Quiz One ch.14 &15 Flashcards

1
Q
A
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2
Q

What is Homeostasis?

A

Constant internal equilibirum in a system involving positive and negative feedback

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3
Q

Risk factors of homeostasis

A
  1. age
  2. health problems
  3. environmental factors
  4. diet & lifestyle
  5. medicaions
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4
Q

Approximately what percentage is an adults weight in fluids (water & electrolytes)?

Infants?

Elderly?

A

60%

80%

55%

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5
Q

What are the 3 factors that influnece your amount of body fluid?

A
  1. age
  2. gender
  3. body fat
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6
Q

why do obese people have less body fluid than those who are thin?

A

because fat cells contain little water

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7
Q

who has more body fluid, men or women?

A

men

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8
Q

Body fluid is located in which 2 fluid compartments?

A
  1. intracellular space (fluid in the cells) (most stable)
  2. extracellular space (fluid outside the cells) (least stable)
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9
Q

How much fluid is in the intracellular fluid?

How much fluid is in the extracellular fluid?

A
  1. 2/3
  2. 1/3
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10
Q

What are electrolytes?

A

active chemicals (cations +, & anions -)

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11
Q

Name 4 cations

A
  • Sodium (Na+)
  • Potassium (K+)
  • Magnesium (Mg ++)
  • Calcium (Ca++)
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12
Q

Name 4 anions

A
  • Chloride (Cl-)
  • Bicarbonate (HCO3-)
  • Phosphate (HPO4-)
  • Sulfate (SO4-)
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13
Q

What is the major cation in ECF?

What is the major cation in ICF?

A
  • Sodium (Na+)
  • Potassium (K+)
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14
Q

Movement through capillary walls in driven by what 2 forces?

A
  1. hydrostatic pressure
  2. osmotic pressure
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15
Q

what is hydrostatic pressure?

A

the pressure exerted by the fluid on the walls of the blood vessels

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16
Q

Osmotic Pressure?

A

“pulling” pressure exerted by the protein in plasma (ex: cirrhosis)

17
Q

Diffusion?

Does is use energy?

high to low, low to high?

A

no energy

high to low until equal

18
Q

fascilitated diffusion?

high to low? low to high?

A

protein carrier that facilitates the process

high to low

19
Q

Osmosis?

high to low? low to high?

energy?

A

when fluid moves across a semipermeable membrane

low to high

uses energy

20
Q

What is an isotonic solution?

A

a solution with the same osmolality (concentration) as serum and other body fluids

21
Q

Osmolality of serum?

Osmolality of urine?

A

280-300 mOsm/kg

50-1200 mOsm/kg

22
Q

What is an indication of an isotonic fluid?

complications?

examples?

A

hypotension, hypovolemia

fluid overload

0.9NS, Lactated Ringers

23
Q

Indications of hypotonic fluids?

complications?

Examples:

A

Intravascular- into the cells
Indications: dehydration, DKA (hyperglycemia)

Complications: contraindicated in acute brain injury

EX: 0.45%(1/2) NS, D5W (isotonic bottle but hypotonic in body)

24
Q

Hypertonic fluid?

Indications?

complications?

examples?

A

Hypertonic Fluid: Pull from the cells out

Indications: stabilize BP, increase urine output, reduce edema, sodium levels < 115

Complications: intravascular overload, pulmonary edema

Examples: D5.045%NS; D5.09%NS
3% saline/ 5 % saline, 10% and 50% dextrose (diabetic
patient), blood products, albumin

25
Q
A