chapter 27 Flashcards
fluid
- definition
- 2 types
- water
- extracellular fluid
- intracellular fluid
- extracellular fluid
extracellular fluid
blood plasma, interstitial fluid, other
intracellular fluid
cytosol (within cells)
eletrolyte
- definition
- most important
inorganic compounds that dissociate in solution to form ions
-sodium
electrolyte: sodium
- most abundant where
- function
- in the CSF
- main contributor to osmolarity of blood
2 factors that must be controlled
- fluid balance
2. electrolyte balance
fluid balance
- water gained=
- normal blood vol
- water lost
- ~5 L
electrolyte balance
- electrolytes in =
- normal blood osmolarity
- electrolytes out
- 300 mOsm/L
how do you gain water?
-lose?
- food, beverage and metabolism
- urine, feces, sweat and breathing
application: suppose you eat an extra large jumbo tub of movie popcorn with extra salt and butter
- blood osmolarity will
- blood vol will
- how does the body detect these changes?
- increase
- not change
- osmoreceptors in hypothalamus will sense an increase in blood osmolarity (sense of an increase in the concentration of Na+ of blood)
application: suppose you eat an extra large jumbo tub of movie popcorn with extra salt and butter
- how does the body respond to these changes?
- effect
- increasing secretion of antidiuretic hormone
- decrease secretion of aldosterone
- restore osmolarity of blood by increasing retention of H2O and decreasing reabsorption of sodium; kidneys produce small vol of concentrated urine
increasing secretion of antidiuretic hormone effects
- increase thirst (consume liquids)
2. decrease water loss at kidneys
decreasing secretion of aldosterone effects
decreases Na+ reabsorption in kidney
application: suppose you drink a very large volume of water
- blood osmolarity will
- blood volume will
- how does the body detect these changes
- decrease
- increase
- osmoreceptors detect a decrease in the concentration of Na+ of the blood
application: suppose you drink a very large volume of water
- how does the body respond to these changes?
- secretion of ADH will decrease
- secretion of aldosterone will increase
- kidneys produce a large vol of dilute urine
decreasing secretion of ADH efects
- decreases water reabsorption in DCT and CD
- decreases thirst
increasing secretion of aldosterone effects
increases sodium reabsorption
application: suppose you consume a large vol of an isotonic solution
- blood osmolarity will
- blood vol will
- how does the body detect these changes
- not change
- increase
- baroreceptors will detect an increase in BP because of an increase in blood vol
application: suppose you consume a large vol of an isotonic solution
- how does the body respond to these changes
secretion of atrial natriuretic peptide will increase
increasing secretion of ANP causes
-effects
- ADH secretion to decrease
- aldosterone secretion to decrease
- kidneys will produce increased vol of urine with and increased Na+ content
application: suppose you are in a very severe car accident and are suffering from excessive blood loss
- blood osmolarity will
- blood vol will
- how does the body detect these changes
- not change
- decrease
- as blood vol decreases, BP declines
application: suppose you are in a very severe car accident and are suffering from excessive blood loss
- how does the body respond to these changes?
- increase in ADH release
- increase renin secretion
- both work to return blood vol and pressure to normal
increasing renin secretion =
increase in angiotensin II activation
angiotensin II activation
-3
- increases aldosterone release which increase Na+ retention in the kidneys because water follows salt and water will be retained
- causes vasocontriction = increased BP
- promotes release of ADH