Week 10 Flashcards

Fluid, electrolyte, and acid-base balance

1
Q

Blood composition depends on what (3) factors?

A
  1. diet
  2. cellular metabolism
  3. urine output
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2
Q

Kidneys have (4) roles in maintaining blood composition?

A
  1. Excretion of nitrogen-containing wastes
  2. Maintaining water balance of the blood
  3. Maintaining electrolyte balance of the blood
  4. Ensuring proper blood pH
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3
Q

Solutes in the body include electrolytes such as (3):

A
  • sodium
  • potassium
  • calcium ions
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4
Q

Water follow sodium most effectively, true or false?

A

True

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5
Q

Osmoreceptors react to small changes in blood composition by becoming more ________?

A

active

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6
Q

Osmoreceptors are in charge of the _______ mechanism

A

thirst

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7
Q

The water in saliva comes from ____________?

A

The blood

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8
Q

Where are osmoreceptors located?

A

hypothalamus

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9
Q

(4) Sources of water output?

A

– Lungs
– Perspiration
– Feces
– Urine

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10
Q

___________________ prevents excessive
water loss in the urine and increases water reabsorption

A

Antidiuretic hormone (ADH)

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11
Q

Diabetes insipidus results when ADH is not released which leads to (2)?

A
  • Severe dehydration
  • Electrolyte imbalances
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12
Q

In diabetes insipidus, does this lead to low or high specific gravity?

A

Low specific gravity

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13
Q

___________ work by neutralizing the effects of hydrogen ions

A

Buffers

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14
Q

_______ compounds of a positively charged ion bound to a negatively charged ion

A

Salts

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15
Q

______are proton givers

A

Acids

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16
Q

_______ are proton acceptor

A

bases

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17
Q

____ is measure of hydrogen concentration

A

pH

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18
Q

_________ are a combination of a weak acid and weak base to resist changes in pH

A

buffers

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19
Q

___________ dissociate completely and liberate all of their H+ in water

A

Strong acids

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20
Q

E.g. of strong acid

21
Q

______________ dissociate only partially such as carbonic acid

A

Weak acids

22
Q

_______________ dissociate easily in water and sponge up H+

A

Strong bases

23
Q

_____________ such as bicarbonate ion and
ammonia, are slower to accept H+

A

Weak bases

24
Q

E.g. of a strong base?

A

Hydroxide OH-

25
H⁺ don’t exist as individual particles, instead they combine with some water molecules to produce?
hydronium ions (H₃O⁺) -> Acidic solution
26
Neutralizing reaction is: strong acid + strong base = ___________
water + salt
27
Blood/fluid pH is?
7.35-7.45 pH
28
Body has (2) types of buffers?
- Physiological - Chemical buffers
29
Do buffers neutralize acids or bases?
No - because buffers use weak acids and bases
30
What type of buffer is immediate?
Chemical buffers
31
What type of buffer controls the elimination of CO2?
Respiratory system buffers - (CO2 is a source of acid)
32
What type of buffer eliminates H+ and reabsorbs and generates bicarbonate ions?
Renal system buffers
33
What type of buffer combines excess acids or bases to prevent changes in pH?
Chemical buffers
34
e.g. of weak acid?
Carbonic acid
35
Bicarbonate system is a mixture of (2)
carbonic acid (H2CO3) and sodium bicarbonate (NaHCO3)
36
K+ shifts more pronounced in __________________?
metabolic acidosis
37
____________ are the largest buffer system in the body
Proteins
38
(2) body protein buffer examples?
albumin and plasma globulins
39
___________ can function as acids or bases (amphoteric)
proteins
40
The _______________________________ system is a process that occurs when hydrogen ions are exchanged for potassium ions across the cell membrane
transcellular hydrogen-potassium exchange
41
In the respiratory system _______levels in our blood is the same as acid levels in our blood
CO2
42
In the respiratory system, _______________ sense changes in the PaCO2 (partial pressure of CO2) and pH of the blood and alter ventilatory rate
Chemoreceptors
43
If you increase your respiratory rate you "blow off" CO2 (acid) therefore decreasing your CO2 (acid) this gives you ___________?
Alkalosis
44
If you decrease your respiratory rate you retain CO2 (acid) therefore increasing your CO2 (acid) this gives you ______________?
Acidosis
45
_____________ disorders result from the addition or loss of excess acid or alkali
metabolic
46
______________ disorders reflects an increase or decrease in alveolar ventilation
Repiratory
47
Does acidosis or alkalosis cause the symptoms of confusion, disorientation, coma?
Acidosis
48
Does acidosis or alkalosis cause the symptoms of causing spasms, convulsions, and respiratory paralysis?
Alkalosis