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Fluids & electrolytes
Fluids & electrolytes
61
Physiology
Not Applicable
09/26/2012

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Term
COLLOID
Definition
large molecule that attract and hold water, uniformly distributed, does not settle (ex. protoplasm)
Term
SOLUTION
Definition
stable mixture of 2 or more substances in a single phase
Term
SUSPENSION
Definition
large particles that float in a liquid, dispersion depends on physical
Term
DILUTE
Definition
amount of solute is small compared to solvent
Term
OSMOTIC PRESSURE
Definition
force produced by solvent particles under certain conditions
Term
FACTORS THAT AFFECT OSMOTIC PRESSURE
Definition
solvent volume & temperature
Term
THE EFFECT OSMOTIC PRESSURE HAS ON SOLUTIONS OF VARIOUS CONCENTRATIONS SEPARATED BY A SEMI- PERMEABLE MEMBRANE
Definition
: allows passage of solvent molecules but not solute & an equal ratio of solute and solvent concentration is maintained on both sides of the membrane
Term
TONICITY
Definition
the osmotic pressure exerted by a solution
Term
ISOTONIC:
HYPOTONIC:
HYPERTONIC:
Definition
equal tonicity
lower tonicity
higher tonicity
Term
CATION:
ANION:
Definition
positively (+) charged ion
negatively (-) charged ion
Term
ELECTROLYTE
Definition
substance containing free ions that make substance electrically conductive
Term
ACIDS:
Definition
compound that yields/ donates a H+ proton when placed in an aqueous solution
Term
BASES:
Definition
compound that yields hydroxyl ion (OH-) when placed in aqueous solution; compound that accepts H+
Term
NORMAL pH RANGE FOR HUMAN BODY
Definition
7.35-7.45
Term
CHARACTERISTICS OF WATER IN HUMAN BODY:
Definition
45-80% of body weight is water
Lean > Obese, Men>Women, Children/Infants> Adults
Term
WATER DISTRIBUTED IN THE BODY
intracellular
extracellular
Definition
2/3

1/3
Term
PROMINENT ELECTROLYTES IN EXTRACELLULAR FLUID
Definition
Sodium (Na+), Chloride (Cl-), Bicarbonate (HCO3-)
Term
PROMINENT ELECTROLYTES IN INTRACELLULAR FLUID
Definition
Potassium (K+), Magnesium (Mg2+), Phosphate (HPO42-), Sulfate (SO42+)
Term
HOW WATER IS LOST FROM BODY:
Definition
Insensible water loss : from skin, lungs; cannot be measured
Sensible water loss: urine output, GI tract; can be measured
Abnormal water loss: vomiting, diarrhea, gastric suctioning, severe burns, fever
Term
HOW MUCH WATER NEEDS TO BE REPLENISHED IN PATIENT WITH FEVER
Definition
for each (1) degree increase in body temperature higher than 99 F that persists for 24hrs, an additional 1000 mL of fluid is required
Term
HOW WATER CAN BE LOST THROUGH RESPIRATORY TRACT
Definition
an increase in ventilation will increase water loss from lungs; artificial airways that are not adequately humidified tend to have water loss
Term
When hydrostatic pressure is greater than osmotic pressure
Definition
fluid moves from capillaries to interstitial space
Term
When osmotic pressure is greater than hydrostatic pressure
Definition
fluids & solutes move from interstitial space to capillaries
Term
HYDROSTATIC PRESSURE
Definition
pressure exerted by a fluid at equilibrium at a given point within the fluid, due to the force of gravity
Term
FACTORS THAT AFFECT HYDROSTATIC PRESSURE/ TENDENCY ON FLUIDS
Definition
BP, blood volume, gravity
Term
CAPILLARY COLLOIDAL OSMOTIC PRESSURE
Definition
"pulling pressure” into a vessel; depends on protein concentration in liquid; higher protein content sucks more fluid into vessel; proteins cannot get out, drawing water towards capillaries
Term
FUNCTION OF LYMPHATIC SYSTEM WITH REGUARDS TO FLUID MOVEMENT
Definition
channels help remove excess fluid interstitial spaces; very low pressure
Term
HOW ALVEOLAR INTERSTITIAL AREAS OF LUNG REMAIN RELATIVELY DRY
Definition
simple diffusion removes excess fluids from interstitial spaces to lymphatic channels (prevents edema)
Term
COMMON CAUSE OF INCREASED HYDROSTATIC PRESSURE IN PULMONARY CIRCULATION
Definition
an increase causes fluid to move in the alveolar- capillary spaces; excess fluid in the interstitial space is called Edema
Term
NORMAL RANGE FOR SERUM SODIUM
Definition
136 – 145 mEq/L
Term
HOW SODIUM REABSORPTION IN KIDNEY IS REGULATED
Definition
governed by aldosterone
Term
MOST PROMINENT ANION IN BODY
Definition
Chloride (Cl-) *usually excreted with K+ as KCl
Term
NORMAL RANGE FOR SERUM CHLORIDE
Definition
98 - 106 mEq/L
Term
NORMAL RANGE FOR BICARBONATE
Definition
22 – 26 mEq/L
Term
ROLE OF BICARBONATE IN ACID BASE HOMEOSTASIS
Definition
strong base bicarbonate/carbonic acid buffer pair; HCO3- is primary method of CO2 transport; IT’S A BUFFER!
Term
HOW KIDNEYS REACT TO ACUTE RESPIRATORY ACIDOSIS
Definition
kidneys retain HCO3- to buffer extra acid resulting from CO2 retention
Term
MOST PROMINENT CATION IN INTRACELLULAR COMPARTMENT
Definition
Potassium (K+), 98% found in cells
Term
Factors that influence solubility:
Definition
Nature of the solute
• Strength of the solute-solute bond
– Nature of the solvent
• Strength of the solvent-solvent bond
– Pressure
• Solubility of gases varies directly with pressure
– Temperature
• Solubility of solids ↑ with ↑ temperature
• Solubility of gases ↓ with ↑ temperature
Term
Osmotic pressure varies ___ with temp

osmotic pressure is_______ proportional to the volume of solvent
Definition
directly

inversely
Term
The average body cellular fluid tonicity is
Definition
0.9% NaCl
Term
starling equilibrium
Definition
edema can be caused by a decrease in colloid osmotic pressure
Term
The pressure in the cell that counteracts the flow of
water into the cell is called
Definition
turgor
Term
Bind lose protons in a solution, thereby limiting
their damaging effects
Definition
buffering
Term
Bases have
Acids have
Definition
OH-
H+
Term
non hydroxide baess
Definition
ammonia- NH3
Carbonates - CO3 2-
protiens
Term
newborns have ___ % water weight
Definition
80%
Term
hydrostatic pressure keeps it
osmotic pressure keeps it
Definition
out
in
Term
Na+ found in
Definition
extracellular cation - most important
ECF (50%), bones (40%), and cells
(10%)
Level is primarily governed by aldosterone
Term
Na+ balance is tied to acid-base balance (H+
exchange) and regulation of
Definition
K+
Term
Hyponatremia is not enough sodium Causes

Hypernatremia is too much sodium cuases
Definition
GI loss, sweating, fever, diuretics, CHF,kidney failure
– Symptoms: weakness, tachycardia

– Causes: net sodium gain, net water loss, steroid
therapy, increased aldosterone (hyperaldosteronism)
– Symptoms: irritability, tremulousness, confusion,
ataxia, seizures, coma
Term
K+ normal range
Definition
3.5–5.0 mEq/L
Main intracellular cation, 98% found in cells
Active transport is required to move K+ into cells
against the concentration gradient.
Term
Hypokalemia is not enough potassium
Definition
– Causes: diuretics, steroids, vomiting, diarrhea,
kidney disease, malnutrition, trauma
– Symptoms: muscle weakness, paralysis, EKG
abnormalities, arrhythmias, cardiac arrest
Term
Hyperkalemia is too much potassium
Definition
– Causes: chronic renal disease, NSAID, hemorrhage,
ACE inhibitors, potassium-sparring diuretics
– Symptoms: EKG changes, arrhythmias, cardiac
arrest
Term
Calcium (Ca++) normal range
Definition
Normal range 4.5-5.25 mEq/L
– Important for enzyme activity, blood clotting, bone
calcification and neuromuscular function
– Mostly contained in bones
– Body needs vitamin D to absorb calcium
Term
Hypocalcemia is not enough calcium
Definition
Causes: pancreatitis, renal
failure, trauma
– Symptoms: muscle twitching, hyperactive reflexes,
spasm, abdominal cramps, EKG changes
Term
Hypercalcemia is too much calcium
Definition
– Causes: hyperthyroidism, hyperparathyroidism,
cancer, thiazide diuretics
– Symptoms: fatigue, depression, muscle
weakness, nausea, vomiting
Term
Magnesium (Mg2+)
Definition
normal range 1.7–2.1 mg/dl
– 99% is intracellular
– Important for cell membrane function, metabolism
of fat, protein, and carbs
– Magnesium lowers blood pressure (important for
pregnant moms with hypertension)
– Main repository is bones.
• Very slow exchange with bones may take
weeks.
Serum levels stable even if 20% of body Mg2+ is
depleted
• Most of the losses come from extracellular
spaces.
Term
Hypomagnesemia is not enough magnesium
Definition
– Causes: inadequate intake/impaired absorption,
pancreatitis, alcoholism
– Symptoms: muscle weakness, tetany, EKG
changes, arrhythmias, delerium
Term
• Hypermagnesemia is too much magnesium
Definition
Causes: dehydration, renal insufficiency, tissue
trauma, lupus
– Symptoms: EKG changes, cardiac arrest,
respiratory muscle paralysis
Term
Phosphorus (P)
Definition
normal range is 1.2–2.3 mEq/L
– 80–90% in bones and teeth, 10–14% is
intracellular, ~1% is extracellular
– Organic phosphate (HPO4
2-) is the main anion
within cells.
• Primary role in cellular energy production as
source of ATP
– In acid-base balance, phosphate is the main
urinary buffer for acid excretion.
– Hyperphosphatemia causes hypocalcemia, which
may be life threatening.
Term
plasma colloid osmotic pressure sometimes called
Definition
oncotic pressure
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