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32 Cards in this Set

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  • Back

What are the 3 fluids?

1. Intracellular fluid ➡ inside


2. Plasma ➡ in & outside cell


3. Interstitial fluid ➡ outside

Isotonic

Normal


- Equal amount of water inside and outside cell

Hypotonic

Too much water inside, causing cell to burst or lyse


- most dangerous

Hypertonic

Too much water outside


- cell will shrivel (crenation)


- dehydration


- risk of colon cancer

Where did metabolic water come from?

Mitochondria ➡ Krebs Cycle & E.T.C.

What organ is most important for water balance?

Kidney

Hypothalamus

Homeostasis for temperature & thirst


- has osmoreceptors


- will shrink

Hydration

Die from being over hydrated


- irreversible


- cells will burst

ECF most abundant CATION ➡ _____


ECF most abundant ANION ➡ ______

Cation ➡ Sodium Na+


Anion ➡ Chloride Cl-

ICF most abundant CATION ➡ ______


ICF most abundant ANION ➡ ______

Cation ➡ Potassium


Anion ➡ Phosphate

Hypernatremia vs Hyponatremia

1. Too much sodium in blood


2. Not enoigh sodium in blood


Sodium Na+

- Most abundant in EFC


- Sodium problems always effect BP first


Aldosterone ➡ increases renal absorption


Atrial Natriuretic Peptide ➡ increases renal excretion


- these act in DCF

Potassium K+

- Abundant cation IFC


- Nervous System problems

Hyperkalemia vs Hypokalemia

1. Too much potassium


- cell becomes less negative


- GI abnormalities



2. Not enough potassium


- cell becomes more negative

ADH (Vasopressin)

- Response to dehydration or ⬇blood volume


- Causes vasoconstriction which ⬆BP


- Promotes reabsorption of sodium when dehydrated


- ADH goes to kidneys


- water follows


- process through osmosis

Calcium

- Heart


PTH ➡ stimulates osteoclasts to release calcium from bone


Calcitonin ➡ lowers calcium levels

Hypercalcemia vs Hypocalcemia

1. Too much calcium


2. Not enough calcium

Magnesium

- important for relaxation of muscles


Ex: Epson salt has magnesium

What is the normal pH?

7.35 - 7.45

Acidosis vs Alkalosis

Acidosis ➡ ⬇ 7.35 pH (acid)


- more common


- muscle can stop contracting


Alkalosis ➡ ⬆ 7.45 pH (basic)

What 3 mechanisms regulate pH?

1. Buffer System


2. Exhalation CO2


3. Kidney Excretion of H+

Buffer System

- convert acid to less harmful form


- temporary


- does not remove H+


- Buffers inside & outside cell


- Amino acids are buffers


Most common buffer ➡ HCO2- (Carbonic Acid)



- Too much base ➡ release H+ to neutralize


- Too much acid ➡ H+ combines w/ HCO2-

Lungs

Lungs not working ➡CO2 combines w/ water to form carbonic acid


- will go into respiratory acidosis


- ⬇ pH & ⬆ CO2


- Respiratory Alkalosis


- ⬆ pH & ⬇ CO2

Respiratory Acidosis vs Respiratory Alkalosis

Acidosis ➡ ⬇ pH & ⬆ CO2


Alkalosis ➡ ⬆ pH & ⬇ CO2

Kidney (Metabolic)

Look at bicarb levels

Metabolic Acidosis vs Metabolic Alkalosis

Acidosis ➡ ⬇ pH & ⬇ HCO3-


Alkalosis ➡ ⬆ pH & ⬆ HCO3-



HCO3- is baking soda

Normal PCO2 ➡ _______


Normal HCO3- ➡ _______

Lungs ➡ PCO2 ➡ 35 - 45


- ⬇ Alkalosis


Metabolic ➡ HCO3 ➡ 22 - 26


- ⬇ Acidosis

Vomit ➡


Diarrhea ➡


Pregnant ➡

1. Alkalosis


2. Acidosis


3. Respiratory Alkalosis

What 3 hormones regulate renal Na+ & Cl- reabsorption?

1. ADH (vasopressin)


2. Angiotensin - Aldosterone


3. Atrial Natriuretic Peptide (ANP)

RAA System

Renin - Angiotensin - Aldosterone



1. ⬇BP


2. ➡ Renal Artery


3. Cells in kidney release renin


4. Renin in blood (renal vein)


5. Angiotensin (vasoconstricter) ⬆BP 6. ➡ Adrenal Cortex to make aldosterone



⬆water reabsorption in kidneys = ⬆blood volume & pressure

PTH

- Increases calcium in blood if you have hypocalcemia


- Goes to bone, osteoclasts eat bone and release calcium

Why are babies more prone to dehydration?

Babies have smaller body weights & lose water & electrolytes more quickly