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Osmotic Principles and Fluid Balance
9/28/11 First Lecture
9
Medical
Graduate
09/28/2011

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Cards

Term
What percentage of the body is water weight, and what portion of that is intracellular vs. extracellular fluid?
Definition
50-60 percent of the bodies weight is water

Of that 50-60 percent, 2/3 is intracellular fluid and 1/3 is extracellular fluid
Term
What 2 classes of molecules can passively pass through the bilayer?
Definition
1. Hydrophobic molecules

2. Small, uncharged, polar molecules

Note: Steroid hormones are a special type of large molecule that alter DNA activity that are hydrophobic and can pass through the bilayer
Term
What is the difference between osmolarity and osmolality?
Definition
Osmolarity - moles of particles per LITER... cannot be measured, only calculated

Osmolality - moles of particles per KG solvent, can be measured by boiling point elevation or freezing point depression
Term
Explain how solute concentration affects boiling point and freezing point
Definition
Solutes only exist in the liquid state of the solvent, so the concentration of water (amount of water molecules per unit volume) is decreased in the liquid state because the solute particles are taking up space. This drives the equilibrium toward the water state, causing either gas to condense or ice to melt. In order to bring it back to its normal equilibrium, temperature must be lowered or raised. This causes the boiling/freezing point to alter.
Term
Define osmotic pressure
Definition
The pressure of the water crossing a barrier due to osmotic differences in the intra and extra cellular fluid composition
Term
What is the osmolality of intracellular fluid in cells?
Definition
0.9% NaCl (330 milli-osmole)
Term
What equation governs the change in volume of a cell in response to osmotic forces, and what is the assumption made in deriving this equation?
Definition
Vinit*OSMOLARITYinit = Vfinal*OSMOLARITYfinal

You assume that the extracellar Osmolarity does not change in response to water movement (Voutside>>>Vinside)
Term
What are the steps involved in osmotic movement with both salts and urea present?
Definition
1. Transient response (only water moves to balance osmotic forces due to differences in Osmolarity)

2. Urea equilibrates across cell membrane such that urea osmolarity in and out of the cell are the same

3. Water changes direction again due to the new osmotic forces and reequilibrates
Term
What is the difference between osmolality and tonicity?
Definition
osmolality is a property of a solution containing osmotically active particles

Tonicity is the ability of a solution to affect cell volume, and only impermeable solutes contribute to this
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