physiology 5 Flashcards

1
Q

TBW is higher in

A

males, lean ppl, and children (ecf/icf IS HIGH)

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2
Q

60% of the male body is fluid, which is more ICF or ECF?

A

2/3 ICF, 1/3 ECF

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3
Q

the percentage of ECF that’s intersitital fluid and plasma

A

80% interstitial, 20% plasma

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4
Q

how much is 60% of water equal to? In a 70kg male

A

42L

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5
Q

Whats the major cation in ICF and whats the major anion

A

Major cation: K . Major anion HPO4

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6
Q

major cation in ECF

A

Na

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7
Q

Major anion in ECF

A

Cl

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8
Q

3/4 of the ECF is

A

interstitial fluid

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9
Q

whats transcellular fluid and is it part of the ICF or ECF

A

part of the ECF, lymph, CSF, SYNOVIVAL, SERIOUS FLUID

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10
Q

plasma has ____mmol of Na

A

140-145

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11
Q

INTERSITIAL fluid has ________mmol of Na

A

145

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12
Q

intraceullar fluid has ________mmol of K

A

140

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13
Q

Food contains _____amount of water

A

700mL

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14
Q

metabolism provides ______amount of water

A

200

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15
Q

Drinking per day should be _______

A

1600 mL

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16
Q

how much water is lost in stool?

A

100

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17
Q

How much water is lost in sweat

A

100

18
Q

how much water is lost insensibly (lung and skin)

A

800

19
Q

How much water is lost through urine?

A

1500

20
Q

Fluid intake is regulated by

A

thirst center

21
Q

urin evolume is regulated by

A

ADH

22
Q

Thirst and ADH secreteion are controlled by centers in the hypothalamus, when are they stimulated?

A

increase in plasma osmolarity, reduction in plasma volume

23
Q

When is ADH secreted and when is angiotensin 2 secreted?

A

increase plasma osmolatiry –> ADH, decrease plasma volume –> angiotensin, but its also important to note that Angio2 also causes a relase in ADH :D

24
Q

List high risk groups of electrolyte imbalance?

A
– Children and old people.
– Surgical patients.
– Patients with pre-existing disease:
• Renal.
• Cardiovascular.
• Gastrointestinal.
25
Q

abnormal fluid in interstitial spaces.

A

edema

26
Q

State examples for Effectivevolumedepletion

A

edema, heart failuree

27
Q

internal sequestration

A

ascities, ppleural effusion

28
Q

symptoms of hypovolemia

A

– Thirst,posturaldizziness,weakness.

29
Q

7% volume loss is considered to be

A

moderate

30
Q

more abnormal skin turgor

A

hypernatremia dehydration

31
Q

falsely normal skin turgor

A

hyponatremic dehyration

32
Q

water intoxication can cause convulsion, coma and death, that can be presented in

A

hyponatremic dehyration

33
Q

primary renal sodium retention

A

– Glomerulonephritis.

– Acuterenalfailure.

34
Q

Hormone excess:

A

– Conn’ssyndrome(moreAldosteronesecretion).
– Cushing’ssyndrome(HighlevelofCortisol).
– SIADH(syndromeofinappropriateantidiuretichormone).

35
Q

Reducedoncoticpressure

A

nephrotic syndrome

36
Q

combined abnormality in starling forces

A

cirrhosis

37
Q

LVF, RVF, constrictive pericarditis,

vena caval or portal vein obstruction are all examples offffff

A

increased hydrostatic venous pressure

38
Q
Symptoms:
– Weight gain.
– Breathlessness.
– Abdominal or ankle swelling. – Increased urinary output.
• Signs:
– Full, bounding pulse.
– Hypertension.
– RVF (oedema, increase JVP, enlarged liver) and LVF. – Peripheral oedema, pleural effusions and ascites.
A

hypervolemia

39
Q

list 4 causes of edema

A
  1. Increased capillary hydrostatic pressure.
  2. Increased capillary membrane permeability.
  3. Decreased capillary oncotic pressure.
  4. Lymphatic obstruction.
40
Q

Salt or water retention causes __________, list examples

A

increased hydrostatic pressure. – Congestiveheartfailure. – Renalfailure.
– Pregnancy.

41
Q

increased capillary permeability

A

– Inflammation.

– Immune responses. – Burns.

42
Q

filaria, surgical removal of LN are all examples of

A

lymphatic obstruction