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Physiology- Unit One
Body Fluids (T Pierce)
47
Medical
Post-Graduate
01/06/2009

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Cards

Term
Chemical composition of phospholipid
Definition

polar head

two hydrophobic fatty acid chains

Term
Describe structure of micille and functional significance of the structure
Definition
  • round polar heads contact water on inside and outside
  • long hydrophobic tails form the inner portion of the membrane
    • sets up a barrier to polar compounds and ions
      • allow for different concentrations of ions across the membrane
    • small uncharged water solubule molecules can pass (ex: urea)
Term
Structure of biological membrane
Definition
  • phopholipids bilayer
  • cholesterol
  • imbedded membrane proteins
    • move fluidly within membrane
    • often anchored at specific sites by other proteins
Term
Different types of embedded proteins and examples of them found in a biological membrane
Definition
  • transmitter receptor (ex: ligand gated, metabotropic)
  • ion channels (ex: Na, K, Ca channels)
  • transporters/pumps (ex: Na/K ATPase)
  • aquaporins
Term
% of TBW of ECF and ICF in body
Definition
  • ECF (33%)
    • blood plasma (8% of TBW)
    • interstitial fluid (25% of TBW)
  • ICF (67%)
Term

Tracer used to measure TBW

Definition
tritium oxide
Term
Describe the dilution principle
Definition
  • Used to measure the size of a fluid compartment via tracer
  • Volume = amount of tracer/concentration of tracer
Term
Tracer used to find ECF volume
Definition
mannitol
Term
Tracer used to measure RBC volume
Definition

51Cr labeled RBC's

Term

Tracer for plasma volume

Definition
Evan's blue dye (bind to albumin)
Term

Why is mannitol a good tracer for ECF volume?

Definition
  • small, so it can cross blood capillary barrier but cant cross cell membranes
  • nontoxic
  • non metabolized
  • excreted unchanged in the urine
Term
composition of blood
Definition

cells (mostly RBC's)

plasma

Term
Equation for determining TBV with plasma volume and hematocrit
Definition
TBV= (plasma volume x 100)/(100-hematocrit)
Term

Define hematocrit

Definition
percentage of blood volume that is made up of cells
Term
Equation for Fick's law of diffusion. What does it tell us?
Definition
  • J = PA (Ca-Cb)
    • P= permeability (cm/sec)
    • J= net rate of diffusion (mmol/sec)
  • This will tell net flux of a particular compound across a membrane
Term
Example of facilitated transport
Definition

glucose transporters

aquaporins

Term
Compare speed of facilitated diffusion and simple diffusion
Definition
facilitated diffusion is faster than simple diffusion
Term
Describe the process of primary active transport
Definition
  • get energy via ATP hydrolysis
  • against gradient
Term
Examples of primary active transport
Definition
  • Ca/ATPase of SR (two Ca in SR for each ATP hydrolyzed)
  • Na/K ATPase
Term
Describe process and function of Na/K ATPase
Definition
  • Process 
    • for every ATP hydrolyzed, 3 Na out and two K in
    • electrogenic pump with coupling ratio of 3:2
  • function- maintain electrochemical gradient across the membrane
    • results in reducing osmotic particles inside cell so cell does not swell, burst
    • THUS, NORMAL CELL VOLUME AND PRESSURE DEPEND ON PROPER FUNCTION OF THIS ACTIVE TRANSPORTER
Term
Describe process/mechanism of action of secondary active transport
Definition

receives energy using an electrochemical gradient set up by another transporter as a source of energy

Term
Two types of secondary active transport
Definition

co-transport

antiport/countertransport

Term

examples of cotransport

Definition

Na-AA transporter

Na-glucos transporter

Term
examples of countertransport/antiport systems
Definition

Ca/Na exchanger in muscle cells (Ca out and Na in)

Term
What causes osmotic pressue?
Definition
Different concentrations of impermeable solutes aka total number of dissolved solute particles (colligative property)
Term
What determines the motion of water between compartments separated by a semipermeable membrane?
Definition
  • differences in osmotic pressure in two compartments which is caused by concentration of impermeant solutes
    • compartment with more impermeant solutes will have increase in water volume within its compartment
Term
Give mOsm of 1 mmol NaCl
Definition
2 mOsm (due to two particles it forms when dissociates)
Term
How does actual effective relate to ideal osmotic pressure?
Definition
effective concentration (activity) of a solute in body fluids is somewhat less than ideal due to interactions between solutes
Term
Equation for determining osmotic pressure (van Hoff's law)
Definition

∏ = g C σ RT

g= number of particles per mole of solution

σ = reflection coefficient

Term
What determines permeability for a compound in fick's law of diffusion equation?
Definition

lipid solubility

molecular weight of solute

Term
Reflection coefficient values of albumin, electrolytes, urea
Definition
  • albumin = 1 (impermeabile)
  • electrolytes = 0.85-0.95
  • urea = 0 (small permeable)
Term
What electrolyte is the major player in extracellular fluid levels?
Definition
sodium
Term

normal osmolarity of RBC

Definition
290 mM
Term
If an RBC is dropped into a solution with 50 mM of NaCl, what would happen to it?
Definition

swell, then burst (hypotonic solution)

*in plasma, RBC would burst when in soln of less than 200 mOsm/L

Term
Define tonicity
Definition
tendency of a solution to resist expansion of an intracellular volume
Term
What is the difference between osmolarity and tonicity
Definition
  • osmolarity- all solute particles in solution determine it (permeable and impermeable)
  • tonicity- depends only on impermeable particles (permeable particles like urea will equalize across membrane)
Term

Explain why 300 mM of urea is hypotonic to RBC

Definition

Urea is freely permeant in solution, so it enters the RBC until its intracellular concentration is 300 mM.

Term
Clinical use of 154 mM NaCl solution
Definition
during surgeries to replace plasma volume lost during bleeding
Term
Clinical use of 5% dexatrose solution aka 300 mM D-glucose
Definition

treatment of hypernatremia

Term

Describe what happens to 300 mM of D glucose      

(5% dextrose solution) once it enters the body

Definition
It is initially iso-osmotic (as it would be in a lab), but soon because hypotonic to RBC, since most of the glucose is metabolized into carbon dioxide and water.
Term
Describe the "serious symptoms" of hypernatremia. What level of sodium in the blood would you see serious symptoms.
Definition
At 156 mM Na, you see headaches, hypotension, and fainting.
Term
What is the typical cause of hypernatremia?
Definition
lack of free water (dehydration)
Term
What age demographic typically has hypernatremia? What pathology is associated with hypernatremia?
Definition
Typically seen in the elderly and presence of severe diarrhea.
Term
At what sodium levels is a person considered hypernatremia
Definition
sodium greater than 146 mM
Term
Cause of hyponatremia, leadin to what at the cellular level?
Definition
Drinking excessive amounts of water, leading to dilution of ECF and decrease of sodium concentration within ECF, causin water to enter cells through osmosis.
Term
What is normal blood Na lvels? what is considered hyponatremia level? severe hyponatremia levels
Definition
  • normal = 136-145 mmol/L
  • hyponatremia = below 135
  • life threatening = below 120
Term
Symptoms associated with hyponatremia
Definition
  • headaches
  • seizures
  • coma
  • arrhythmia due to electrolyte imbalance
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