water balance Flashcards

1
Q

why do we need h20

A

1) universal solvent
2) chemical reactions
3) major component of cells and plasma
4) lubricant of joints, organs

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2
Q

what are 3 valuable features of water

A

1) high ability to absorb and retain heat
2) large amount of heat required to increase its temp
3) sweating carries a lot of heat away from the body

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3
Q

how many litres of water does the average body contain and where is it distributed

A

32-40 litres
intracellular fluid - 25L
interstitial fluid - 12L
extracellular fluid - 3L

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4
Q

what is the body made up of in terms of water, fat, protein, carbohydrates, minerals

A
water - 60%
fat - 18%
protein - 16%
minerals - 5.2%
carbohydrates - 0.7%
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5
Q

define simple diffusion

A

movement from an area of high concentration to an area of low concentration through a semipermeable membrane - passive

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6
Q

what factors effect diffusion - 5 things

A

1) temperature
2) molecular weight
3) steepness of concentration gradient
4) membrane surface
5) membrane permiability

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7
Q

define osmosis

A

diffusion of water from high concentration to low concentration - passive

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8
Q

what is a solution

A

a homogenous mixture of one or more dissimilar substances

usually a liquid (solvent) and a solute (electrolyte particle)

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9
Q

what are the 3 types of solution

A

1) aqueous - small molecules dissolve
2) colloids - proteins or other large molecules
3) suspensions - even larger molecules

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10
Q

define osmotic pressure and give an example

A

the force (thrust) of water movement into the higher concentration solution

or

the amount of hydrostatic pressure required to stop osmosis

e.g glucose can exert pressure by drawing water towards it

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11
Q

how can you measure concentration of solutes

A

g/L weight per volume
%
moles per L (moles =number of molecules present in a sample)

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12
Q

why moles

A

in physiology the number of molecules in solution is more important than % or weight

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13
Q

define osmolarity, what does osmolality effect

A

number of osmoles/L solution
e.g 500 osmoles more concentrated than 300 osmoles

osmolality effects osmosis

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14
Q

what does iso-osmotic mean, give an example

A

same osmolality

e.g concentration of electrolytes outside the cell is equal to that inside the cell - no movement - no change in shape of cell

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15
Q

what is tonicity

A

ability of a solution to affect the cell - depends on concentration and permeability of the membrane to the solute

HYPOtonic - low
HYPERtomic - high

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16
Q

describe what happens to a cell in a hypotonic solution

A

low concentration of solutes that do not cross the membrane - high water content - dilute

therefore cell would absorb water from outside and swell

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17
Q

describe what happens to a cell in a hypertonic solution

A

high concentration of electrolytes outside the cell means low concentration of water

water moves to try and equal it out so cell would lose water and shrivel

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18
Q

what do baroreceptors measure

A

pressure

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19
Q

what do osmoreceptors measure

A

concentration

20
Q

what are the 4 treatments for dehydration

A

1) fluid therapy
2) Gelofusine - plasma expander (high osmotic pressure can draw liquid from interstitial fluid into cells - EMERGENCY
3) 5% glucose solution - isotonic
4) 0.9% saline - isotonic e.g post op fluid loss

21
Q

what factors influence water movement

A

hydrostatic pressure = the force exerted on the membrane by water/fluid

in a resting cell this will be stable as intracellular = interstitial

22
Q

water will always follow what?

23
Q

electrolytes move across plasma membrane by ? then water follows by ?

A

diffusion

osmosis

24
Q

what is the most dominant extracelluar ion and what is its normal range

A

Sodium (Na+)

around 0.5g / 135-145 mmol/L

25
what is sodium needed for
nerve conduction (propagation of action potential)
26
how is sodium controlled
ANP (increase) Aldosterone (lower)
27
what is it called if someone has either too much sodium or too little give 2 examples of what may have caused it and 2 examples of symptoms for each
hypernatremic - high dietary intake, water loss (raised BP, convulsions) hyponatremic - low dietary intake, burns (low BP, lethargy)
28
what other ion apart from sodium (Na+) is involves in nerve conduction how is it involved in nerve conduction
potassium (K+) returning cell to its resting state after exitation
29
what is the normal serum range of potassium (K+)
3.5 - 5.0 mmol/L
30
what is it called if someone has either too much potassium or too little give 2 examples of what may have caused it and 2 examples of symptoms for each
hyperkalaemia - burns, kidney problem (muscle weakness, cardiac arrest) hypokalaemia - use of diuretics, diarrhoea (slow HR, muscle weakness)
31
how long can blood be stored
21-35 days
32
what 3 things is calcium required for
health bones and teeth muscle contraction nerve excitability
33
what are calcium levels controlled by
``` calcitonin (reduce) parathyroid hormone (increase) ```
34
what is it called if someone has either too much calcium or too little give an example of what may have caused it and 2 examples of symptoms for each
hypercalcaemia - excess hormone (fatigue, weakness) | hypocalcaemia - Vit D deficiency (muscle cramps)
35
name 4 other electrolytes
1) magnesium 2) chloride 3) Bicarbonate 4) Phosphorus
36
describe the structure of the cell membrane
phospholipid bilayer made up of proteins and carbohydrates with an oily film
37
the membrane contains lipids and proteins
lipids (90% to 99%) | proteins (1 to 10%)
38
what makes the membrane fluid
cholesterol
39
what do membrane proteins function as - 5 things
``` call identity markers (antigens) receptors channels, carriers and pumps cell-adhesion molecules enzymes ```
40
some protein channels are always open what does this allow through
water and hydrophilic solutes
41
other channels are always closed and only open when... 3 things
1) chemical messengers bind to them 2) voltage changes across the membrane 3) mechanically stretched
42
how do carriers function to transfer solutes across the membrane
bind to solutes and transfer them across
43
what is it called if all carriers are full and being used
saturated
44
carriers can be passive or active - give an example of each
``` passive (facilitated diffusion down concentration gradient) - glucose active energy (ATP) required as against concentration gradient - sodium-potassium pump ```
45
what are the 2 main functions of the sodium potassium pump
(sodium out/potassium in) regulates cell volume maintains membrane potential