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HUN4221 test 3
Electrolytes
30
Health Care
Undergraduate 4
04/21/2009

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Cards

Term
Fluid
Definition
~60% of total body wt, 2/3 is intracellular, 1/3 is extracellular (plasma, interstitial fluid, lymph, transcellular fluid)
Term
Fluid adequate intake
Definition
3.7L for men, 2.7L for women,
Term
Fluid lost
Definition
urine-1400mL, sweat-100mL, feces-200mL, insensible losses-600mL, total 2.3L
Term
Electolytes
Definition
anions & cations in fluid, electrical neutrality always maintained, principal electrolytes: Na, K, Cl
Term
Na dietary sources
Definition
NaCl major form (40% Na, 60% Cl) accounts for 75% consumed, other sources: milk, eggs, meat, vegetables
Term
Na intake
Definition
salt intake influenced by salt appetite
Term
Na absorption
Definition
all Na is absorbed in small intestine
Term
Na control
Definition
high blood Na causes decresed aldosterone & renin, increased urine excretion, Hypothalamus releases ADH and causes increase thirst and fluid intake, and increased water reabsorption
Term
Noraml Na concentrations
Definition
Major extracellular cation, extracellular-142 mEq/L (~50%), intracellular 10 mEq/L (~10%), skeleton has other 40%
Term
Na functions
Definition
membrane transport (glucose symport), nerve cells, muscle cells, water balance
Term
Na deficiency
Definition
hyponatremia, plasma concentration <135 mEq/L, hypovolemia, lethargy, confusion, weakness
Term
Na deficiency etiology
Definition
diuretics, diseases causing renal tubule damage, Addison's disease, chronic vomitting/diarrhea
Term
Na toxicity
Definition
hypernatremia, plasma conc >150mEq/L, hypervolemia, hypertension, convulsions, delirium, coma
Term
Na toxicity etiology
Definition
dehydration, hyperaldosteronemia, renal failure
Term
Na AI
Definition
1500 mg/d 19-50 yo, 1300 mg/d 51-70 yo, 1200 mg/d 71+ yo
Term
Na UL
Definition
UL-2300 mg/d, avg American intake- 3100-4700 mg/d men & 2300-3100 mg/d
Term
K dietary sources
Definition
fruit, vegetables, food additives, KCl, water soluble (cooking losses)
Term
total body K
Definition
245g for ~70 kg adult, intracellular cation
Term
K AI
Definition
4.7 g/d
Term
Na/K ratios
Definition
Intracellular Na/K 1:10, extracellular Na/K 28:1
Term
K functions
Definition
Blood K+, blood pH & acid/base balance, protein & glycogen synthesis, membrane/action potential
Term
K deficiency
Definition
hypokalemia-rarely diet related, diuretic therapy, hyperaldosteronism, vomiting/diarrhea
Term
K toxicity
Definition
hyperkalemia, blood K+ >5 mmol/L, muscular coordination, cardiac arrest, impaired renal function, K+ supplementation, elderly
Term
Dehydration
Definition
fluid loss>fluid intake, moderate exercise 0.5-1.5 L/hr sweat loss, varies according to intensity of exercise & weather
Term
Dehydration symptoms
Definition
nausea, dizziness, heat stroke, lethargy, dark urine, heat exhaustion
Term
Dehydration progression
Definition
decreased blood flow->decreased blood flow to skin->slower sweating rate->increased core temp->increased HR, but decreased CO->premature fatigue->
Term
electrolyte loss
Definition
5g loss Na, 7 g loss Cl, .2-.8g loss K, generally lose more fluid than electrolyte during exercise
Term
fluid & electrolyte loss on performance
Definition
impairs exercise, decrease in power output & endurance levels, worse if fluid loss >2% BW, varies in climate
Term
Pre-exercise hydration
Definition
provide protection against heat stress by increase sweating minimizing core temp increase
Term
rehydration during exercise
Definition
increases blood flow to skin, results in more effective cooling
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