Osmolality Flashcards

0
Q

Unit for osmolality

A

Osmoles per kilogram of water

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1
Q

What is a colligative property?

A

Property of solution influenced by the number of molecules and not the individual identity of the molecule

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3
Q

Normal values for serum osmolality

A

275-295 mmol/kg

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4
Q

What organ regulates the osmolality level inside the body ( be specific)

A

Hypothalamus

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5
Q

How does the body regulate the osmolality level

A

Thirst or secretion of anti diuretic hormone (ADH)

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6
Q

In healthy patients, what is the expected result of measured osmolality vs calculated osmolality?

A

Measured osmolality = Calculated osmolality

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7
Q

4 types of colligative property?

A

Boiling point, freezing point, vapor pressure and osmotic pressure

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10
Q

Effect of ingestion of water to osmolality

A

Osmolality will decrease

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11
Q

Method utilized to measure the dissolved particles in the solution

A

Osmometry

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12
Q

What is osmolal gap?

A

Represents the difference between the measured and calculated osmolality

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13
Q

Types of osmometry ( give 3)

A
  1. Serum and urine osmolality
  2. Freezing point depression osmometry
  3. Vapor pressure depression osmometry
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14
Q

Type of osmometry useful in assessing electrolyte disorder and acid base status

A

Serum and urine osmolality

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16
Q

The result of osmolality levels when ADH is produced inside the body

A

Increased levels of osmolality due to the water retention action of ADH

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17
Q

Type of osmometry wherein the evaporation of the water is decreased due to the presence of solute particles in the solution

A

Vapor pressure osmometry

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18
Q

Normal value for osmolal gap

A

Should be less than 15

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19
Q

Relationship of decrease in temperature and the number of particles in the solution present

A

Directly proportional

20
Q

In vapor pressure osmometry, what is the relationship between the osmolality of a solution and the vapor pressure?

A

Inversely proportional ( pag mataas ang vapor pressure, low ang osmolality)

21
Q

Reasons for osmolal gap (give 3 reasons)

A
  1. Excess production of Beta hydroxybutarate
  2. Ingestion of toxins (ethylene glycol)
  3. Ingestion of large amounts of alcohol
22
Q

Unit for serum osmolality?

A

millimoles per kilogram ( mOsm/kg)

24
Q

Major molecules measured by serum and urine osmolality?

A

Sodium, Chlorine , Urea and Glucose

25
Q

Particles in a solution cause the freezing point of pure water to be decreased.

A

Freezing point depression osmometry

27
Q

What is osmolality?

A

Number of dissolved particles in a solution

30
Q

Formulas used to calculate osmolality (give 2)

A

1.86Na + glucose/18 + BUN/2.8 + 9 = mOsm/kg

2Na + glucose/20+ BUN/3.0 = mOsm/kg