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water, sodium, and potassium balance
Fluid and electrolyte homeostasis
30
Physiology
Undergraduate 2
03/04/2016

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Term
in a day we ingest how much fluid and NaCl?
Definition
2 liters of fluid6-15 grams of NaCl
Term
water and Na+ are associated with?
Definition
ECF volume and osmolarity
Term
ECF osmolarity decreases? increases?
Definition
water in cell (swell)
Water out cell (shrink)
Term
low blood pressure stimulates...
Definition
thirst
Term
sympathetic pathways from the cardiovascular system affects...
Definition
cardiac output, vasoconstriction, glomerular filtration and kidneys hormone release
Term
most water loss in the body is from?
Definition
urine 1.5 liters
feces 100ml
Term
insensible water loss
Definition
not aware of, across skin surface and through exhalation of humidified air (900ml)
Term
response to decreased blood pressure..
Definition
volume receptors in atria and carotid and aortic baroreceptors cause kidneys to conserve water, behavior: increase thirst which increase ICF and ECF, and increase cardiac output (vasoconstriction)this all increases the blood pressure!
Term
response to increased blood pressure
Definition
volume receptors in atria, endocrine cells in atria, and carotid and aortic baroreceptors trigger kidneys to excrete salts and water in urine which decreases ICF and ECF volume, and cardiovascular system decreases cardiac output and cause vasodilation
Term
kidneys cannot restore lost volume
Definition
they only conserve fluid
Term
concentration or osmolarity of urine is a measure of
Definition
how much water is excreted by the kidneys
Term
diuresis?
Definition
removal of excess water in urine (drugs that promote=diuretics)
Term
If the kidneys need to conserve water
Definition
urine becomes quite concentrated
Term
how is water reabsorbed in the kidneys
Definition
osmosis through water pores
Term
renal medulla maintains high osmotic concentration in its cell and interstitial fluid this allows
Definition
urine to become concentrated as it flows through the collecting duct
Term
fluid passing through the descending limb of loop loses water to the
Definition
interstitium
Term
vasopressin
Definition
cause body to retain water (water pores) also known as antidiuretic hormone (ADH)
Term
the collecting duct is impermeable to water without..
Definition
vasopressin
Term
water pores (aquaporins)= 10 isoforms, AQP2 in a collecting duct call may be found in what 2 places?
Definition
1) on the apical membrane facing the tubule lumen
2) in the membrane of cytoplasmic storage vesicles
Term
what happens when vasopressin binds to membrane receptor
Definition
receptor activates cAMP second messenger system, cell inserts AQP2 water pores into apical membrane, water is then absorbed by osmosis
Term
stimuli that control vasopressin release?
Definition
increase in plasmas osmolarity, blood volume/pressure
Term
primary osmoreceptor for vasopressin release are in the
Definition
hypothalamus (plasma osmolarity abive 280,stimulate vasopressin)
Term
in the night during sleep
Definition
vasopressin increases and first pee in the am is more concentrated
Term
solutes concentrate in the interstitium, this is aided by
Definition
active transport of solutes out of the ascending limb of the loop of henle, which makes the ECF osmolarity even greater
Term
countercurrent exchange system
countercurrent multiplier
Definition
aterial and venous blood systems pass closely to one another (fluid move opposite) when this exchange is enhanced by active transport of solutes is called multiplier
Term
renal countercurrent multipliers two components?
Definition
1) loop of Henle that leaves the cortex
2) peritublar capillaries (vasta recta)
Term
blood flow in vasa recta moves in the opposite direction from
Definition
filtrate flow in the loop on Henle
Term
you would have to add ____ liters of water for ___ liter of ECF volume to compensate for _________
Definition
0.1
1
addition of Na+
Term
addition of NaCl to the body raises
Definition
osmolarity (vasopressin: conserve water and concentrate urine; thirst)
Term
aldosterone and decrease blood pressure
Definition
aldosterone combines with cytoplasmic receptor, make new protein channels and pumps (P cells in collecting duct), increased Na+ reabsorption and K+ secreation
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