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69 Cards in this Set

  • Front
  • Back
What must the fluid surrounding the cells in the body maintain for the cells to function properly?
Specific concentration of electrolytes
What is the definition of colloid osmotic pressure?
the osmotic effect due to the pressure of protein
What is the definition of hydrostatic pressure?
The force exerted by a fluid pressing against a wall
How do electrolytes enter the body?
Food and beverages we eat and drink
How do electrolytes leave the body?
Urine
Skin
Feces
Give an important function of electrolysis.
Controlling fluid movement between fluid compartments
Is the movement of fluid across the cell membranes different or similar to the movement between the interstitial fluid in the plasma?
it differs
How do electrolytes move across the cell membrane?
Ion channels
Ion Pumps
What do ion pumps do?
move against their concentration gradient
What do channels for Na+ allow?
allows ions to diffuse from areas of higher concentration to areas of lower
What do channels for K+ allow?
areas of higher to areas of lower
Describe permeability of the cell membrane to water
freely permeable
Describe the movement of water across teh cell membrane
from ICF to ECF
What does Na+ exert?
significant osmotic pressure
Is the movement of the interstitial fluid compartment and plasma the same or different from fluid movement between the interstitial fluid compartment and the intracellular compartment?
different
What moves easily through the gaps between the epothelial cells that make up the capillary walls?
Ions
Water
Small solutes
Why don't proteins easily leave capillaries?
to big to leave
What does protein in the plasma exert?
colloid osmotic pressure
Describe the movement of water that results from the osmotic pressure caused by the protein in the plasma.
moves from the interstitial fluid into the plasma
Describe the movement of fluid that results from hydrostatic pressure.
forces fluid towards the interstitial fluid
Which pressure is stronger at the arteriole end of a capillary?
hydrostatic pressure
In which direction is fluid forced?
into the interstitial fluid
Which pressure is greater at the venous end of a capillary?
osmotic effect of protein
In which direction does the fluid move at the venous end?
into the plasma
In the concentration of Na+ in the plasma were increased, what would happen to the concentration of Na+ in the interstitial fluid?
increase
What would follow the Na+ into the interstitial fluid?
Water
What effect would an increase in Na+ concentration have on the cells bathed by the interstitial fluid?
cells shrink
What is the definition of edema?
An accumulation of fluid in the interstitial fluid
What are four causes of edema?
Decreased colloid osmotic pressure
Increased hydrostatic pressure
Increased capillary permeability
lymphatic obstruction
What will happen to colloid osmotic pressure if plasma decreases?
it will decrease
In which direction will water move as a result of a decrease in colloid osmotic pressure?
into the interstitial fluid
What will happen to the blood pressure as wate moves from the plasma into the interstitial fluid compartment?
blood pressure decreases
What pressure increases as a result of an increase in blood pressure?
hydrostatic pressure
Describe the movement of fluid that results from an increase in the hydrostatic pressure?
more fluid into the interstitial compartment
What are the two causes of local edema?
injury
swelling
Describe the movement of protien that results from an increase in capillary permeability.
Creates an osmotic effect that pulls more fluid into the interstitial fluid
What does the movement of pretein create and how does this affect the movement of a fluid?
Move through the lymph back to the plasma
What affect does obstruction of lymphatic capillaries have on the return of interstitial fluid to venous capillaries?
hinders blood flow
Where does interstitial fluid get trapped?
interstitial compartment
Which ion has the most significant osmotic effect on the extracellular fluid?
Na+
What is the definition of hypernatremia?
an excess of sodium in the extracellular fluid greater than 145 meq/L
What effect would an increase in Na+ concentration have on the cells bathed by the interstitial fluid?
cells shrink
What is the definition of hyponatremia?
a below normal level of sodium in the extracellular fluid less than 136 meq/L
What effect would a decrease in Na+ concentration have on the cells bathed by the interstitial fluid?
cells swell
What are the two major roles of Na+?
Nerve impulse conduction an muscle contraction
Regulation of water movement
If Na+ levels change, what also changes?
determine fluid levels in other compartments
What are the two reasons for an increase in plasma Na+?
Too much water is lost from the plasma without corresponding loss of Na+
Too much Na+ is added to the plasma without adding more water
Would neurons shrink or swell as a result of hypernatremia?
Shrink
How does hypernatremia affect thirst?
thirst increases
How does hypernatremia affect urine output?
Decreases
What do the kidneys do with respect to the Na+ concentration in plasma?
fine-tune
What is the definition of Aldosterone?
Hormone secreted by the adrenal gland which promotes sodium reabsorption and potassiim secretion by the kidney
What will happen if ADL is present?
water will follow Na+ reabsorption
What effect will water reabsorption have on blood pressure?
increases blood pressure
Besides Na+ what does aldosterone also have an effect on?
Potassium
Where does K+ end up in the presence of aldosterone?
filtrate to the urine
What can some diuretics cause?
potassium deficiency
What is the definition of hypokalemia?
a below normal level of potassium in the extracellular fluid less thatn 3.5 meq/L
Why is hypokalemia clinically significant?
there is no mechanism to compensate for renal losses of K+
Where is most K+ found?
inside cells
Give a role for K+
responsible for intracellular fluid volume through osmosis
What is K+ responsible for
intracellular volume through osmosis
What would happen if there were and increase in K+ in the extracellular fluid?
will shrink
Give another role for K+
osmosis
What charge will be left inside a cell as a result of K+ leakage?
negative charge
Give another role for K+
Membrane potential
electrical balance
What is calcium homeostasis crucial to?
to normal body function
What is the definition of hypercalcemia?
an excess of calcium in the extracellular fluid greater than 11 mg/100 ml
What can happen if the Ca2+ level gets to low?
muscle spasms