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1B2: stoornissen interne milieu > klinische stoornissen in de waterbalans > Flashcards

klinische stoornissen in de waterbalans Flashcards

1
Q

hyponatriemie

A

natriumconcentratie < 136 mmol/L

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2
Q

hyponatriemie

A

natriumconcentratie < 136 mmol/L

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3
Q

waar vindt regulatie van osmolariteit en waterexcretie plaats?

A

verzamelbuis

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4
Q

gevolg hypernatriemie

A

celkrimp
in hersenen osmotische demyelinisatie

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5
Q

gevolg hyponatriemie

A

celzwelling
hersenoedeem

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6
Q

waar is hyponatriemie het gevolg van

A

te veel water
verminderde Renale waterexcretie

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7
Q

oorzaak verminderde Renale waterexcretie

A

lage eiwitinname
nierfalen
afgifte ADH

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8
Q

appropriate ADH afgifte

A

volumeregulatie wint van Osmoregulatie > hypernatriemie
niet-osmotische ADH afgifte

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9
Q

inappropriate ADH-afgifte

A

ADH afgifte bij te lage plasma osmolariteit

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10
Q

oorzaken inappropriate ADH-afgifte

A

effect op centrale osmoreceptoren
ectopische productie van ADH
longaandoeningen
nier versterkt ADH effect
bijnierinsufficientie

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11
Q

SIADH

A

alleen waterretentie

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12
Q

hypovolemische hyponatriemie

A

zout- en dus volumeverlies bij ECF

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13
Q

hypervolemische hyponatriemie

A

zout- en water retentie

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14
Q

oorzaak te weinig waterinname

A

afwezigheid dorstgevoel
diabetes insipidus > geen ADH/ADH geen invloed

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15
Q

oorzaken hypernatriemie

A

primaire hypodipsie
niet aangevuld waterverlies
diabetes insipidus
osmotische diurese
extraregaal waterverlies
positieve zoutbalans

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16
Q

diabetes insipidus

A

puur waterverlies

17
Q

osmotische diurese

A

veel water, natrium en kalium verloren

18
Q

positieve zoutbalans

A

meer zoutretentie leidt tot meer waterretentie

1B2: stoornissen interne milieu (29 decks)

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