Stiner-Jones Flashcards

1
Q

The barriers where water and electrolyte exchange occur:

A

cell membrane and capillary walls

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2
Q

The body’s water composition:

A

60% of adult body weight is water; decreases as we age!

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3
Q

The various compartments where water can be found:

A

within the intracellular fluid (2/3) or extracellular fluid (1/3)

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4
Q

Extracellular fluid types:

A
  • interstitial fluid
  • lymph-
  • plasma-
  • transcellular fluids (gastrointestinal fluid, urine, cerebrospinal fluid)
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5
Q

The major electrolytes of the body particularly the concentrations of Na and K in the cell and plasma:

A

Total plasma [cation] is Na+ 140mmol/L and k+ 4 mmol/L

Total plasma [anion]: Cl- ~100mmol/L and HCO3- ~25 mmol/L (the rest of the anions constitute the anion gap)

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6
Q

Anion gap, main components:

A

lactate and pyruvate

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7
Q

________is a form of osmotic pressure exerted by proteins in blood plasma that usually tends to pull water into the circulatory system

A

Oncotic pressure

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8
Q

_________ in blood vessels is the pressure of the blood against the wall. It is the opposing force to oncotic pressure. The primary force driving fluid transport between the capillaries and tissues is hydrostatic pressure, which can be defined as the pressure of any fluid enclosed in a space.

A

Hydrostatic pressure

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9
Q

___________ is the minimum pressure which needs to be applied to a solution to prevent the inward flow of water across a semipermeable membrane. It is also defined as the measure of the tendency of a solution to take in water by osmosis.

A

osmotic pressure

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10
Q

__________ is a test that measures the concentration of all chemical particles found in the fluid part of blood.

A

Osmolality; thus the higher OSM in the blood, the more water that will diffuse into the vessels

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11
Q

Know the role of the Na/K ATPase (aka sodium-potassium pump):

A

Role: maintains the NA and K gradients across the cell membrane (thus establishes the electro-chemical gradient. Requires Energy. The net (+) charge from potassium will establish the gradient

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12
Q

Be able to compare Na/K ATPase (aka sodium-potassium pump) role in the cell membrane vs the kidney:

A

Kidneys: maintain composition, osmolality, and control of acid-base balance

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13
Q

Na/K ATPase (aka sodium-potassium pump) is either considered an _______ or as an enzyme (ATPase)

A

ion transporter

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14
Q

Albumin exerts osmotic pressure in ____

A

plasma (thus known as oncotic pressure)

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15
Q

In arterial region of caps, hydrostatic pressure > ______ and water filters out into _______.

A

oncotic pressure and water filters out into extravascular space

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16
Q

In venous regions, oncotic pressure > _______ pressure and fluid ____ the vasculature

A

hydrostatic pressure and fluid enters the vasculature

17
Q

occurs through channels and driven by energy of an electro-chemical gradient

A

passive electrolyte movement

18
Q

What is albumin’s role in the maintenance of oncotic pressure?

A

the albumin establishes the pressure and the movement of water b/w Plasma and ISF depends on plasma protein concentration; this pressure will pull water into the blood vessels when there is a high concentration of it

19
Q

The role the kidneys play in electrolyte and acid-base balance

A

Water follows sodium (and other electrolytes) thus establishing a balance. If the concentration of electrolytes is high, water will follow it to that area and balance it (b/w renal tubules and ISF); There are lots of sodium/potassium pumps in the renal tubules

20
Q

To maintain a normal pH balance in the body, there are ______systems that minimize changes in hydrogen concentration.

A

buffering

21
Q

The main buffering system for extracellular fluid

A

bicarbonate (for example in saliva!)

22
Q

Main buffering system in the blood…

A

hemoglobin

23
Q

Intracellular buffering systems…

A

proteins and phosphate buffer

24
Q

Bicarbonate buffer system:

CO2 +H20 H2CO3 _____ + _____

A

H+ and HCO3- (bicarbonate)

25
Q

How does the buffering system of bicarbonate work?

A

When acid H+ is added, it reacts with the bicarbonate, forms carbonic acid (H2CO3) and then dissocates to form carbon water and CO2. Thus through this reaction, the excess H+ is neutralized.

When OH is added, it reacts with the carbonic acid (H2CO3) and yields water and bicarbonate:
OH- + H2CO3 H20 + HCO3-
(CO2 + H20 H2CO3)

26
Q

Main energy substrates of the body and which key tissues utilize each.
Understand

A
  • glucose: fuels brain; preferred source of muscle (during initial exercise); stored as glycogen in liver & muscle; PREFERRED E SOURCE
  • fatty acids: stored as fat (higher E source), used during starvation; heart muscle prefers this over glucose
  • amino acids: fasting or metabolic stress; excess converted to carb’s and stored; used in muscles and tissues
27
Q

decrease blood glucose; increase in glycogen; promotes anabolism in liver, adipose tissue, and in muscle

A

insulin

28
Q

The differences and similarities between metabolism during fed, fasting, and diabetic states.

A

FED: eating stimulates insulin & inhibits glucagon; glucose utilization in the brain is unaffected
FASTING: insulin decreases & glucagon increase; liver switches from glucose usage to glucose production; post-absorptive state: 50% of glucose goes to the brain, acetyl coA accumulates, hyperglycemia
DIABETIC- lipolysis accumulates acetyl coA, ketoacidosis,, hyperglycemia

29
Q

Key substrates of gluconeogenesis.

A

alanine (muscle degradation)
glycerol (TAGs)
lactate (pyruvate)

30
Q

Metabolic states in which glucose is made

A

Glycolysis is controlled by phosphorylation

31
Q

The differences between type 1 and type 2 diabetes.

A

Type 1: inherited disease, develops before age 35; characterized by destruction of beta cells

Type 2: develops after age 40, inadequate synthesis/ secretion of insulin or insulin resistance (linked to obesity); strong heredity link; development

32
Q

The clinical symptoms associated with diabetes

A

Hyperglycemia, dehydration, acidosis (increased acidity), compensatory hyperventilation caused by the acidosis

33
Q

increases blood glucose (glycogen breakdown); anti-insulin hormone; stimulates catabolism

A

glucagon

34
Q

Stimulates gluconeogenesis, decreases glycolysis & liponesis; secreted by the adrenal gland

A

epinephrine

35
Q

Hypoglycemia

A

low blood sugar