WATER AND SODIUM Flashcards

1
Q

Total body volume________which is _____ of our body weight

A

40L , 60%

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2
Q

_____comes from the intracellular fluid volume, or _____ of our body weight

A

25 L, or 40%

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3
Q

______comes from extracellular fluid volume, or ____ of our body weight

A

15 L, 20%

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4
Q

Give me two extracellular fluid volume

A

Interstitial fluid volume
Plasma volume

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5
Q

The interstitial fluid volume which comprises ____ or ___ of the ECF volume

A

12 L, 80%

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6
Q

The plasma volume holds little weight comprising _______ or _____ of ECF

A

3L, 20%

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7
Q

Refers to the water or fluid that is outside the cells but within the tissues

A

Interstitial fluid volume

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8
Q

Remaining 3L present in blood vessels

A

Plasma volume

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9
Q

_____ is the major extracellular cation - among the electrolytes found outside the cells

A

Sodium

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10
Q

Is the major extracellular anion

A

Chloride

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11
Q

______ is the major intracellular cation - it has the largest concentration in the cells

A

Potassium

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12
Q

______ is the major intracellular anion

A

Phosphate

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13
Q

_____is outside of the cell and ______ is inside the cell

A

Sodium and Potassium

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14
Q

Concentration of ions is maintained by:

A

Active transport and diffusion

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15
Q

Requires energy to move ions across the cellular membranes

Molecules move against the concentration gradient

A

Active transport

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16
Q

Example of active transport

A

ATPase-dependent Na K ion pumps

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17
Q

In active transport the ions will bind to carrier proteins and carrier proteins will use of _____ in order to allow substance inside and outside the cell

A

Adenosine triphosphate (ATP)

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18
Q

In the case of sodium, if it needs to go outside of the cell, the ______ is a good example of active transport

A

Sodium-potassium pump

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19
Q

For every 3 ions of sodium needed to go outside of the cell there is corresponding entry of ______

A

2 potassium ions from plasma

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20
Q

If sodium is inside the cell the body will _______if we cannot have _____

A

The body cannot monitor if we don’t have sodium

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21
Q

_______ is the major contributor of osmolality in the body

A

Sodium

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22
Q

_______ will be the major indicator if blood volume, plasma volume blood pressure

A

Sodium

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23
Q

There has to be greater volume of sodium outside the cell because this is where our __________ and ______ depend too

A

Thirst mechanism will depend and our antidiuretic hormone

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24
Q

If sodium is found outside it will be easily detected by the _________ inside the body

A

Osmoreceptor

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25
Q

If cells only depend on diffusion it will also lead to ________ and ________ we will have immediate _______ since sodium is equally distributed inside and outside of the cell which should not be allowed

This is regulated by the _______ which needs energy utilization

A

Poor blood volume and blood pressure regulation

Will have immediate - high blood

Sodium-potassium pump

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26
Q

Passive movement of ions across a membrane

A

Diffusion

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27
Q

Depends on size and charge of ion;
Molecules move along the concentration gradient

A

Diffusion

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28
Q

Whichever side has many molecules this will give up the excess molecules to the side which has lesser molecules in order to reach a _____

A

BALANCE

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29
Q

For example the if the sodium content inside the cell is 70 and outside is 30

_____ of the sodium will go out of the cell so both of them are _____
This satisfies the target of diffusion

A

20 and 50
Diffusion

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30
Q

What is the target of diffusion?

A

In the case of diffusion its target is to balance the concentration of a substance inside and outside the cell

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31
Q

What is the difference between simple diffusion and facilitated diffusion

A

Simple diffusion
Molecules goes eaily to cell membranes
Facilitated diffusion
The molecules will make use of a protein to be eliminated outside of the cell/to enter the cell

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32
Q

Molecules goes easily through the cell membrane
Molecule is transported with the use of a channel protein

A

Simple diffusion

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33
Q

The molecule will make use of a protein to be eliminated outside of the cell/ enter the cell

No energy will be used

A

Facilitated diffusion

34
Q

Both active transport and facilitated diffusion make use of a _______

A

Carrier proteins

35
Q

Give me the comparison between osmolality and osmolarity

A

Osmolality is the physical properties of a solution that is based on the concentration of solutes
Per kilogram of solvent
While osmolarity refers to the concentration of solutes per liter of solvent

36
Q

Physical property of a solution that is based on the concentration of solutes (expressed as millimoles) per kilogram of solvent w/w

A

Osmolality

37
Q

Concentration of solutes per liter of solvent w/v

A

Osmolarity

38
Q

Osmolality and osmolarity terms are similar because they are based on the concentration is solutes but the difference is the _________

A

Way of measuring the solvent where solutes are present

39
Q

In the healthcare setting, we use materials with L/ml measurements compared to g/kg

What should we used?

A

Osmolarity is better used

40
Q

Our body depends on the ______ as one of its main marker of osmilality

A

Concentration

41
Q

The number or sodium molecules circulating in the plasma refers to ________

A

Plasma osmolality

42
Q

One of the triggers for the release of renin and angiotensin is the _______

A

Low plasma osmolality

43
Q

If there is too little solutes present in the blood, _____ Iis activated to increase the osmolality via the reabsorption of _____

A

RAAS - sodium

44
Q

RAAS means

A

Renin-Angiotensin-Aldosterone system

45
Q

One of the effects of _______ is the release of _________ in the __________
Once _________ is released, one of its functions is to __________
Once______ is reabsorbed; the solute will increase in _____ therefore the _________ will be corrected

A

Angiotensin 2
Aldosterone
Adrenal gland
Aldosterone
Reabsorbed sodium
Sodium
Plasma
Low plasma osmolality

46
Q

What is the normal plasma odmolality

Increased:
Decrease:

A

275-295 mosm/kg of plasma H2O
Osmoreceptors respond to small changes

Increased adh
Shuts off adh production

47
Q

Give me the three functions of ADH

A

It will reabsorb water
If water is reabsorbed we can not urinate that often as there is ADH
Our body is oriented not to urinate because it will reabsorb water as there are too many solutes

48
Q

What happens if water is reabsorbed?

A

Plasma will become diluted
Once plasma volume levels are high the dissolved substances will become diluted
The increase plasma osmolality will be corrected

49
Q

_________ is one of the major mechanisms in the body to reabsorb water

A

AVP OR ANTIDIURETIC HORMONE

50
Q

Problem: hypersmolality and hypernatremia are related they are connected to high sodium levels

A

Adh will be released to reabsorb water

51
Q

Problem: If blood volume is low example diarrhea….

A

Thirst mechanism will be activated
RAAS will be activated

52
Q

Problem: If plasma volume is extremely high (hypervolemia)

A

Reused hormone: ANO (ATRIAL NATRIURETIC PEPTIDE)
dilate vessels
Excrete water and sodium

53
Q

_________is one of the causes of hypervolemia

A

Vasoconstriction

54
Q

In _______ the blood vessels will expand

A

Vasodilation

55
Q

Major electrocute concentration found outside the cell

A

Sodium, chloride, bicarbonate

56
Q

______ contains many substances that may affect osmolality therefore it is not counted

A

Plasma

57
Q

Based on colligative properties of a solution

A

Freezing point
Boiling point
Osmotic pressure
Vapor pressure

58
Q

_______must be centrifuges to remove extraneous particles

A

Turbid specimen

59
Q

An equilibrium of liquid and crystals

A

Slush

60
Q

It is possible to cool water to as low as ____ and still have liquid water provided no crystals or particulate matter is present

This referred to as _________

A

-40C
Supercooled solution

61
Q

Freezing can be also be started by _____ a supercooled solution with crystals

A

Seeding

62
Q

How do we used vapor pressure to measure osmolality

A

The sample is inoculated onto a solute free paper disc in the sample holder

63
Q

________ is immersed in the sample

A

Thermistor

64
Q

Monovalent cation

A

Sodium ion

65
Q

Most abundant cation in the ECF

A

Sodium ion

66
Q

What are the three regulation is sodium ion

A

A intake if water in response to thirst
B excretion of water (affects ADH in response to changes in either blood volume osmolality)
C blood volume status (affects sodium excretion through aldosterone, angiotensin 1l2 and a trial NATRIURETIC peptide)

67
Q

2 primary active transport

A

Na-kATPase pump
Na-k leak channels

68
Q

Deficiency of aldosterone

A

Hypoadrenalism

69
Q

Low potassium levels in the body means the tubules will prioritize the conservation in potassium

A

Potassium deficiency

70
Q

______ are medications that will allow patients to lose water

A

Diuretic use

71
Q

______ are commonly prescribed with patients that have edema

A

Diuretic use

72
Q

Most commonly thiazide diuretics, the mechanism of action is to prevent the reabsorption if sodium in the tubules

A

Diuretics

73
Q

No underlying condition

A

Water imbalance

74
Q

Leads to dilution of plasma sodium that leads to hyponatremia

A

Increased water retention due to underlying condition

75
Q

The body retained water because of abnormal release of ANTIDIURETIC hormone

A

SHADE syndrome of inappropriate arginine vasopressi hormone secretiob

76
Q

There is no problem with the body of the patient but there is problem. During testing

A

Pseudohyponatremia

77
Q

Patients with high glucose or diabetes mellitus

A

Hyperglycemia

78
Q

Medication that blocks the action of the antidiuretic hormone

A

Conivaptan

79
Q

The myeline sheath of neuron is lysed

A

Myelinolysis

80
Q

Excess loss of water relative to sodium loss

A

Hypernatremia