Water and Alcohol Flashcards

1
Q

Water

Water in the body

A
  • essential nutrient
  • comprises 50-70% of the body weight
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2
Q

Water

Functions of Water

A
  • Metabolic processes
  • Universal solvent for minerals, vitamins, amino acids, glucose and others
  • Body temperature regulation
  • Water absorbs excess heat
  • Body secretes fluids via perspiration -> Skin is cooled as perspiration evaporates
  • Removal of body waste
  • Amniotic fluid, joint lubricants, saliva, bile
  • Blood transport
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3
Q

Water

Fluid Balance

A

Water conducts electricity poorly; to control movement of water, salts separates into ions (electrolytes) and balance is maintained by a balance of cation and anion concentrations
* HOW? Controlled by the electrolyte concentration
“Where ions go, water is sure to follow”

Osmosis:
* Movement of water from a less concentrated to a more concentrated solution

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4
Q

Water

Water balance - Input and output

A

Water Input
* Drinking
* Water content of foods
* Metabolic synthesis

Water losses
* Urine
* Skin (perspiration)
* Lung
* Faecal

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5
Q

Water

Regulation of Water Balance - physiological responses

A
  1. Physiological responses – e.g., thirst
    ▪ Relatively insensitive: about 2% of the body’s fluid must be lost before activation of
    the thirst response

Responses
▪ Conscious feeling of thirst (via hypothalamus)

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6
Q

Water

Regulation of Water balance - Hormones

A

2) Hormones
If water level is too low, hypothalamus sends signals to the pituitary gland to release hormones:

  • Angiotensin is a powerful vasoconstrictor (narrows diameter of blood vessels, increases blood pressure)
  • ADH is a water conserving hormone that stimulates the kidney to reabsorb water
  • Aldosterone is a steroid hormone (regulates salt and water in the body)
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7
Q

Water

Regulation of Water Balance - Enzymes

A

3) Enzymes
Renin: low blood pressure releases an enzyme called renin (by kidney)
▪ Renin regulates aldosterone (retains sodium) and angiotensin (increase blood pressure)

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8
Q

Water

Dehydration

A
  • Water losses accentuated in hot climates, with exercise and in fever and illness (e.g. diarrhoea, burns)
  • As extracellular fluid is lost, osmolarity increases, and water is drawn from within cells to the extracellular fluid
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9
Q

Water

Dehydration Symptoms

A
  • 1-2% loss: thirst, economy of movement, anorexia (loss of appetite), increased pulse, nausea
  • 3-6 % loss: dizziness, headache, absence of saliva, inability to walk
  • 7-10% loss: delirium, swollen tongue, inability to swallow, deafness, dim vision, shrivelled skin
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10
Q

Water

Toxicity of Water?

A

Excess water without sufficient electrolyte intake overwhelms excretion capacity
of kidneys → dilutes extracellular fluids Na+
(hyponatraemia)
↓ Na+ → water moves from extracellular fluids to intracellular fluids → water enters
brain → cerebral oedema

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11
Q

Sodium

Sodium Role

A
  • Sodium is the main cation outside the cells (ECF) and one of the primary electrolytes for maintaining fluid balance
  • principle positive ion (cation) in the extracellular fluid
  • Aldosterone regulates sodium balance
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12
Q

Sodium

Deficiency of Sodium

A
  • rare
  • Symptoms related to  blood pressure and cell volume
  • Muscle cramps, nausea, vomiting, dizziness, shock, coma
  • Athletes: Losing too much sodium and drinking too much water can lead to hyponatraemia
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13
Q

Chloride

Chloride Role

A

Chloride is the major anion (negative ion) outside the cells and works closely with sodium (Salt = sodium chloride)
* main role in maintaining fluid balance and is part of digestion through hydrochloric acid.

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14
Q

Potassium

Potassium Role

A
  • Potassium is important for maintaining fluid balance too
  • primary cation (positive ion) inside the cell
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15
Q

Potassium

Food Sources of Potassium

A
  • found in fruits, vegetables, milk, grains, meats and dried beans
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16
Q

Potassium

Potassium Deficiency (Hypokalaemia) and Toxicity

A

**Symptoms: **Loss of appetite, muscle cramps, confusion, constipation, irregular heart beat

Toxicity:
* Can stop heart if injected directly to vein

17
Q

Alcohol

Alcohol - ethanol

A

Acts as lipid solvents:
* Dissolve lipids out of the cell membranes
Allowing alcohols to penetrate rapidly into cells

  • Health: most alcohol are toxic as it can kill cells in small amounts
  • Useful as disinfectants (kills microbial)
18
Q

What breaks down alcohol in the stomach?

A

In the stomach:
* Breaks down alcohol with alcohol dehydrogenase enzyme

19
Q

Alcohol

Alcohol Dehydrogenase (ADH)

A

**Alcohol dehydrogenase (ADH) ** are also made in the liver cells to oxidise alcohol

20
Q

Alcohol

Facial Flushing

A

During alcohol metabolism, alcohol dehydrogenase (ADH) converts alcohol to acetaldehyde (toxic molecule)
* Acetaldehyde is further metabolised to be a non-toxic molecule by another enzyme (called aldehyde dehydrogenase –ALDH).
* Genetic variation of genes can lead to ability to metabolise acetaldehyde
* Higher acetaldehyde can lead to blood vessel dilations (flushing)