Chapter 24 Flashcards

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0
Q

A person is in a state of fluid balance when daily gains and losses are equal

The gains come from two sources one is metabolic water which is ___________ Per day?

The other is performed water including ingested food Which is ________ per day and drink Which is _________ Per day?

A

Metabolic water 200 mL per day
Food 700 mL per day
Drink 1600 mL per day

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1
Q

Body water is distributed among certain fluid compartments. The 5 major fluid compartments are?

A
65% Intracellular fluid ICF and
35% Extracellular fluid Subdivided into
     25% tissue (Interstitial) fluid
     8% blood plasma and Lymph
     2% transcellular fluid (CSF, synovial, serous, humors, etc.)
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2
Q

The routes of water loss per day are:

Urine?
Cutaneous transpiration?
Breath?
Feces?
Sweat?
A
Urine 1500 mL per day
Cutaneous transpiration 400 mL per day
Breath 300 mL per day
Feces 200 mL per day
Sweat 100 mL per day
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3
Q

Regulation of output –The only way to control water output significantly is through variations in Urine volume

The kidneys only support existing _________ _________ And _________ The rate of water loss.

A

Fluid levels

Slow

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4
Q

What are changes in urine volume linked to?

A

They are linked to an adjustment in sodium reabsorption

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5
Q

What stimulates the collecting ducts to synthesize Aquaporins which allow the kidneys to reabsorb more water and produce less urine?

A

ADH

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6
Q

What is it called when proportionate amounts of water and sodium are lost without replacement?

A

Volume depletion (hypovolemia)

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7
Q

This occurs when the body eliminates significantly more water than sodium, so the ECF osmolarity rises?

A

Dehydration

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8
Q

What is it called when both sodium and water are retained?

A

Volume excess

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9
Q

What is it called when more water than sodium is retained or ingested?

A

Hypotonic hydration

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10
Q

These are charged particles that are chemically reactive, Participate in metabolism, determine electrical potential across cell membranes and affect the osmolarity of the body fluids, etc.?

A

Electrolytes

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11
Q

Salts or individual ions are?

A

Electrolytes

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12
Q

The major cations are?

A

Sodium, potassium, calcium, hydrogen

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13
Q

The anions are?

A

Chloride, bicarbonate ion, phosphate

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14
Q

What is the principle cation in the ECF?

A

Sodium

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15
Q

What is the solute that determines total body water and distribution of water?

A

Sodium

16
Q

Sodium produces resting membrane potential and _________ __________ For nerves and muscles, used in cotransport, and buffers pH of _______.

A

Action potential

ECF

17
Q

When you maintain correct amount of sodium in blood with hormones this is called?

A

Homeostasis

18
Q

Hyponatremia stimulates _________ _____________ Which stimulate synthesis of _________ Pumps in the kidneys?

A

Aldosterone secretion

Na+-K+

19
Q

ADH changes sodium concentration by?

A

Stimulating more water reabsorption in the kidneys

20
Q

_____ And______ Inhibit sodium and water reabsorption in the kidneys?

A

ANP

BNP

21
Q

Can be caused from the administration of IV saline?

A

Hypernatremia

22
Q

Can be caused from excess water intake?

A

Hyponatremia