Chapter 15 - Acid/base Balance Part 1 Flashcards

1
Q

Internal pool

A

The quality of any particular substance in the ECF
-input must balance the output

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2
Q

input

A

Ingestion, metabolic consumption
-substances into plasma is poorly controlled
-eating habits are variable

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3
Q

Output

A

Excretion, metabolic consumption
-compensatory adjustments usually occur on output side by urinary excretion

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4
Q

Positive balance vs negative balance

A

Positive balance- input exceeds output

Negative balance- output exceeds input

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5
Q

___ is the most abundant substance in the body

A

Water

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6
Q

ICF

A

Found inside cells

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7
Q

ECF

A

Found outside cells
-interstitial fluid or plasma

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8
Q

Body fluid

A

Extracellular 33p

Intracellular 67p

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9
Q

Extracellular

A

Interstitial fluid 75p

Plasma 25p

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10
Q

Minor ECF components

A

Lymph, transcellular fluid

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11
Q

Barrier between ECF and ICF

A

Cellular plasma membranes and blood vessels
-major differences between ECF and ICF

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12
Q

ECF serves as

A

An intermediary between the cells and external environment

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13
Q

The body looks after the ECF via

A

Kidney function
-volume
-osmolarity

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14
Q

ECF fluid volume affects

A

Blood pressure control

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15
Q

ECF fluid osmolarity affects

A

Cell volume
-shape

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16
Q

Maintains salt balance is very important in long term regulation of

A

ECF volume

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17
Q

Maintains water balance is very important in regulating

A

ECF osmolarity

18
Q

Salt input occurs by

A

Ingestion

19
Q

Salt balance is maintained by

A

Outputs in urine

20
Q

Kidneys aim to

A

Keep salt constant in ECF

21
Q

Adjust the amount of salt excreted by controlling

A

-glomerular filtration rate
-tubular reabsorption of sodium

22
Q

Long term regulation of ECF volume and blood pressure

A

Control volume by controlling Na

23
Q

ECF and ICF have same ___ despite…

A

Osmolarity, large chemical differences

24
Q

If fluid outside cell has same osmolarity

A

Isotonic

25
Q

If fluid outside cell has higher osmolarity

A

Hypertonic

26
Q

If fluid outside cell has lower osmolarity

A

Hypotonic

27
Q

What is accountable for the ECF’s osmotic activity

A

Sodium

28
Q

What is accountable for the ICF’s osmotic activity

A

K+

29
Q

Deficit of free water in ECF

A

Osmolarity becomes too hypertonic
-too concentrated
-dehydration

30
Q

Excess of free water in ECF

A

Osmolarity becomes hypotonic
-doo dilute
-overhydration

31
Q

Hypertonic it’s

A

Excessive concentration of ECF solutes
-cells tend to shrink

-excessive water loss, or insufficient water intake
-diabetes insipidus

32
Q

‘Symptoms of hypertonicity

A

-shrinking of brain neurons
-circulatory disturbances
-dry skin, sunken eyes, dry tongue

33
Q

hypotonicity

A

-usually excreted in urine
-cells tend to swell

-water rapidly digested, kidneys can’t respond quick enough

34
Q

Hypotonicity symptoms

A

-swelling of brain cells
-weakness
-circulatory disturbances
-excess free water = water intoxication

35
Q

Output insensible loss

A

Lungs, non sweating skin

36
Q

Output sensible loss

A

Sweating, feces, urine excretion
-aware of but not neccesarily controlled

37
Q

Where is vasopressin produced

A

Heurosecretroy neuronal cell bodies in hypothalamus

38
Q

Where is vasopressin released

A

Neuronal terminals in posterior pituitary

39
Q

Hypothalamic osmoreceptors

A

Located near vasopressin secreting cells and thirst centre

40
Q

Osmolarity increases (hypertonic ECF)

A

Increased vasopressin secretion and thirst stimulated

41
Q

Osmolarity decrease (hypotonic ECF)

A

Vasopressin secretion decreased and thirst suppressed