QUIZ 2: FLUIDS AND ELECTROLYTES Flashcards
FUNCTIONS OF WATER
Medium for metabolic reactions within cells
Transporter for nutrients, waste products, and other substances
Lubricant
Insulator and shock absorber
Regulates and maintain body temperature
average adult weight - ____
infants - ______
older adults - ______
46 - 60% fluids
70 - 80
50%
found within the cells of the body
contains solutes such as oxygen, electrolytes and glucose
Intracellular fluid (ICF)
found outside the cells and accounts 1/3 of total body fluid
Extracellular fluid (ECF)
found within the vascular system
Intravascular fluid or plasma
surrounds the cell
Interstitial fluid
includes CSF, pericardial fluid, pancreatic, pleural, intraocular, biliary, peritoneal and synovial fluids
Transcellular fluids
are charged particles capable of conducting electricity
ELECTROLYTES
- positively charged
- Na, K, Ca, Mg
Cations
- negatively charged
- CI, bicarbonate HCO3, phosphate HPO4, sulfate SO4
• Measured in milliequivalents per Inter of water (mEq/L)
Anions
- is the movement of water across cell membranes, from the less concentrated solution to the more concentrated solution
Osmosis
- the concentration solutes in body fluids
Osmolality
- used to refer to the molality of a solution
Tonicity
- solution has the same osmolality as body fluids ex. Normal saline or 0.9% sodium chloride
Isotonic
- solutions have higher osmolality than body fluids ex. 3% NaCl
Hypertonic
- solutions have lower osmolality than body fluids ex. ½ normal saline or 0.45% NaCl
Hypotonic
- is the power of a solution to draw water across a semipermeable membrane
Osmotic Pressure
- is the continual intermingling of molecules in liquids, gasses, or solids brought about by the random movement of the molecules
Diffusion
- movement of substances across cell membranes from a less concentrated solution to a more concentrated one. ex. Sodium - potassium pump
Active Transport
135 to 180 L of plasma / day is filtered
1.5L of urine is excreted
significant role acid-base regulation ( excrete H and retain HCO3)
Kidneys
regulates water excretion from kidney
factors affect production
increase serum osmolality
decrease serum osmolality
blood volume, temperature, pain, stress and opiates, barbiturates, nicotine
Antidiuretic hormone
- Angiotensin system
promote water and Na retention
released when blood flow or pressure decreases
promotes the release of aldosterone
Renin
release from the atrium of the heart in response to excess blood volume
promotes Na wasting and acts as potent diuretic
inhibits thirst
Atrial natriuretic factor
charged ions capable of conducting electricity
present in all body fluids and fluid compartments
REGULATING ELECTROLYTE
maintaining fluid balance
contributing acid-base regulation
facilitating enzyme reactions
transmitting neuromuscular reactions
Uses of Electrolytes
Most abundant cation in ECF
Major contributor to serum osmolality
Bacon, ham, processed foods and salt
Sodium (Na+)
Major cation in ICF
Vital for skeletal, cardiac and smooth muscle activity
Fruits and vegetables, meat, fish
Potassium (K+)
Abundant in skeletal system, small amount in ECr
Vital in regulating muscle contraction and relaxation, neuromuscular function and cardiac function
ECF Ca regulated by parathyroid hormone, calcitonin, calcitriol
Calcium (Ca+)
Found in skeleton and ICF
Important in production and use of ATP, protein and DNA synthesis within cells
Cereal grains, nuts, dried fruits, legumes and green leafy veg.
Magnesium (Mg+)
Major anion of ECF
Function with Na to regulate serum osmolality and blood volume
Acts as a buffer in the exchange of oxygen and carbon dioxide in RBC
Chloride (CI-)
Major anion of ICF
Essential for functioning of muscles, nerves and RBC, metabolism of protein, fat, and CHO
Meat, fish, poultry, milk products and legumes
Phosphate (PO4)
- is a substance that releases hydrogen ions (H+)
ACIDS
- or alkaline have low hydrogen ion concentration
Normal arterial blood pH - 7.35-7.45
BASES
- water & electrolytes gained or lost in equal
ISOTONIC
water & electrolytes lost in equal proportions
Fluid Volume Deficit
water and electrolytes retained in equal proportion
Fluid Volume Excess
- gained or lost of water only
Osmolar
dehydration
Hyperosmolar Imbalance
water excess / overhydration
Hyposmolar Imbalance