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28 Cards in this Set

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How much of the average adult body is water?

50-65%

What is the average water intake, per day, via what?

Diet and drinks: 2300ML


Metabolic (from cells): 200ML per day

What is the average water loss, per day, via what?

Kidneys: 1.5L per day


Skin: 600ML per day


Lungs: 300ML per day


GIT: 100ML per day

How is our fluid compartmentalised, the largest divisions?


Then an additional divide?

2/3 intercellular / ICF


1/3 Extracellular / ECF (aka blood)




Then ECF splits into interstitial fluid (80%) + plasma (20%)

What does water move via, and what is it driven by?

Moves via osmosis




Driven by the concentration of solutes.

What does osmolarity describe?




What does it mean when something has a low osmolarity?



What does it mean when something has a high osmolarity?

The total solute concentration of a solution




Low solute concentration (hypotonic)




High solute concentration (hypertonic)





What does it mean when there is an increase in plasma osmolarity, and it turns hypertonic?

Increased solute concentration outside of the cell in the ECF - this draws out the water from the cell (osmosis)

What does it mean where there is a decrease in plasma osmolarity, and it turns hypotonic?

Decreased solute concentration outside the cell / in the ECF - water is rushing into cell. Cell can burst!

What is it called when a cell has the ideal about of h2o?

Isotonic!

What does overhydration/water intoxication cause in the plasma?




What does it cause in the body?

- Decrease in plasma osmolarity making it hypotonic




- welling, convulsions, coma & death

What happens in the plasma in dehydration?


What happens to the cells in dehydration?


What is greater than what?

- Increased plasma osmolarity = hypertonic


- cells shrivel as water leaves the cell by osmosis


- water loss is greater than water gain

1. What are physical causes of dehydration?


2. What decreases when dehydrated? (4)

1. fever, burns, vomiting, diarrhoea, hemorrhage


2. Saliva production (dry mucosa in mouth + pharynx), urine output, blood volume, blood pressure

What is stimulated when you're dehydrated? (2)


What is activated when you're dehydrated? (1)

Stimulated:


1) ADH secretion from the PP


2) Thirst centre in the hypothalamus


Activated:


1) Renin-angiotensin pathway (JG cells notice low BP/BV)

When is the thirst mechanism unreliable?

In the:


elderly


very young


mentally confused

When is ADH secretion stimulated?


(provide examples - 5)

When anything means increased fluid loss. E.g. fever, burns, vomiting, diarrhoea, haemorrhage.







What electrolytes exist in the ICF? Give 3.

Potassium


Proteins


Phosphates

What electrolytes exist in the EXF? Give 2.

Sodium


Chloride

What are the (2) fundamental difference between electrolytes and non-electrolytes? Give an example of each substance.

- Electrolytes have ionic bonds that dissasociate in water into positive & neg ions e.g. NaCl = Na+ & Cl-




- Non-electrolytes have covalent bonds and do not dissasociate in water e.g. Glucose, urea, creatinine

What is osmotic pressure?


What is it directly influenced by?


What has more influence over osmotic pressure, why?

The pressure countering osmosis (water from low to high).


Directly influence by the amount of solute in the system.


Electrolytes have much control over OP (they are ionic bonds + disassociate into more "bits")

Water wants to move from low to high - osmotic pressure forces it to aim to "even out" and stay on the low side!

What controls the osmosis of water?

Sodium ions!

What causes a change in extra cellular volume?


Where can it move to/from? Is this okay?

Sodium shift




Can move from ECF to ICF and back = needs to be balanced

Sodium ions= ++ water.

Why do we need to keep Na+ levels at normal range? (2)

1) High Na+ levels = high BP


2) Extremely high or extremely low levels affect brain + other organ functions.

Describe the steps in the homeostatic regulation of sodium ion concentration (increased Na+) (7)

1. HOMEOSTASIS (normal Na+ concentration in ECF)


2. HOMEOSTASIS DISTURBED (Increased Na+ concentration in ECF)


3. Osmoreceptors stimulated


4. Increased ADH release. Increased thirst.


5. Decreased urinary water loss. Increased water gain.


6. Additional water dilutes ECF, volume increased.


7. HOMEOSTASIS RESTORED.

Describe the steps in the homeostatic regulation of sodium ion concentration (decreased Na+) (7)

1. HOMESTASIS (normal Na+ concentration in ECF)


2. HOMESTASIS DISTURBED. Decreased Na+ concentration in ECF.


3. Osmoreceptors inhibited.


4. Decreased ADH release. Decreased thirst.


5. Increased urinary water loss. Decreased water gain.


6. Water loss concentrates ECF, volume reduced.


7. HOMESTASIS RESTORED.

What isn't normally found in filtrate?

Protein

What does ADH do to the collecting ducts?

Increased the permeability.

The primary function of the proximal convoluted tubule is...

the reabsorption of ions, organic molecules, vitamins, and water

What is the main force that causes filtration in the nephron?

Glomerular hydrostatic pressure.