water and electrolytes Flashcards

1
Q

dehydration x 7

A

no urine output 12 hrs
dark urine
dizziness can’t stand
low blood pressure
rapid heart rate
fever
seizure

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2
Q

water intoxication

A

dilute sodium in blood> fluid shifts from outside to inside of cells > cell swell
disrupt brain function
kidney can’t get rid more than 1L /hrs

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3
Q

acidic water ? PH
what happen on sinks?
too acid can treated with ?

A

PH under 6.5 = soft water
contain metal ions causes blue green color staining on sinks
treated with sodium bicarbonate neutralizer

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4
Q

hard water?

A

PH over 8.5
tastes more bitter

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5
Q

PH
in pure water?
in blood?
stomach?

A

in pure water 7
in blood 7.35-7.45
stomach 2

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6
Q

PH
carbon dioxide
bicarbonate
oxygen

A

carbon dioxide 二氧化碳 CO 2 an acid
sodium bicarbonate碳酸氫鈉 =baking soda is a base
oxygen is nature

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7
Q

how lung balance acid-base?

A

body produces CO2 acidic from metabolizing oxygen and nutrients > blood carries CO2 to lung exhaled CO2 out > body PH increases

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8
Q

how kidneys balance acid-base?

A

excrete excess acids or bases but very slowly takes several days

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9
Q

how buffer systems balance acid-base?

A

body has mechanism to control optimal PH balance throw negative and positive ions

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10
Q

water treatment x 3

A

ozonation臭氧化O3 - kill most microbes
ultraviolet UV light - kill most microbes
reverse osmosis逆滲透淨化水 - remove all microbes, minerals, colour

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11
Q

Electrolytes ? x 6

A
  • Electrolytes are:
  • Sodium (Na+)
  • Calcium (Ca2+)
  • Potassium (K+)
  • Chloride (Cl-)
  • Phosphate (PO4 ^3-)
  • Magnesium (Mg 2+)
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12
Q

osmosis in cells? X 3

A

hypertonic - water move out > cells shrink
縮小
hypotonic - water move in > cells swell
isotonic - no water movement > cells remain same size

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13
Q

calcium function? x 5

A

build bones and teeth
stabilize BP
muscle contraction
blood clotting
nerve signals

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14
Q

lead to hyperglycemia?

A

Kidney disease
* Thyroid disorder
* Lung diseases
* Lung/ breast cancers
* Overdose of antacids/ calcium or Vit D
* Medications such as lithium, Theophylline黃嘌呤類(茶鹼)放鬆氣管周圍的肌. 肉以及抑制身體對致敏原的反應 or certain water pills

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15
Q

lead to hypocalcemia ?

A

Kidney failure
* Vitamin D deficiency
* Hypoparathyroidism
* Malabsorption
* Pancreatitis
* Prostate cancer
* Medications - heparin, osteoporosis drugs and anti-epileptic drugs

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16
Q

Calcium
* Food sources?

A

Dairy products
* soy milk, almond milk. Oat milk
* Dark green leafy vegetables
* Tofu
* Canned sardines with their soft bones
* Nuts
* Vit D is needed for calcium absorption

17
Q

leat to hyperchloremia?

A

Severe dehydration
* Kidney failure
* Undergoing dialysi

18
Q

lead to hypochloremia

A
  • Sodium or potassium imbalances
  • Eating disorder
  • Acute kidney failure
  • Cystic fibrosis - disorder that damages lungs,digestive tract and other organs
19
Q

Chloride
* Food sources?

A

Table salt or sea salt (sodium chloride)
* Vegetables
* Seaweed
* Rye黑麥
*tomatoes/lettuce/celery
* Olives

20
Q

Magnesium
* Function? x 4

A

Heart rhythm
* Nerve function
* Muscle contraction
* Bone health

21
Q

Hypermagnesemia

A
  • Addison’s disease - rare illness that occurs when the boy doesn’t make enough hormones
  • Hypothyroidism
  • Lithium therapy
  • Kidney disease
  • too much drugs containing magnesium,
    laxatives and antacids
22
Q

Hypomagnesemia

A

Malabsorption
* Excessive sweating
* Heart failure
* Alcohol use disorder
* Chronic diarrhoea
* Certain medications - diuretics and antibiotics

23
Q

Magnesium
* Food sources?

A

Legumes
* oatmeal/ bran cereals
* Leafy green vegetables
* Fruits
* Dark chocolate
* Nuts (almonds/pecans)

24
Q

Phosphate
* Functions?

A

Helps nerve function and make muscles contract
* Interacts closely with calcium, helps to build and
repair bones and teeth
* Kidneys, bones and intestines work to balance
phosphate levels in the body

25
Hyperphosphatemia
Chronic kidney disease * Severe muscle injury * Low calcium levels * Under active parathyroid glands * Excessive use of phosphate-containing laxatives
26
Hypophosphatemia
* Acute alcohol abuse * Vitamin D deficiency * Severe burns * Overactive parathyroid glands * Certain medications - intravenous (IV) iron treatment, niacin and some antacids
27
Phosphate * Food sources?
* meat/ poultry/ fish * Soy/ nuts/ seeds * Legumes * Dairy products * Soy * Organ meat
28
Potassium * Functions?
All electrolytes help to maintain fluid balance but the main ones are potassium and sodium * Regulating heart function * Maintain health for nerves and muscles
29
Hyperkalemia
Severe dehydration * Kidney failure * Severe acidosis, including diabetic ketoacidosis * When cortisol levels are too low * Medications - diuretics
30
Hypokalemia
Dehydration - severe vomiting or diarrhoea * Adrenal disorders - Cushing syndrome. The adrenal glands produce too much aldosterone, a hormone that causes the kidneys to excrete large amounts of potassium * Medications - laxatives, diuretics, corticosteroids
31
Potassium * Food sources?
* Dried fruits (prunes, raisins, dates) * Fruits (banana, oranges, cantaloupe, honeydew, apricots, grapefruit) * Cooked spinach/ broccoli * Potatoes/ sweet potatoes * Mushroom Milk and yogurt * Fish/ meat/ poultry * Salt substitutes * Nuts
32
Sodium * Functions?
Maintain fluid balance * Affects blood pressure * Regulate nerve function and muscle contraction
33
Hypernatremia ?
Inadequate water consumption * Loss too much water via sweat/ gastro illnesses/ respiratory illnesses * Medications such as Lithium (for mental health such as bipolar disorder)
34
Hyponatremia
Chronic, severe vomiting or diarrhea that causes dehydration * Over hydration * Kidney, heart or liver failure * Hormonal changes such as adrenal gland insufficiency (Addison’s disease), affects the production of hormones that help to maintain our body’s electrolytes balance * Medications such as diuretics
35
Maximum recommended intake for sodium is ?
~2300mg/day ==> 6 g ==> 1 tsp of table salt
36
Sodium * Food sources?
Processed meat * Vegetable juice * Cheese * Soy sauce * Sauces