Lecture 16 Flashcards

1
Q

______________: areas separated by selectively permeable membranes that differ in chemical composition

Two in the body….
1. ____________ (contains the most volume of water)
2. ___________

A

Fluid Compartments
1. Intercellular fluid (ICF) compartment
2. Extracellular fluid (ECF) compartment

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2
Q

Transceullar fluid is found in epithelial-lined ________ and examples include…
- _______
- ______(_____)
- _________
- _________
- _________
- ________ & _______ ______(eye)
- _________ & _________ (ear)
- fluid in _______, _________, and ________ tracts

A

cavities
- CSF
- Synovial (joints)
- Peritoneal
- Pleural
- Pericardial
- Vitreous & aqueous humors
- Perilymph & endolymph
- digestive, urinary, and respiratory

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3
Q

______________: is the body fluid in between the circulatory system and the cells

A

interstitial fluid

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4
Q

Most abundant cations in…
- ECF= _____
- IFC= _____

Most abundant anions in…
- EFC= _____
- IFC= _____, generated by hydrolysis of _____ and other phosphate compounds

  • The __________ are the most important organ in regulating electrolyte balance
  • Chloride homeostasis is achieved by the regulation of _______ levels: as ____ is retained or excreted, ____ passively follows
A
  • Na+
  • K+
  • Cl-
  • Inorganic phosphate; ATP
  • KIDNEYS
  • Na+; Na+; Cl-
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5
Q

___________: a measure of the total concentration of solute particles in a solution , expressed in osmoles per liter (osmol/L)
- it accounts for all the solute particles, whether they are _____, _______, or other substances that contribute to the somatic pressure of the solution

A

osmolarity; ions; molecules

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6
Q

How is the osmolarity of the ECF compared with the ICF?

A

isosmotic (the same)

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7
Q

Terms used to describe the concentration of solute in as solution, typically separated by a semipermeable membrane
- _________ solution= the concentration of solutes is the same on both sides of a semipermeable membrane
- _________ solution= the concentration of solutes is higher outside the cell compared to inside
- __________ solution= the concentration of solutes is lower outside the cell compared to inside

A
  • isotonic
  • hypertonic
  • hypotonic
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8
Q
  • water moves by _______–> passive flow down ________ __________ which is determined by the relative (solutes) in each compartment
  • The most significant solute in determining total body water and water distribution amount fluid compartments are __________, specifically _____
A
  • osmosis; osmotic gradients
  • electrolytes; Na+ (bc it is the primary cation in the ECF)
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9
Q

osmosis is the movement of solvent molecules, usually ______, across a selectively permeable membrane from an area of _____ solute concentration to an area of ______ solute concentration
- the goal is to ________ the concentration of solute on both sides of the membrane; this process is passive and _________ require energy

A

water; lower; higher; equalize; DOES NOT

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10
Q

What occurs to the movement of water within the cells when there is an increase in osmolality in the extracellular fluid (resulting in extracellular fluid water loss)?

A

water moves out of cells to balance osmotic pressure
- the higher solute concentration outside creates an osmotic gradient, leading to cellular dehydration and reduced volume

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11
Q

Disorders of water balance
1.
2.

A
  1. Fluid Excess
  2. Fluid Deficiency
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12
Q

Most severe consequences of fluid excess in the body….
- ____________
- ____________

A
  • pulmonary and cerebral edema
  • death
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13
Q

Types of Fluid Excess
1.
2.

A
  1. Volume excess
  2. Hypotonic hydration (=water intoxication =positive water balance)
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14
Q

Fluid Excess: Volume excess
- increased levels of ________ can cause volume excess
- both ____ and _____ are retained; ECF remains _______

A
  • aldosterone
  • Na+; water; isotonic
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15
Q

Fluid Excess: Hypotonic hydration (=___________ or ___________)
- increase in levels of ________ can cause hypotonic hydration
- ______>_____ retention or ingested; EFC is ________ (diluted) –> cellular swelling (water moves into cell)

A

water intoxication; positive water balance
- ADH (anti-diuretic hormone)
- Water>Na+; hypotonic

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16
Q

Types of fluid excess that can develop if you drink plenty of plain water (or pure distilled water with no ions at all)= ___________________
- because it dilutes the electrolyte contraption in the ECF

A

hypotonic hydration

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17
Q

Types of Fluid Deficiency
1.
2.

A
  1. Volume depletion (hypovolemia)
  2. Dehydration (negative water balance)
18
Q

_____________ refers to a condition characterized by decreased volume of circulating blood in the body

A

hypovolemia

19
Q

Severe consequences of fluid deficiency
- ____________: due to loss of blood volume
- ____________: due to dehydration of brain cells

A
  • circulatory (hypovolemic) shock
  • neurological dysfunction
20
Q

Fluid Deficiency: Volume depletion (hypovolemia)
- proportionate amounts of _______ and _____ are lost= total body water ______ and osmolarity remains ________

A
  • water; Na+; decreases; normal
21
Q

_____________: negative water balance
- The osmolarity of the ECF ___________, because the body eliminates more ______ compared to _____

A

dehydration
- increases; water; Na+

22
Q

Causes of volume depletion (hypovolemia)
- ____________
- ____________
- ____________
- ____________ (decreased aldosterone)

A
  • hemorrhage
  • severe burns
  • chronic vomiting/diarrhea
  • Addison disease
23
Q

Causes of dehydration
- lack of ___________
- _____________
- ____________ (decreased ADH)
- profuse ________
- overuse of ________

A
  • drinking water
  • diabetes mellitus
  • diabetes insipidus
  • sweating
  • diuretics
24
Q

water intake is regulated through a thirst center located in the ______________

A

hypothalamus

25
- An increase in blood levels of Na+ will __________ the thirst center - A decrease in blood levels of Na+ will ________ the thirst center - A decrease in blood pressure with stimulate the thirst center through _________
- stimulate - inhibit - angiotensin II
26
- the ____________ secretes ADH - ADH is released when there is _____ blood osmolarity, ______ blood volume, and _____ blood pressure - _______ blood osmolarity decreases ADH secretion - The type of urine that ADH produces is ___________ urine (______________)
- posterior pituitary gland - high; low; low - LOW - concentrated; hypertonic
27
In absence of ADH, the cells of the late DT and cortical CD are ______ __________ to water, and a ________ volume of water is lost in the urine
barely permeable; larger
28
How does ADH act - ______ cells: _______ aquaporins- kidneys ________ ______ water and produce ______ urine, while _____ continues to be excreted
- CD; increaase; reabsorb more; less; Na+
29
_______ ADH secretion produces hypotonic urine
LOW
30
During dehydration.... - there is a _________ in osmolarity of the ECF, characterized for ______ plasma volume and _____ blood pressure - this is detected by _____________ that ________ the release of ADH - ADH _________ water reabsorption (producing __________ urine) - this will then _________ plasma osmolarity, _________ plasma volume, and consequently blood pressure
- increase; low; low - osmoreceptors; stimulates - increases; hypertonic - decrease; increase
31
In case of over-hydration... - __________ blood osmolarity - __________ ADH secretion - __________ aquaporins - __________ water reabsorption (______ still being removed) - this produces ________ urine (water _______ or _________ urine)
- decreased - decreased - decreased - decreased (Na+) - diluted; diuresis; hypotonic
32
ANP= __________________ - this is secreted in response to a(n) __________ blood pressure - Five main functions of the ANP in Na+ homeostasis and renal function 1. _________ _________ synthesis 2. _________ of afferent arterioles 3. _________ ______ production 4. suppresses reabsorption of ______ in ______ and other segments 5. inhibit ________ secretion and action
Atrial natriuretic peptide - increase 1.decrease aldosterone 2. dilation (increases GFR) 3. decrease renin 4. Na+; CD 5. ADH
33
ANP _______ the secretion of aldosterone - this causes ______ sodium retention (and consequently water); more sodium in the urine
decreases - less
34
ANP inhibits two sodium transporters in the renal tubule 1. 2.
1. NaK2Cl in ascending loop 2. Epithelial sodium channels (ENaC) channel in the collecting duct
35
ANP produces __________ of the afferent arteriole which __________ GFR
vasodilation; increases
36
- ANP ________ renin secretion by the ______________ cells - ANP also ________ ADH secretion, which results in _____ urine volume
- decreases; JGC (juxtaglomerular) - decreases; more
37
The overall effect of ANP is to __________ blood pressure
decrease
38
- Aldosterone regulates Na+ reabsorption by secreting ______ - the overall effect of aldosterone on blood pressure is to _________ it
- K+ - increase
39
Three mechanisms of aldosterone to promote Na+ reabsorption and K+ excretion in the ________ cells of the collecting ducts 1. __________ of synthesis of the ______________ at the __________ membrane 2. _________ of synthesis of the _____________ at the ______ membrane 3. enhances permeability of _____, facilitating their movement from the ________ of the cell to the ______
principal 1. up regulation; Na/K-ATPase; basolateral 2. up regulation; epithelial sodium channel (ENaC); apical 3. K+; interior; urine
40
- In which renal tubule segment is the most K+ reabsorbed? ______ (___%) - fine-tuning of K+ excretion occurs in __________ according to the needs of the body
- PCT (90%) - distal nephron
41
- principal cells: K+ ________ - intercalated cells: K+ _____________ - _________ cells will reabsorb K+ in ____kalemia
- secretion - reabsorption - intercalated; hypokalemia (K+ deficit)
42
High levels of K+ in the blood (hyperkalemia) will ___________ aldosterone secretion because it activates the __________ - this pump exchanges ______ ions (transferred to the blood) for _______ ions, leading to increased ________ of ____ in the urine and a reduction in blood K+ levels
- stimulate; sodium-potassium - Na+; K+; excretion; K+