Module 10- Fluid, Electrolyte, and Acid-Base Homeostasis Flashcards

1
Q

what percentage of the body is made of fluid?

A

55-60%

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2
Q

which is more prevalent, Intracellular fluid or extracellular fluid?

A

Intracellular fluid is 2/3rds of the body and Extra cellular fluid is 1/3rd

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3
Q

What is extracellular fluid made up of?

A

80% Interstitial fluid and 20% blood plasma.

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4
Q

what are the two barriers that seperate intracellular fluid, interstitial fluid and blood plasma?

A

the plasma membrane and blood vessel walls

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5
Q

when is the body “Fluid Balanced?

A

When the required amount of water and solutes are present and proportioned in body compartments.

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6
Q

What is a major determinant of fluid balance?

A

Solute concentration

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7
Q

Explain the amounts of water gain and where they come from?

A

Most come from Ingested liquid and moist foods - 2300ml/day - GI Tract
Some from Aerobic cellular respiration - 200ml/day - Metabolic water.

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8
Q

Explain how water is lost from the body and the amounts

A

Gi tract- 100ml
Skin- 600ml
Lungs - 300ml
Kidneys - 1500ml

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9
Q

what governs the urge to drink?

A

the thirst center in the hypothalmas

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10
Q

what stimulates the thirst center?

A

low blood bolume = llow BP = renin release = formation of angiotensis 2 = stimulation of thirst centers
Neurons in the mouth detect dryness from saliva

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11
Q

What regulates water loss?

A

NaCl loss is the main factor determany body fluid volume

Increase in vlood volume stretches atria of heart releasing ANP, ANP promotes natriuresis ( loss of sodium in urine)

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12
Q

what does increase in blood volume do to renin and how does that effect water loss in the body?

A

decreases renin production which decreases angiotensis 2 which decreases aldosterone which decreases the reabsoption of Na and Cl.

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13
Q

how does ADH effect water loss in the body

A

An increase in osmotic pressure (decrease in water concentration of fluids) stimulates ADH which promotes the insertion of water channels and increases water permiability,

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14
Q

what are the 4 general functions of electrolytes?

A

1-Control osmosis of water between fluid compartments
2-Help maintain the acid-base balance
3-Carry electrical currents for action potentials
4-serve as cofactors needed for activity of enzymes

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15
Q

What is the most abundant extracellular Ion?

A

Sodium Na

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16
Q

what controls the level of sodium in the blood?

A

aldosterone anp and ADH

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17
Q

which electrolyte accounts for almost half the osmotic pressure of extracellular fluid?

A

Sodium Na

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18
Q

Where are Chloride ions most prevelent?

A

Extracellular fluid

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19
Q

How is Cl regulated?

A

Clhloride follows sodium so it is indirectly regulated by aldosterone.

20
Q

Where is potassium most abundant?

A

Intracellular fluid

21
Q

What does potassium play a key role in?

A

Membrane potentioal and repolarization, pH regulation because when potassium moves it is exchanged for H.

22
Q

What acts to regulate potassium K?

A

when there is excessive potassium K, more aldosterone is in the blood, which stimulates the collecting ducts to secrete more Potassium, and excess Potassium is lost in urine.

23
Q

Which is the most abundant ion in the body?

A

Calcium, 98% in skeleton and teeth

24
Q

where is calcium found extra or inter cellular?

A

extracellular

25
what are some of the functions of calcium?
blood clotting, neurotransmitter release, maintenance of muscle tone, excitability of nervous and muscle tissue.
26
what are the two main regulators of calcium?
PTH (parathyroid hormone) and Calcitriol (form of vitamin D).
27
Explain how PTH and Calcitriol regulate calcium.
decreased Calcium = Increased PTH = Increase bone resorption by stimulating osteoclasts to release Calcium from glomerular filtrate back into blood and increased productoin of calcitriol which increases calcium absorption from GI tract.
28
what are the three mechanisms for pH maintenance?
1- The buffer systems 2- Exhalation of carbon dioxide 3- Kidney excretion of H into urine
29
what are the three buffer systems?
1- protien buffer system 2- Carbonic acid-bicarbonate buffer system 3- Phosphate Buffer system
30
what does the buffer system do?
It converts Strong acids and Bases to Weak Acids and Bases
31
explain some things about the protien buffer system
It can buffer both acids and bases | Most abundant buffer in intracellular fluid and plasma.
32
what is the buffer in red blood cells?
Hemoglobin
33
What is the buffer in blood plasma?
Albumin
34
Explain how a protein buffer works
Proteins are composed of carboxyl (-COOH) and Amine Group (-NH2). the carboxyl group releases a H when pH increases the H reacts with OH and forms water. When PH Decreases amine group combines with H forming NH3
35
in the carbonic acid-bicarbonate buffer system, which is a weak acid and which is a weak base?
Carbonic acid is a weak acid and bicarbonate is a weak base.
36
In the phosphate buffer system, what are the two and which is a base and which is a acid?
Dihydrogen phosphate is a weak acid and monohydrogen phosphate is a weak base
37
what is the slowest mechanism for removal of acids?
pH control by the kidneys
38
Hypoventilation causes a increase or decrease in pH?
Decrease in pH
39
Hyperventilation causes a increase or decrease in pH?
Increase in pH
40
Hypoventilation leads to Resp Acidosis or Resp Alkalossi?
Resp Acidosis
41
Hyperventilation leads to resp Acidosis or resp alkalosis?
Resp Alkalosis
42
define acidosis
pH less then 7.35
43
define alkalosis
pH more then 7.45
44
respiratory acidosis and alkalosis measures what apposed to metabolic acidosis and alkalosis which measures what
respiratory acidosis and alkalosis measures C02 in the blood where as metabolic acidosis and alkalosis measures bicarbonate concentration.
45
decreased bicarbonate and decreased pH equals what
Metabolic Acidosis
46
Increased bicarbonate and increased pH equals what?
metabolic alkalosis