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Chapter 27
Fluid, Electrolyte, Acid-Base Balance
23
Physiology
Undergraduate 2
02/28/2018

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Term
Fluid Balance
Definition
Daily balance between amount of water gained & amount of water lost to environment
Term
Electrolytes
Definition
ions released through dissociation of inorganic compounds, conduct electrical current in solution
Term
Acid-base balance
Definition
Balances production and loss of hydrogen ions
Term
Osmosis
Definition
diffusion of water from high to low concentration
Term
Diffusion
Definition
movement of solutes from high to low concentration
Term
Basic concepts in regulation of fluids and electrolytes
Definition
1. All homeostatic mechanisms that monitor & adjust body fluid composition respond to changes in ECF, not in ICF
2. No receptors directly monitor fluid or electrolyte balance
3. Cells cannot move water molecules by active transport
4. Body’s water or electrolyte content will rise if dietary gains exceed environmental losses, and will fall if losses exceed gains
Term
Antidiuretic hormone (ADH)
Definition
Stimulates water conservation at kidneys
Reducing urinary water loss, concentrating urine
Stimulates thirst center, promoting fluid intake
Term
Aldosterone
Definition
Secreted by suprarenal cortex in response to
Rising K+ or falling Na+ levels in blood
Activation of renin–angiotensin system
RAAS system is activated by drop in plasma volume or blood pressure at juxtaglomerurlar complex in nephron
Decline in filtrate osmotic concentration at DCT
Term
Natriuetic Peptides
Definition
ANP and BNP are released by cardiac muscle cells in response to abnormal stretching of heart walls-elevated blood pressure or increase in blood volume
Reduce thirst
Block release of ADH and aldosterone
Cause diuresis – fluid loss at kidneys
Lower blood pressure and plasma volume
Term
When the body loses water...
Definition
Plasma volume decreases
Electrolyte concentrations rise
Term
When the body loses electrolytes...
Definition
Water is lost by osmosis
Term
Net hydrostatic pressure
Definition
Pushes water out of plasma into interstitial fluid
Term
Net colloid osmotic pressure
Definition
Draws water out of interstitial fluid into plasma
Term
If ECF osmotic concentration increases...
Definition
Fluid becomes hypertonic to ICF, water moves from cells to ECF
Term
If ECF osmotic concentration decreases...
Definition
Fluid becomes hypotonic to ICF, water moves from ECF to cells
Term
Sodium (Na+)- dominant cation in ECF
Definition
Sodium salts provide 90% of ECF osmotic concentration
Sodium chloride (NaCl)
Sodium bicarbonate (NaHCO3)
Term
Potassium (K+)-
Definition
dominant cation in ICF
Term
Total amount of Na+ in ECF represents balance between 2 factors:
Definition
1. Na+ uptake across digestive epithelium
Enter through absorption, carrier-mediated transport
Rate depends on amount of Na+ in diet
2. Na+ excretion in urine and perspiration
Kidneys most important site of Na+ regulation
Eat too much, water follows, blood volume & pressure rises
Term
Hyponatremia
Definition
low salt
ECF Na+ concentration <136 mEq/L
Term
Hypernatremia
Definition
High salt
ECF Na+ concentration >145 mEq/L
Term
Factors in tubular secretion of K+ (excretion)
Definition
Changes in concentration of ECF:
Higher ECF concentration increases rate of secretion
Changes in pH:
Low ECF pH lowers peritubular fluid pH
H+ rather than K+ is exchanged for Na+ in tubular fluid
Rate of K+ secretion decreases
Aldosterone levels:
Affect K+ loss in urine
Ion pumps reabsorb Na+ from tubular fluid in exchange for K+ from peritubular fluid
High K+ plasma concentrations stimulate aldosterone
Term
Functions of Calcium ions
Definition
Muscular and neural activities
Blood clotting
Cofactors for enzymatic reactions
Second messengers
Term
Hormones and calcium homeostasis
Definition
1. Parathyroid hormone (PTH) and calcitriol
-Raise calcium concentrations in ECF
2. Calcitonin
-Opposes PTH and calcitriol- decreases [Ca2+]
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