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Renal 1
Renal
21
Physiology
Undergraduate 4
11/15/2016

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Term
What is the average total body water of an animal
Definition
60%
Term
What are the main pathways for water movement? (3)
Definition
Diffusion across lipid bilayers

Aquaporins (kidneys, intestines)

Pores/intercellular gaps (glomerulus)
Term
What is osmotic pressure?
Definition
The hydrostatic pressure required to oppose the movement of water across a membrane, down a concentration gradient.
Term
What is osmotic gradient?
Definition
The difference in concentration of solutes on either side of a mmb
Term
What is osmolarity?
Definition
The concentration of solutes that are exerting osmotic force in a solution
Term
What is the osmolar gap?
Definition
The difference between osmolarity (calculated mmol/L of water) and osmolality (measured mmol/kg of water).
Term
If the osmolar gap is elevated, what does this mean?
Definition
toxin likely present in the blood
Term
What is the difference between osmolarity and tonicity?
Definition
Osmolarity = [%] of ALL solutes in solution

Tonicity = only considers osmotically active solutes (ones which cannot readily cross membranes, and therefore influence water movement)
Term
What are starling forces?
Definition
forces that cause net fluid movement across capillary membranes

Hydrostatic Pressure
Oncotic pressure
Term
If an animal has low protein levels in their blood, will fluid move into the interstitial space, or in to the blood vessels? What does this lead to?
Definition
in to the interstitial space (won't have enough oncotic pressure to keep the water in)

results in edema!
Term
What is the major ion that determines fluid balance in the ECF?
Definition
sodium
Term
What is the major ion that determines fluid balance in the ICF?
Definition
potassium
Term
When it comes to short-term regulation of body fluids, what 'compartment' does this take place in?
Definition
Extracellular Fluid
Term
what is the primary determinant of water requirements?
Definition
caloric intake

1ml/kCal
Term
Increased total plasma protein indicates...
Definition
dehydration
Term
What causes are more profound decrease in blood volume, loss of water, or loss of water and ions?
Definition
Water + Ions

The difference between ECF and ICF ion concentration isn't significant enough to draw both water and ions from the ICF to ECF. Ion concentration equilibrium is restored without restoring blood volume, so blood volume is reduced overall and hypovolemia will result
Term
What is balanced/unbalanced fluid therapy?
Definition
Balanced = composition of fluid mimics ECF composition

Unbalanced = not similar to ECF
Term
What is the difference between crystalloids and colloids in fluid therapy?
Definition
Crystalloids are solutions that contain electrolyte and non-electrolytes, which can enter all body fluid compartments.

Colloids are substances with larger molecular weight, which are restricted to the plasma compartment
Term
What does an isotonic solution do to ECF/ICF?
Definition
increases ECF volume, but has no osmotic effect to move fluid to the ICF
Term
What does a hypotonic solution do to ECF/ICF?
Definition
Will dilute the ECF (decrease osmolality), driving more fluid in to the ICF. This increase volume of ECF and ICF
Term
What does a hypertonic solution do to ECF/ICF?
Definition
Increases ECF osmolality, drawing fluid from the ICF to the ECF
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