S1: Body Fluids Flashcards

1
Q

What percentage of our body weight is water?

A

60%

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2
Q

What are the 2 reasons water is important?

A

Acts as a medium for nutrients and waste products

For diffusion of nutrients and water products

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3
Q

Stable volume and composition of the body fluids is essential for metabolism (homeostasis)

How does water content vary?

A

Decreases with elderly

Increases with increased body fat

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4
Q

State some ways how we gain and lose water

A
  • we intake water through ingested fluids
  • we intake water through metabolism
  • we loose water primarily by urine (main regulator of fluid loss)
  • water loss from skin/lungs
  • loss of water through faeces and sweat

Intake of fluids should match output

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5
Q

What is the 60 40 20 rule?

A

60% of body is water

40% is in the intracellular fluid
20% is in the extracellular fluid

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6
Q

What is the barrier between blood vessel and interstitium?

A

Capillary wall

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7
Q

What is the barrier between intracellular fluid and interstitium?

A

Plasma membrane

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8
Q

Explain the different in permeability of the cell membrane and capillary wall?

A

CELL MEMBRANE
semi-permeable
-allows water only
It is impermeable to most ions and proteins but has pumps to AT molecules. Water can move freely usually through channels.
💧Osmotic pressure drives this movement of water

CAPILLARY WALL
More permeable
- allows water, electrolytes but not proteins
It is made of endothelial cells, only large molecules (e.g. proteins) can exert an osmotic pressure across it.
💧Hydrostatic pressure drives movement of water.

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9
Q

What two factors affect the movement of between compartments?

A

Pressure

  • ionic pressure
  • osmotic pressure

The nature of the barrier

  • cell membrane
  • capillary wall
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10
Q

Does the ECF or ICF have more protein?

A

ICF: Rich in protein
ECF: Poor in protein

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11
Q

Compare the ionic compositions of ICF and ECF

A

ECF——
High in sodium (150mM)
High in chloride (120mM)
Some bicarbonate (26mM)

ICF——
Low in sodium (15mM)
Minute chloride (<1mM)
High in K+ (140mM)
High in phosphate
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12
Q

Define diffusion

A

Movement of molecules down a concentration gradient due to random motion

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13
Q

Define osmosis

A

Net diffusion of water across a selectively permeable membrane, from region of high water concentration to a region of lower concentration

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14
Q

What is an osmole?

A

This is a unit of measurement to describe the concentration of solute particles

1 osmole= 1 mole= 6.02x10^23 osmotically active particles

Examples:
1 mol of glucose= 1 osmole (doesn’t dissociate in solution)
1 mol of NaCl= 2 osmole (Na+ and Cl-)
1 mol of sodium sulphate (2Na+ and SO4 2-)

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15
Q

What’s the difference between osmolality and osmolarity?

A

Osmolality: osmole/kg of water

Osmolarity: osmole/L of solution

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16
Q

What is tonicity?

A

Tonicity describes the effect of a solutions concentration on osmotic movement of water across a membrane (while osmolality is independent of any membrane).
Tonicity is influenced only by solutes that cannot cross the membrane, as only this can exert an effective osmotic pressure.

17
Q

What is osmolality?

A

It is a count of the number of particles present in a solution and is independent of the size or weight of the particles

18
Q

What is tonicity?

A

It is the effective osmolality and is equal to the sun is the concentrations of solutes which have the capacity to exert an osmotic force across the membrane

19
Q

What is isosmotic?

A

It refers to solutions that have the same number of dissolved particles/kg water

E.g.
300mmol glucose=300 mol urea= 150mmol NaCl
All have the same osmolarity

20
Q

What is isotonic?

A

It refers to solutions that do not cause changes to cell volume

21
Q

Explain the relationship of osmolality and tonicity

A

Osmolality is a property of a particular solution and is independent of any membrane

Tonicity is a property of solution in reference to a particular membrane

22
Q

What is the dilution method equation?

A

Concentration = mass/volume

23
Q

List some directly measured volumes

A

Total body water :radioactive water distributed in all compartments

Extracellular volume: radioactive inulin, excluded from cells

Plasma volume: radioactive albumin stays in plasma

24
Q

List 2 indirectly measures volumes

A

Intracellular volume: TBW-extracellular volume

Interstitial volume: extracellular volume - plasma volume