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30 Cards in this Set

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Process by which the molecules of a substance transfer through a layer such as the surface of a solution
Diffusion
Rate of diffusion of a substance across a unit area(membrane or surface) is proportional to the concentration gradient
Fick's Law
What three factors affect diffusion?
1. solubility
2.Molecular size
3. Gases > liquids
Rate of diffusion of gases through certain membranes are inversely proportional to the sq rt of their molar masses. (increased size of molecule= decreased rate of diffusion)
Graham's Law
Amount of Gas crossing a membrane limited to properties of the membrane and not blood flow...
Diffusion Limited or permeability limited
What diseases alter Diffusion Capacity?
Diseases that cause thickening of the surface exchange area of the lung membrane;
ex: Pulm fibrosis, sarcoidosis, asbestoses emphysema
Diffusion is limited by the ability of the blood flow to carry a gas away to maintain a gradient?
Perfusion Limited :
ex: Pulmonary embolism
What is DLCO (Diffusion Capacity of the Lung test)?
The rate at which a gas enters the blood divided by it's driving pressure. (Carbon Monoxide test) Nml: 80%

<50% is considered ominous
The amount of pressure from some opposing force that would be needed to stop the osmosis generated by a given osmotic gradient.
Osmotic pressure
a solute that cannot pass through a semipermeable membrane
osmotically active solute
the boundary between two adjacent regions of differing solute concentration
Osmotic Gradient-
(the larger the gradient the larger the larger the osmotic force pulling)
-6.02 x 10(23rd)molecules
-exerts one atm at 273K
-22.4 lliters at STP
one mole
Molar Mass?
the atomic weight total of each compound expressed in grams
(ex- the molar mass of glucose...C6H12O6- = 180 grams)
If we decrease the volume of a solvent in half, we double the pressure of the solvent(osmotic pressure)
Boyles Law (of osmosis)
The basic mechanism that governs the movement of water in the body.
Osmosis
The law of osmosis that each particle exerts it's own osmotic pressure independently of each other, and the total osmotic pressure is the sum of the individual pressures.
Dalton's Law
(ex- Lactated Ringers)
The number of moles of solute per liter of solution.
Molarity
The number of moes of solute per kilogram of pure solvent.
Molality
the weight in milligrams, representing 10(-3) mole or 6.02x10(20) atoms or molecules
one millimole (mmole)
the weight in micrograms, representing 10(-6) or 6.02x10(17) atomes or molecules
one micromole (mcgmole)
The number of particles(ions or molecules) in a solution that create the osmotic pressure.
Osmoles
The particle count concentration of osmotically active solutes (per kilogram)
Osmolality
the particle count concentration of osmotically active solutes per liter
osmolarity
The movement of water in the bodyrelative to it's osmotic pressure of the solution to the body fluids.
Tonicity
(isotonic, hypertonic, hypotonic)
Normal osmolality of the blood
280-290 milliosmoles
The osmotic pressure exerted by large colloid molecules in the intravascular space,
Oncotic pressure (or Colloid Osmotic Pressure)
(ex--Plasma proteins)
The osmotic pressure that pushes a fluid out of the capillaries into the interstitial spaces around the body cells
Hydrostatic pressure.
In the capillaries where Hydrostatic pressure is higher than the oncotic pressure, resulting in fluid moving out of the vasculature.
the Arterial end of the capillary.
How do we calculate plasma osmolality?
(Nax2) + (glucose/18) + (BUN/2.8)
(Na+ is the main ion in this formula-- we can estimate the osmolality by looking at the sodium)
What is the Osmole Gap?
the discrepency b/t measured and calculated osmolality. (happens with a high concentration of an abnormal osmotically active molecule in the plasma such as ethanol, mannitol, glycine from a turp)