Water,electrolytes and Hypertension Flashcards

1
Q

Functions of water ( 8 points)

A
  • Nutrient absorption and transport
  • Biochemical reactions
  • Solvent
  • Lubricant( in joints,eyes)
  • Shock absorber ( pregnancy, baby in the fluid)
  • Temperature regulation ( sweating)
  • Blood volume( not enough influences blood pressure)
  • Excretion of waste
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2
Q

Electrolytes: examples and 3 functions, definition

A

Anions and cations that allow the electrical impulse to pass. Na, K,Mg,Ca

  • Fluid compartments and balance
  • Acid/base balance
  • Muscle contraction
  • Conduction of nerve impulse
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3
Q

Requirements for water

A

1 to 1.5 mL/kcal/energy expenditure

2.2 L for women and 3 L for men

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4
Q

Increased intake of water for

A
  • Pregnant, lactating women
  • Diarrhea,vomiting
  • Fever( because you are sweating)
  • Heavy exercise
  • Elderly
  • Air travel
  • Hot environment
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5
Q

When we are thirsty , does it mean that we are starting to be dehydrated?

A

No, we are already

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6
Q

Do we need to drink 8 cups of water?

A

No, it is a myth. We get water from food as well

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7
Q

What is the volume of obligatory urine excretion

A

500 ml

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8
Q

Water sources

A

Beverages, food, metabolism ( TCA cycle)

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9
Q

Water losses

A

Urine,sweat,breath,feces

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10
Q

What is the correlation between water sources and water losses

A

They are equal

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11
Q

Types of fluids around the cell

A

Intracellular
Intercellular/interstitial
Extracellular

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12
Q

What is the overall charge between intracellular and extracellular fluid

A

0

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13
Q

What anions and cations in the cell and outside of the cell

A

Outside - Na,Cl

Inside-K,Phosphate ,Mg,S

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14
Q

What does sodium do ?

A
  • Blood volume regulation

- Na K ATPase

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15
Q

What happens with high and low concentrations of K?

A
  • High blood concentrations ( heart attack)
  • Deficiency( losses-vomiting and diarrhea, diuretics-for hypertension) - bot absorbing water in the colon or in the kidney
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16
Q

How much fluid is secreted and reabsorbed in GI tract

A

8-10 L/day

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17
Q

Losses of water

A
  • Sweating,bleeding,GI loss( vomiting, diarrhea)]

- Diabetes- lose glucose and water

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18
Q

What is the replacement for water and the target population

A

When vomiting, diarrhea, prolonged flu
Also called oral rehydration therapy
Sugar , salt and water

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19
Q

How the kidney works

A

Glomerrus, tubuls, etc.

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20
Q

What happens as the response to low blood pressure and low blood volume?

A

Receptors in kidneys detect that———>Renin in kidneys—-> Renin converts Angiotensinogen to Angiotensin I——> Angiotensin I to Angiotensin II————>Retains Na and water , constricts blood vessels—-> increase blood pressure

Angiotensin II——>antidiuretic hormone(ADH )—-> retains water( and thereby reabsorption of Na and excretion of K)—–> higher blood pressure

Angiotensin II——>Aldosterone—-> Retains sodium, excretes potassium( retains water)—–> higher blood pressure

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21
Q

Thirst and satiety are sensed by

A

Mouth,hypothalamus and nerves. You can be thirsty, but you will think you are hungry

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22
Q

Water intoxication

A

When you drink 10 L in 2 or 3 hours. Na level drops—>causes the water to go into cell balance the difference in concentrations ( can explode)

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23
Q

Signs of dehydration

A
  • The first signs already when we lost 1% of the body weight.
    -Thirst ,fatigue, low concentration, dry mouth, sleepiness,loss of balance
    5-10% loss of body weight- extreme signs
24
Q

What color of urine we want to have

A

Light yellow,pale straw

25
AI for water
8-12 cups ( 2-3 liters) a day | But varies from person to person
26
Do coffee and tea counts as water sources/beverages?
Yes
27
Health effects if you follow water recommendations
Physical and mental performance | Proper function of kidneys,heart, GI tract, and other symptoms
28
Recommended Electrolyte intake (Na,K)+UL
Na AI- 1500 mg/day UL-2300 mg/day K AI-4700 mg/day UL-none
29
Do people consume enough Na and K
Average Canadian intake for salt is 2800 mg/day | K- people consume less than a half of recommendation
30
Where we can find potassium?
Squash,Artishoke, Tomato juice, brocolli,Strawberries, Milk
31
Have we made a progress in decreasing the consumption of Sodium?
yes, since 2010 by 8%
32
What gender consume more sodium and why?
Men take more, because they eat more fast-food
33
Roles of potassium in the body
- Helps maintain fluid and electrolyte balance - Helps maintain cell integrity - Aids in nerve impulse transmission and muscle contraction
34
What happens to Na and K content in food through processing?
K goes down, Na goes up
35
Magnesium: storage
More than half in bones
36
Mg:5 Roles
- Maintains bone health - Energy metabolism and ATP production - Inhibits muscle contraction and blood clotting - Blood pressure -dietary intake protective - Supports normal function of immune system
37
UL for Mg
It is not for foods , but for supplements- 350 mg/day
38
Is Mg deficiency widespread?
No, very rare, but often inadequate intake
39
The best food sources for Mg
Spinach, pumkin seeds,cereal,broccoli ,tomato,tofu, halibut
40
The widespread of hypertension
1 in 4 Canadians have HTN
41
Physiological factors affecting blood pressure
- Cardiac output( contractions in heart muscle,pumping blood) - Peripheral resistance (Diameters of arterioles ) - Nervous system - Hormones( kidneys)
42
Normal blood pressure
120/80
43
What do numbers 120/80 in BP mean
120-systolic, the pressure when the heart contracts | 80-diastolic, when the ventricles relax
44
How HTN influence your body?
- Stroke, memory loss - Heart attack - Kidney damage - Impaired vision - Decreased sexual ability
45
Are there any symptoms for HBP
No
46
Modifiable Risk factors for HTN( 5)
- Smoking, second-hand smoking - Weight - Physical inactivity/low fitness - Unhealthy diet ( high Na, high saturated fat, not enough K) - Stress
47
Relatively fixed HTN risks
- Genetics - Ethnicity (african , southeast asia) - Increased age - Male sex - Psychosocial
48
Diseases that increase risk of HTN
- Heart disease-dyslipidemia - Diabetes - Kidney disease( number one cause is HBP) - Sleep apnea - Obesity
49
Treatment for hypertension
- DASH diet - Salt/sodium intake - Physical activity - Weight control - Stress management - Medications
50
Dietary Approaches to stop hypertension (DASH): characteristics
- Rich in vegetables and fruits - Provides around 30% of its calories from fat ( nuts,fish,whole grain,low-far dairy) - Emphasizes vegetarian protein sources, less sugar - Restricts Na together with an increase in K
51
DASH diet vs Normal American Diet
DASH diet provides more fibre, K,Mg,Ca---->lower blood pressure Less red meat and sweet foods/beverages
52
How does DASH helps
- Lower blood pressure - Prevents/reduces hypertension when combined with a low sodium diet - Lowers cholesterol and LDL cholesterol and cancer risk
53
Most of the sodium we take in comes from
Processed food( 77%)
54
Functions of Salt and Sodium-containing additives to food
- Microbial food preservation - Texture, flavor,color - Control fermentation in bread and cheese
55
What food contributes the most tot he sodium intake
Baked goods
56
Do we want to become salt free?
No, we need Na