Physiology - Body Fluid Compartments Flashcards

1
Q

what is osmolarity?

A

the concentration of osmotically active particles in a solution

mosmol/l

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2
Q

how do you calculate osmolarity?

A

molar concentration of a solution x the number of osmotically active particles in the solution

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3
Q

what are the units of osmolality?

A

osmol/kg of water

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4
Q

what is the osmolarity of body fluids?

A

around 300 mosmol/l

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5
Q

what is tonicity?

A

the effect a solution has on cell volume

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6
Q

what are the three tonicities a solution can have?

A

hypotonic
hypertonic
isotonic

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7
Q

what does hypotonic mean?

A

causes the cell to swell

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8
Q

what does hypertonic mean?

A

causes the cell to shrink

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9
Q

what does isotonic mean?

A

has no effect on cell volume

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10
Q

what two compartments make up TBW?

A

ICF (66%)

ECF (33%)

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11
Q

what is ECF made of?

A

plasma
interstitial fluid
lymph
transcellular fluid

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12
Q

how can body fluid compartments volumes be measured?

A

using tracers

obtain their volume of distribution

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13
Q

what tracer is used to measure TBW volume?

A

3H2O

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14
Q

what tracer is used to measure ECF volume?

A

inulin

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15
Q

what tracer is used to measure plasma volume?

A

labelled albumin

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16
Q

what is the equation for measuring the volume of distribution of a tracer?

A

V = dose of tracer (D)/sample concentration (C)

17
Q

what does water imbalance cause?

A

fluid shifts between the ICF and ECF by osmosis

18
Q

what are the main ions in the ICF?

A

potassium

19
Q

what are the main ions in the ECF?

A

sodium
chloride
bicarbonate

20
Q

what separates interstitial fluid from the intracellular fluid?

A

plasma membranes

21
Q

what separates plasma from the interstitial fluid?

A

the wall of the vasculature

22
Q

what is the major determinant of plasma osmolarity?

A

sodium

23
Q

how can you estimate plasma osmolarity?

A

double the plasma sodium ion concentration

24
Q

what are the osmolarities of the ECF and ICF?

A

botha round 300 mosmol/l

25
Q

what is a fluid shift?

A

the movement of water between the ICF and the ECF in response to an osmotic gradient

26
Q

what happens when there is a gain/loss of water?

A

ICF and ECF volumes change

27
Q

what happens to the ECF and ICF volumes if the ECF gains NaCl?

A

ECF increases

ICF decreases

28
Q

what happens to the ECF and ICF volumes if the ECF loses NaCl?

A

ECF decreases

ICF increases

29
Q

what happens if an isotonic fluid is gained or lost?

A

change occurs in the ECF fluid volume only

30
Q

what organ controls the composition and volume of the ECF?

A

the kidneys

31
Q

what is an electrolyte?

A

any substance that dissociates into free ions when dissolved

e.g. NaCl

32
Q

how is most sodium input achieved?

A

through the diet

33
Q

how is most sodium output achieved?

A

urine