Flashcards in Citroni Tutorial #3 Deck (25):
What is SIRS stand for?
systemic inflammatory response syndrome
what happens in SIRS?
fenetrations in the intravascular compartment get larger, too much Na+ in ECF
where does H20 go in the compartments?
EVERYWHERE (all 3)
What is the 3rd space?
what holds water in the ECF?
what holds water in the intracellular compartment?
what does Na/K+ pump do to intracellular and ECF?
makes a concentration gradient
is ECF usually measured?
only in pathology, etc. ascites
what holds fluid in the intravascular compartment?
conc. of K+ intracellular?
conc. of K+ intravascularly?
conditions where you get hypervolaemia?
Heart and liver failure
what happens in isovolaemia?
increased H20, normal Na+
what conditions cause isovolaemia?
what can severe hyponatraemia cause?
2 causes of hypovolaemia?
why do you not give 5% dextrose after surgery?
due to SAADH, would cause H20 toxicity
How to correct acute Hyponatraemia?
quickly up to symptom relief (no seizures around 115-120), then go slow up to 140
side effect of overcorrection of hypoNa+?
central pontine myelosis
how slow to correct chronic hypo-natraemia?
is normal saline normal? why?
Nope: 150mmol/L of Cl when physiological is (95-105)
Diabetes insipidus urine output can be?
how does ADH work?
aquaporins translocate to collecting ducts, absorbs water
specific gravity of someone with D.I.?