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Ch. 20: Fluid and Electrolyte Balance
Chapter Summary Points
51
Physiology
Graduate
10/02/2011

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Term
Fluid and Electrolyte Homeostasis:

What systems and behaviors control fluid and electrolyte balance?
Definition
Systems:
1)Renal System
2)Respiratory System
3)Cardiovascular System
Behaviors:
1)Drinking
Term
Fluid and Electrolyte Homeostasis:

Pulmonary and cardiovascular compensations are more (Blank) than renal compensation.
Definition
rapid
Term
Water Balance:

Where does most water intake come from?
Definition
Food and Drink.
Term
Water Balance:

The largest water loss is (Blank) in urine.
Definition
1.5 L/day
Term
Water Balance:

Give three additional means of water loss.
Definition
1) Lost through feces
2) Lost via evaporation from the skin
3) Lost via exhaled humidified air
Term
Water Balance:

Renal water reabsorption (Blank) water but cannot (Blank) water lost from the body.
Definition
1)Conserves
2)Restore
Term
Water Balance:

What must happen to produce dilute urine?
Definition
The nephron must reabsorb solute without reabsorbing water.
Term
Water Balance:

What must happen to produce highly concentrated urine?
Definition
The nephron must reabsorb water without reabsorbing solute.
Term
Water Balance:

Filtrate leaving the ascending limb of the Loop of Henle is (Blank).
Definition
Dilute.
Term
Water Balance:

The final concentration of urine depends on what?
Definition
The water permeability of the collecting duct.
Term
Water Balance:

Where does the hormone vasopressin originate?
Definition
The hypothalamus.
Term
Water Balance:

What does the hormone vasopressin do?
Definition
It controls collecting duct permeability to water in a graded fashion.
Term
Water Balance:

What is the level of water permeability when vasopressin is absent?
Definition
Water permeability is nearly zero.
Term
Water Balance:

What does vasopressin cause distal nephron cells to do?
Definition
It causes distal nephron cells to insert aquaporin water pores in their apical membrane.
Term
Water Balance:

Name to factors in the stimulation of vasopressin release from the posterior pituitary?
Definition
1) An increase in ECF osmolarity
2) A decrease in blood pressure.
Term
Water Balance:

Osmolarity is monitored by (Blank).
Definition
hypothalamic osmoreceptors
Term
Water Balance:

Blood pressure is sensed by receptors in the (Blank).
Definition
Carotid and Aortic bodies.
Term
Water Balance:

Blood volume is sensed by receptors in the (Blank).
Definition
Atria.
Term
Water Balance:

What is the function of the Loop of Henle?
Definition
It is a countercurrent multiplier that creates high osmolarity in the medullary interstitial fluid by actively transporting Na+, Cl-, and K+ out of the nephron.
Term
Water Balance:

What is the high medullary osmolarity necessary for in the Loop of Henle?
Definition
It's necessary for formation of concentrated urine as filtrate flows through the collecting duct.
Term
Water Balance:

What do the vasa recta capillaries do?
Definition
They carry away water leaving the nephron tubule so that the water does not dilute the medullary interstitium.
Term
Water Balance:

What does urea do?
Definition
Contributes to the high osmolarity in the renal medulla.
Term
Sodium Balance and ECF Volume:

The total amount of (Blank) in the body is a primary determinant of ECF volume.
Definition
Na+
Term
Sodium Balance and ECF Volume:

What does aldosterone do?
Definition
Increases Na+ reabsorption and K+ secretion
Term
Sodium Balance and ECF Volume:

What acts as the primary cells (P cells) of the distal nephron?
Definition
Aldosterone
Term
Sodium Balance and ECF Volume:

What does aldosterone enhance?
Definition
Na+-K+-ATPase activity
Term
Sodium Balance and ECF Volume:

What increases the open time of Na+ and K+ leak channels?
Definition
Aldosterone
Term
Sodium Balance and ECF Volume:

What stimulates the synthesis of new pumps and channels of the distal nephron?
Definition
Aldosterone.
Term
Sodium Balance and ECF Volume:

Aldosterone secretion can be controlled directly at (Blank).
Definition
The adrenal cortex.
Term
Sodium Balance and ECF Volume:

Increased ECF K+ (Blank) aldosterone secretion, but increased ECF osmolarity (Blank) it.
Definition
1) Stimulates
2) Inhibits
Term
Sodium Balance and ECF Volume:

What does angiotensin II do/
Definition
Stimulates aldosterone secretion.
Term
Sodium Balance and ECF Volume:

Describe the process for synthesizing angiontensin II.
Definition
Granular cells in the kidney secrete renin, which converts angiotensinogen in the blood to angiotensin I. Angiotensin-converting enzyme (ACE) converts angiotensin I into angiotensin II.
Term
Sodium Balance and ECF Volume:

The stimuli for the release of renin are related either directly or indirectly to (Blank).
Definition
Low blood pressure.
Term
Sodium Balance and ECF Volume:

The stimuli for the release of renin are related either directly or indirectly to (Blank).
Definition
Low blood pressure.
Term
Sodium Balance and ECF Volume:

Name the additional affects of angiotensin II that raise blood pressure.
Definition
1) Increased vasopressin secretion
2) Stimulation for thirst
3) Vasoconstriction
4) Activation of the cardiovascular control center
Term
Sodium Balance and ECF Volume:

Atrial Natriuretic Peptide and Brain Natriuretic Peptide do what?
Definition
Enhance Na+ excretion and urinary water loss by increasing GFR, inhibiting tubular reabsorption of NaCl, and inhibiting the release of renin, aldosterone, and vasopressin.
Term
Potassium Balance:

Potassium homeostasis keeps plasma K+ concentrations in a (Blank) range. (Blank 2x) cause problems with excitable tissues, especially the heart.
Definition
1) Narrow
2) Hyperkalemia and Hypokalemia
Term
Behavioral Mechanisms in Salt and and Water Balance:

What triggers thirst? What relieves it?
Definition
1) Hypothalamic osmoreceptors
2) Drinking
Term
Behavioral Mechanisms in Salt and and Water Balance:

Salt appetite is triggered by (Blank 2x)
Definition
1) Aldosterone
2) Angiotensin
Term
Integrated Control of Volume and Osmolarity:

Homeostatic compensations for changes in salt and water balance follow the (Blank).
Definition
Law of Mass Balance.
Term
Integrated Control of Volume and Osmolarity:

Fluid and solute added to the body must be (Blank). Fluid and solute lost from the body must be (Blank)
Definition
1) Removed.
2) Replaced.
Term
Acid-Base Balance:

pH affects (Blank).
Definition
intracellular proteins, such as enzymes and membrane channels.
Term
Acid-Base Balance:

The biggest challenges to body pH are:
Definition
1) Acid intake from foods
2) Acid production by the body's metabolic processes.
Term
Acid-Base Balance:

What is the the most significant source of acid, how so?
Definition
CO2 from respiration, because it combines with water to form carbonic acid (H2CO3 is converted to H+ (acidic) and HCO3-)
Term
Acid-Base Balance:

Name four ways the body copes with changes in pH.
Definition
1) using buffers
2) ventilation
3) renal secretion
4) reabsorption of H+ or HCO3-
Term
What is the most important extracellular buffer of the body, how so?
Definition
1) Bicarbonate produced from CO2
2) It buffers against organic acids produced by metabolism.
Term
Acid-Base Balance:

What does ventilation do regarding the acid-base balance, how so?
Definition
1) Corrects disturbances in the acid-base balance
2) Because changes in plasma CO2 affect both H+ content and the HCO3- content of the blood.
Term
Acid-Base Balance:

An increase in PCO2 (Blank) central chemoreceptors. An increase in plasma H+ (Blank) carotid and aortic chemoreceptors. Increased ventilation (Blank) CO2 and (Blank) plasma H+.
Definition
1) Stimulates
2) Stimulates
3) Excretes
4) Decreases
Term
Acid-Base Balance:

What occurs in acidosis?
Definition
1) The kidneys secrete H+
2) Reabsorbs HCO3-
Term
Acid-Base Balance:

What occurs in alkalosis?
Definition
1) The kidneys secrete HCO3-
2) Reabsorb H+
Term
Acid-Base Balance:

What for are intercalated discs in the collecting ducts responsible?
Definition
The fine regulation of acid-base balance.
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