Water and Electrolytes Flashcards
What are the 8 symptoms of dehydration?
1) Sunken eyes
2) Skin lacks turgour
3) Dry mouth
4) Concentrated urine
5) Weight loss
6) Person refusing fluids
7) Low blood pressure
8) High heart rate
What are the causes of dehydration?
A person isn’t taking in enough fluids:
1) The thirst mechanism has a fault and so the signals to brain telling the body needs water has a problem
2) Simply, not drinking enough fluids
A person is loosing too much fluid:
1) Vommiting
2) Weeping wounds
3) Diarhea
4) Sweat
What are the 5 important functions of water?
1) Universal solvent
2) Lubricant for joints and organs
3) Chemical reactions (e.g. hydrolysis)
4) Component of plasma and cytoplasm
5) The maintenance of body temperature
Why is water good at maintaining body temperature?
1) It can stay in its liquid form throughout a wide range of temperatures
2) It requires a lot of heat in order to increase the temperature
What is the set point of total body fluids (in a 70kg man)?
32-40L
What are the 3 inputs of body fluids?
Fluid (1500ml)
Food (750ml)
Condensation metabolic reactions (250ml)
What are the 4 outputs of body fluids?
Urine (1500ml)
Faeces (100ml)
Sweat (200ml)
Respiratory losses/breathing out (700ml)
Who is more likely to get dehydrated?
1) If you have more body fat
2) Children (higher SA:V)
Describe the body fluid compartments and their relative proportions of total body fluids in a 70kg man?
Intracellular = 25L (66%) Interstitial = 12L Plasma = 3L (extracellular = 30% Lubricant for joints - 0.7L (3%)
How does water move inbetween the body fluid compartments?
As it is a small hydorphilic molecule it can move across the compartments via osmosis.
Definition of diffusion:
The movement of ions from an area of high concentration to an area of low concentration (across a semi-permeable membrane)
What are the 5 factors that affect the rate of diffusion?
1) Temperature
2) Weight of molecules
3) Incline
4) Permeability of membrane
5) Surface area
Definition of osmosis?
The diffusion of water from an area of high water potential to an area of low water potential (across a semi permeable membrane)
What affects the rate of diffusion?
electrolytes
Definition of electrolytes?
Soluble, in organic molecules that conduct electricity in a solvent.
They are osmotically active (draw water in)
What is a solution?
A solvent and a solute
How are solutions categorised?
By the size of solute it contains.
The names of 4 solutions and the size of their solutes:
Suspensions - very large solutes
Colloids - large solutes
Aqueous - small solutes (contains cations/+ve and anions/-ve)
Crystaloids - very small
What determines the pH of a solution?
The more protons (H+) - the more acidic and lower pH
The more carbonate (OH2) - the more alkaline and higher pH
What is the pH of gastric juice in the stomach?
Acidic (due to the hydrochloric acid)
What is the pH of saliva?
Acidic (just below neutral)
What is the pH of urine?
In between acid and alkaline (inclines more towards acidic)
What is the pH of blood plasma?
Slightly alkaline (due to the bicarbonate ions)
What is osmotic pressure?
Osmotic pressure is the pressure exerted by electrolytes when they are in solution. It is due to this pressure that water is prevented from moving across the membranes.