Intestinal Fluid and Electrolytes Flashcards

1
Q

How much fluid comes into the GI tract in food?

A

2.0 L

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2
Q

How much fluid is secreted into the GI tract per day?

A

6.5 L

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3
Q

How much fluid is reabsorbed from the GI tract per day?

A

6.5 L

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4
Q

Has a large surface area (villi) and functions mostly in electrolyte and nutrient absorption

A

Small intestine

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5
Q

In the small intestine, there is no secretion of

A

K+

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6
Q

Has a small surface area with no villi and functions in electrolyte and water reabsorption

A

Large intestine

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7
Q

Secreted into the large intestine via aldosterone

A

K+

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8
Q

There is no nutrient absorption in the

A

Large intestine

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9
Q

During a meal, the villous epithelial cells in the small\ intestine are responsible for absorbing most of the

A

Na+

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10
Q

Are absorbed passively in the villi of the small intestine

A

Cl- and K+

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11
Q

The primary mechanism of NaCl absorption during the interdigestive period

A

Parallel Na-H and Cl-HCO3 exchange

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12
Q

The villous epithelial cells in the ileum and the surface epithelial cells in the colon are responsible for absorbing most of the

A

NaCl

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13
Q

This occurs via an

A

Electroneutral mechanism

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14
Q

Here carbonic anhydrase (CA) generates intracellular carbonic acid, which splits into H+ and HCO3- and drives the

A

Exchange process

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15
Q

Electroneutral NaCl absorption is inhibited by intracellular increases in

A

cAMP, cGMP, and Ca2+

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16
Q

Electrogenic Na+ absorption occurs in the

A

Small intestine

17
Q

Increase Na+ absoprtion in the colon as they do in the collecting duct

A

Mineralocorticoids (aldosterone)

18
Q

Occurs in the crypts of both the small and large intestine

A

Electrogenic Cl- secretion

19
Q

This chloride is secreted through

A

CFTR

20
Q

Believed to occur mainly in the crypts rather than in either the epithelial cells of the villus or surface cells of the colon

A

Cl- secretion

21
Q

Normal basal Cl- secretion is low and insignificant compared to

A

Cl- absorption

22
Q

Bacterial toxins and hormones can act on

A

Cl- secretion/absorption

23
Q

What are the two major types of diarrhea?

A
  1. ) Osmotic

2. ) Secretory

24
Q

A nonabsorbable substance draws water and electrolytes into the gut lumen in

A

Osmotic diarrhea

25
Q

An example of osmotic diarrhea is

A

Lactose intolerance

26
Q

Electrolytes and fluid are actively secreted into the gut in

A

Secretory diarrhea

27
Q

A classic cause of secretory diarrhea is

A

Cholera

28
Q

Traveler’s Diarrhea is due to E. coli enterotoxigenic strains carrying a toxin related to

A

Cholera Toxin

29
Q

Electrogenic Na+ absorption occurs in the large intestine and enhanced by

A

Aldosterone

30
Q

Occurs mainly in the crypts rather on the surface epithelium

A

Cl- secretion

31
Q

In osmotic diarrhea, a non absorbable substance like lactose draws water and electrolytes into the

A

Gut lumen

32
Q

In secretory diarrhea, electrolytes and fluid are actively secreted into the gut due to a

A

Toxin