Packet 27 Flashcards
Most abundant extracellular ion
Sodium
Average daily intake exceeds normal requirements
Hormonal controls
–aldosterone causes increased reabsorption Na+
–ADH release ceases if Na+ levels too low–dilute urine lost until Na+ levels rise
–ANP increases Na+ and water excretion if Na+ levels too high
Sodium
Sodium retention causes
water retention
abnormal accumulation of interstitial fluid
edema
Causes of sodium retention
renal failure
hyperaldosterone
Excessive loss of sodium causes ___
- due to inadequate secretion of aldosterone
- -too many diuretics
excessive loss of water
Most prevalent extracellular anion
chloride
- Moves easily between compartments due to Cl- leakage channels
- Helps balance anions in different compartments
- Regulation
- –passively follows Na+ so it is regulated indirectly by aldosterone levels
- –ADH helps regulate Cl- in body fluids because it controls water loss in urine
- Chloride shift & hydrochloric acid of gastric juice
Chloride
Most abundant cation in intracellular fluid
Potassium
- Helps establish resting membrane potential & repolarize nerve & muscle tissue
- Exchanged for H+ to help regulate pH in intracellular fluid
- Control is mainly by aldosterone which stimulates principal cells to increase K+ secretion into the urine
- –abnormal plasma K+ levels adversely affect cardiac and neuromuscular function
Potassium
Common extracellular anion
Major buffer in plasma
Bicarbonate
Concentration increases as blood flows through systemic capillaries due to CO2 released from metabolically active cells
Concentration decreases as blood flows through pulmonary capillaries and CO2 is exhaled
Kidneys are main regulator of plasma levels
- -intercalated cells form more if levels are too low
- -excrete excess in the urine
Bicarbonate
Most abundant mineral in body (skeleton & teeth)
Abundant extracellular cation in body fluids
Calcium
Important role in blood clotting, neurotransmitter release, muscle tone & nerve and muscle function
Regulated by parathyroid hormone
- –stimulates osteoclasts to release calcium from bone
- –increases production of calcitriol (Ca+2 absorption from GI tract and reabsorption from glomerular filtrate)
Calcium
important intracellular anion and acts as buffer of H+ in body fluids and in urine
Phosphate