Module 6 - Osmolarity Flashcards
Osmolarity
the number of particles of solute per liter of solution; it is expressed as mOsm/L
Normal osmolarity is
270-300 mOsm/L
Osmolarity is derived from
the measure of Na+, K+, urea and glucose concentrations in the blood or urine
Concentration is expressed in… (3)
milliequivalents per liter (mEq/L), millimoles per liter (mmol/L), and milliosmoles per liter (mOsm/L)
Solvent
water
Solutes in the body
Solutes are particles in fluid circulation that have an electrical charge (electrolytes)
Cations
positively charged ions that act as solutes
Anions
negatively charged ions that act as solutes
Flitration
Filtration is the passage of a fluid such as water, through a cell or blood vessel membrane
What causes fluid to move on the capillary level
interstitial compartment capillary hydrostatic pressure and interstitial fluid osmotic pressure
Diffusion
Diffusion is the passive movement of solute across a permeable membrane from an area of higher particle concentration to an area of lower particle concentration
How does diffusion occur?
particles bump into each other and the cell membrane and when the cell membrane is struck enough times a pore big enough to let the particles through opens allowing diffusion
-the more particles the faster this happens
what do plasma proteins such as albumin and globulin do for fluid movement?
they contribute to osmotic pressure
Globulin particles specifically hold water in the blood and pull it into the blood from tissues or cells.
Albumin particles specifically encourage fluid return and prevent fluid loss into transcellular spaces of the peritoneal and pleural cavities
Hypertonic
fluids with osmolarities greater than 300 mOsm/L are hyperosmotic, or hypertonic, compared with isosmotic fluids
Hypotonic
fluids with osmolarities of less than 270 mOsm/L are hypo-osmotic, or hypotonic, compared with isosmotic fluids
Causes of Edema
-Increased capillary hydrostatic pressure (higher blood pressure): The high pressure in the capillary pushes fluid out into the tissues and prevents it from returning to circulation.
-Decreased plasma osmotic pressure: The loss of proteins (albumin) in the blood allows for fluid to leave the plasma and go into the tissues.
-Obstruction of the lymphatic circulation: Usually causes a localized edema since excessive fluid and protein are not returned to the general circulation.
-Increased capillary permeability: When damaged, capillaries allow solutes such as protein to leak out. This usually causes localized edema and may result from an inflammatory response (burn) or infection (sepsis)
Osmotic pressure
pulls water into the capillary vessels from the interstitial space
Hydrostatic pressure
pushed water out of the capillaries and into interstitial space