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33 Cards in this Set

  • Front
  • Back

What represents: total body water isnot only function of age & body mass, but also sex and amt of body fat (eg.infants are ~73% and elderly ~45%, median about 50%)

fluid balance

fluid in total body

40L

fluid compartments (40L):


2/3: ___________ fluid (ICF) - _________


1/3: ___________fluid (ECF) - _________ & _________

intracellular fluid: cells


extracellular fluid: plasma & interstitial fluid ( IF)




(fluid as lymph, CSF,eye humors, synovial, GI, etc.. considered IF)----water is universal solventfor a

2 solutes

electrolyte :


non electrolyte

which solute ionicsubstances (ionic bonds), conducts electricity NaClà Na+ + Cl-

electrolyte

which solute usuallyorganic substances (covalent bonds), does not conduct electricity sucrose à glucose + fructose

non electrolyte

osmotic and hydro-static pressures regulate the continuous exchange and mixing of bodilyfluids; although water moves freely b/t compartments along _________ gradients,solutes are unequally distributed due to their _____, _______, ordependence on transport ________.

-osmotic


-electrical charge


-dependence on transport proteins

we move about ________ mL of "water" per day

2500 mL

ingested + producedvia respiration

metabolic water or water of oxidation

ingested + producedvia respiration called metabolic water or water of oxidation

input

: loss via lungs or diffuse through skin(insensible loss) + perspiration + feces + urine (about 60%)

output

waterintake controlled via thirst and under control of anti diuretic hormone (causeskidneys to conserve water and concentrate urine)

fact

Thirst is controlled at__________


activated via________________


dry mouth, low BP or blood volume; receptors in control area also trigger/inhibit __________ secretion from post pituitary

hypothalamus

osmoreceptors


ADH

some water output isunavoidable (about 500mL/day) due to normal physiology, why we cannot survivefor long w/out water

obligatory water loss

fluid loss

dehydration

resulting from hemorrhaging, severe burns, prolonged vomiting or diarrhea, profuse sweating, water deprivation, diuretic abuse, endocrine disruptors

dehydration

-Na+holds a central role in fluid/electrolyte balance and overall homeostasis, yetno receptor to monitor its conc has been found


-Na+balance is directly linked to blood vol and pressure, so baroreceptors (BPreceptors) indirectly monitor

electrolyte balance

-normal arterial bloodis pH


-venous pH

7.4


7.35

normal IF is


normal ICF is

7.35


7.0

a drop in arterial blood pH below 7.35

acidosis

a rise in arterial blood pH above 7.45

alkalosis

although small amtsof acid enter through ingested foods, most originate as metabolic by-productsor end products:
-phosphoric acid from ______


-lactic acid from ____________


-organic acids(fatty acids ketone bodies) from _______


-carbonic acid from __________

-proteins


-anaerobic respiration


-fat metabolism


-transportation of CO2 in respiration



H+ concentration in blood is regulated via:

1. chemical buffering systems


2. brain stem respiration center


3. renal mechanisms

resist change in pH when an acid or base is added

buffer

3 major buffer system in body

1.bicarbonate


2.phosphate


3.protein

carbonic acid (H2CO3)& its salt sodium bicarbonate (NaHCO3)

carbonate buffer system

*dihydrogen phosphate(H2PO4-) & monohydrogen phosphate (HPO4-2)

phosphate buffer system

eg. hemoglobin buffer

protein buffer system

-CO2and O2 movement central to regulation because of carbonic acid


-if H+ is rising,respiratory center of the brain stimulates deeper, more rapid respiration(more CO2 removed from blood) and if blood pH rises, the respiratorycenter is depressed and subsequently respiration becomes shallower and CO2accumulates

respiratory regulation of pH

-kidneysare the ultimate acid-base regulators


-lungs are great at regulatingvolatile acids such as CO2, but only the kidneys canregulate non-volatile acids such as phosphoric, uric, and lactic acid andketone bodies

renal mechanism of pH regulation

when aperson breathes shallowly or when gas exchange is affected by variousrespiratory diseases, CO2 accumulates in blood; falling blood pH andrising PCO2

respiratory acidosis

when CO2is eliminated from the body faster than it is produced, happens whenhyperventilating, often due to stress or pain; blood becoming more alkaline(breathing into a paper bag…)

hyperventilating

too muchalcohol (which is metabolized to acetic acid), build up of lactic acid fromexercise/shock, ketosis (excess levels of ketone bodies from lipid metabolism)that occurs in diabetic events/starvation

metabolic acidosis