  • the influence of osmolality on cell volume
  • effective osmolality
  • relative to something else
20
Q

Why are iso-osmotic body fluids used?

A
  • increase body fluid volume
  • e.g. dehydration
21
Q

How does isotonic saline act when in the body?

A
  • isotonic with plasma
  • stays in extracellular space, expands ECF
  • plasma expansion
22
Q

How does dextrose act when inside the body?

A
  • ECF Initially
  • taken up into cells, water follows
  • expands ICF and ECF
  • physiologically hypotonic
23
Q

Describe the distribution of electrolytes in body fluids

A
  • unevenly distributed
  • separation of solutes across membranes is important
24
Q

What is total plasma and cellular osmolality?

A

285 mOsm/kg
(milli-osmoles per kg)

25
Q

A. What is hypertonic?
B What is hypotonic?

A

A. Higher concentration of solutes
B. Lower concentration of solutes