What is the average daily water intake for adults?
Approximately 2,500 ml/day.
What is generally true about the osmolarity of body fluids?
All body fluids have the same osmolarity.
1/249
p.3
Fluid Regulation and Daily Intake/Output

What is the average daily water intake for adults?

Approximately 2,500 ml/day.

p.29
Ionic Composition of Body Fluids

What is generally true about the osmolarity of body fluids?

All body fluids have the same osmolarity.

p.52
Extracellular and Intracellular Edema

What condition is often referred to as lymphedema?

Failure of the lymphatics to return fluid from the interstitium back into the blood.

p.24
Fluid Regulation and Daily Intake/Output

What is the daily intake of NaCl?

10.5 g/d.

p.23
Ionic Composition of Body Fluids

How does the ionic composition differ between intracellular and extracellular fluids?

Intracellular fluid has high potassium and phosphate, while extracellular fluid has high sodium and chloride.

p.55
Extracellular and Intracellular Edema

What is one cause of decreased plasma proteins related to urine?

Loss of proteins in urine (nephrotic syndrome).

p.14
Fluid Pressures and Starling’s Law

What is the primary pressure that drives fluid out of the capillaries?

Hydrostatic pressure.

p.6
Physiological Variations in Body Water

How does the percentage of water in the body vary with age?

It decreases with age; infants have about 75-78% water.

p.31
Fluid Regulation and Daily Intake/Output

Why might individuals with hypertension not develop edema despite high systemic blood pressure?

Hypertension can elevate systemic blood pressure without causing significant changes in capillary hydrostatic pressure in peripheral tissues.

p.15
Fluid Regulation and Daily Intake/Output

How do kidneys influence extracellular fluid volume?

By adjusting the excretion of water and electrolytes.

p.70
Measurement of Body Fluid Volumes

What are the characteristics of a suitable tracer for measuring body fluid volumes?

Non-toxic, distributes only in the volume of interest, distributes evenly and rapidly, not metabolized or excreted, does not alter existing fluid distribution, and is measurable.

p.4
Fluid Regulation and Daily Intake/Output

How is body fluid volume regulated?

Through mechanisms such as thirst, hormone regulation, and kidney function.

p.6
Physiological Variations in Body Water

What is the water percentage in the body of newborns?

Approximately 75-78%.

p.9
Body Fluid Compartments

What is the volume of intracellular fluid (ICF) in a 70 kg person?

28 liters.

p.58
Clinical Abnormalities: Hyponatremia and Hypernatremia

Which condition is most likely as a working diagnosis for this patient?

Water intoxication.

p.13
Fluid Pressures and Starling’s Law

What is the role of interstitial fluid pressure in fluid exchange?

It influences the movement of fluid into and out of the capillaries.

p.57
Extracellular and Intracellular Edema

What surgical factors can contribute to lymph return blockage?

Surgery that affects lymphatic vessels.

p.8
Body Fluid Compartments

What are the two main fluid compartments in the body?

Extracellular fluid and intracellular fluid.

p.8
Body Fluid Compartments

What is plasma?

The liquid component of blood.

p.59
Clinical Abnormalities: Hyponatremia and Hypernatremia

What condition is indicated by extremely low body mass index and frequent vomiting?

Anorexia nervosa.

p.59
Clinical Abnormalities: Hyponatremia and Hypernatremia

What makes uncontrolled diabetes mellitus not the best working diagnosis in this case?

Normal glucose values.

p.1
Body Fluid Compartments

What are the main body fluid compartments?

Intracellular fluid and extracellular fluid.

p.50
Intracellular and Extracellular Edema

What role does nutrition play in intracellular edema?

Lack of adequate nutrition to the cells can cause intracellular edema.

p.63
Measurement of Body Fluid Volumes

How is osmotic pressure measured?

Using a device called an osmometer, which quantifies the colligative properties of solutions.

p.10
Ionic Composition of Body Fluids

What are the main components of body fluids?

Water, electrolytes, proteins, and nutrients.

p.63
Fluid Regulation and Daily Intake/Output

Why is osmotic pressure important in physiology?

It regulates the movement of water between body compartments, affecting hydration and nutrient transport.

p.10
Ionic Composition of Body Fluids

Which electrolytes are most abundant in extracellular fluid?

Sodium and chloride.

p.28
Fluid Pressures and Starling’s Law

What causes fluid shifts between extracellular fluid (ECF) and intracellular fluid (ICF)?

Changes in pressure within the compartments.

p.2
Fluid Regulation and Daily Intake/Output

What determines the size of each fluid compartment?

Forces such as osmotic and hydrostatic pressures.

p.7
Physiological Variations in Body Water

What is the range of total body water percentage in female adults?

40 - 50%.

p.31
Fluid Regulation and Daily Intake/Output

What can cause individuals with small changes in pulmonary capillary pressures to develop pulmonary edema?

Left ventricle failure can lead to increased pulmonary capillary pressures, resulting in pulmonary edema.

p.7
Physiological Variations in Body Water

How does obesity affect total body water?

It generally decreases the percentage of total body water.

p.54
Extracellular and Intracellular Edema

What can lead to decreased arteriolar resistance?

Insufficiency of the sympathetic nervous system.

p.7
Physiological Variations in Body Water

What is the total body water percentage in old age?

45%.

p.61
Measurement of Body Fluid Volumes

What is the indicator-dilution principle?

A method used to measure the volume of body fluids by diluting a known quantity of indicator in the fluid.

p.28
Ionic Composition of Body Fluids

What is a hypertonic solution?

A solution with a higher osmotic pressure than another solution.

p.58
Clinical Abnormalities: Hyponatremia and Hypernatremia

What does the patient's frequent vomiting suggest in relation to her symptoms?

It may contribute to electrolyte imbalances.

p.57
Extracellular and Intracellular Edema

What type of infections can lead to blockage of lymph return?

Infections such as filarial nematodes.

p.42
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is a profound effect of hyponatremia on the body?

It affects tissue and organ functions, especially the brain.

p.42
Clinical Abnormalities: Hyponatremia and Hypernatremia

What happens if the brain volume increases by more than 10%?

It can lead to herniation, causing permanent brain injury and death.

p.59
Fluid Regulation and Daily Intake/Output

What triggers the sense of thirst?

Dehydration.

p.33
Fluid Regulation and Daily Intake/Output

What body compartment changes in size due to fluid loss from diarrhea?

A. IV (Intravascular) and B. IC (Intracellular).

p.52
Extracellular and Intracellular Edema

What is a general cause of extracellular edema?

Abnormal leakage of fluid from the plasma to the interstitial spaces across the capillaries.

p.26
Membrane Characteristics

What is membrane permeability?

The ability of a membrane to allow substances to pass through it.

p.1
Body Fluid Compartments

What percentage of body weight is made up of extracellular fluid?

Approximately 20%.

p.26
Membrane Characteristics

How does membrane permeability affect nutrient absorption?

It allows essential nutrients to enter the cell while keeping harmful substances out.

p.2
Body Fluid Compartments

What are the body's fluid compartments?

The distinct areas in the body where fluids are contained, such as intracellular and extracellular compartments.

p.20
Gibbs-Donnan Effect

What type of membrane is involved in the Gibbs-Donnan effect?

A semipermeable membrane.

p.27
Physiological Variations in Body Water

What role do osmotic forces play in cellular function?

They help maintain cell shape and function by controlling water movement.

p.10
Ionic Composition of Body Fluids

How does the composition of body fluids vary between compartments?

Different concentrations of electrolytes and proteins in intracellular and extracellular fluids.

p.9
Body Fluid Compartments

What percentage of body weight does total body water represent in a 70 kg person?

60%.

p.2
Fluid Regulation and Daily Intake/Output

How does the ingestion of salt and water affect the body's fluid compartments?

It changes the size and/or composition of the compartments.

p.11
Ionic Composition of Body Fluids

What is the permeability of capillaries to plasma proteins?

Capillaries have a low permeability to plasma proteins.

p.4
Fluid Regulation and Daily Intake/Output

Which hormones are primarily involved in the regulation of body fluids?

Antidiuretic hormone (ADH) and aldosterone.

p.15
Fluid Regulation and Daily Intake/Output

What is the relationship between kidney function and hydration status?

Kidneys adjust urine output based on hydration levels.

p.61
Ionic Composition of Body Fluids

What is the ionic composition of intracellular fluids?

High in potassium and phosphate ions.

p.12
Membrane Characteristics

What role do proteins play in cell membrane pressure dynamics?

Proteins can influence osmotic pressure by affecting solute concentration.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is hyponatremia?

A clinical condition characterized by low sodium levels in the blood.

p.8
Body Fluid Compartments

What is transcellular fluid?

Fluid found in specialized compartments such as CSF, intraocular, pleural, peritoneal, synovial, and digestive secretions.

p.56
Extracellular and Intracellular Edema

What role do bacterial infections play in capillary permeability?

Bacterial infections can lead to increased capillary permeability.

p.25
Membrane Characteristics

How permeable are cell membranes to water?

Highly permeable.

p.23
Ionic Composition of Body Fluids

What is the primary cation in intracellular fluid?

Potassium (K+).

p.1
Body Fluid Compartments

What percentage of body weight is made up of intracellular fluid?

Approximately 40%.

p.53
Extracellular and Intracellular Edema

What conditions can lead to excessive kidney retention of salt and water?

Acute or chronic kidney failure and mineralocorticoid excess.

p.1
Body Fluid Compartments

What are the two main components of extracellular fluid?

Interstitial fluid and plasma.

p.20
Gibbs-Donnan Effect

What happens to permeable ions due to the presence of non-diffusible particles like proteins?

It results in the asymmetric distribution of permeable ions.

p.69
Measurement of Body Fluid Volumes

What is the first step in the indicator dilution method?

Administer a known quantity of indicator.

p.10
Ionic Composition of Body Fluids

Which electrolytes are most abundant in intracellular fluid?

Potassium and phosphate.

p.4
Body Fluid Compartments

What percentage of total body water is found in the extracellular fluid compartment?

Approximately 40%.

p.14
Fluid Pressures and Starling’s Law

What is the role of hydrostatic pressure in capillary function?

It facilitates the movement of fluid from the capillaries into the interstitial space.

p.30
Ionic Composition of Body Fluids

What is the effect on intracellular potassium concentration when ATP-dependent Na/K pumps are not functioning?

Intracellular potassium concentration decreases.

p.27
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is the significance of osmotic forces in medical conditions?

They are crucial in understanding conditions like edema and dehydration.

p.30
Membrane Characteristics

What is the primary energy source for Na/K pumps in cells?

ATP (adenosine triphosphate).

p.54
Extracellular and Intracellular Edema

What type of drugs can cause decreased arteriolar resistance?

Vasodilator drugs.

p.37
Ionic Composition of Body Fluids

What happens to extracellular osmolarity when a hypertonic solution is added?

Extracellular osmolarity increases.

p.11
Gibbs-Donnan Effect

What does the Gibbs-Donnan effect describe?

The behavior of charged particles near a semi-permeable membrane that sometimes fail to distribute evenly across the two sides.

p.57
Extracellular and Intracellular Edema

How can cancer affect lymphatic return?

It can cause blockage of lymph return.

p.13
Fluid Pressures and Starling’s Law

What is the effect of decreased plasma oncotic pressure?

It can also contribute to edema by reducing the reabsorption of fluid into the capillaries.

p.8
Body Fluid Compartments

What is extracellular fluid?

Fluid outside of cells, including interstitial fluid and plasma.

p.59
Fluid Regulation and Daily Intake/Output

What can excessive vomiting lead to?

Large losses in fluid and electrolytes.

p.8
Body Fluid Compartments

What is synovial fluid?

Fluid found in joint cavities that reduces friction between articular cartilage.

p.38
Fluid Regulation and Daily Intake/Output

What happens to the volume of ICF and ECF after adding a hypotonic solution?

Both ICF and ECF volumes increase.

p.62
Fluid Regulation and Daily Intake/Output

How does patience affect listening skills?

It enhances the ability to fully comprehend and process information.

p.33
Fluid Regulation and Daily Intake/Output

What is the effect of profuse diarrhea on body weight?

It causes a decrease in body weight due to fluid loss.

p.63
Fluid Pressures and Starling’s Law

What is osmotic pressure?

The pressure required to prevent the flow of water across a semipermeable membrane due to solute concentration differences.

p.72
Measurement of Body Fluid Volumes

Why is sodium space or inulin space used in measurements?

To account for the diffusion of sodium into cells.

p.63
Ionic Composition of Body Fluids

What factors influence osmotic pressure?

The concentration of solutes in the solution and the temperature.

p.27
Fluid Regulation and Daily Intake/Output

What are osmotic forces?

Forces that drive the movement of water across a semipermeable membrane due to solute concentration differences.

p.43
Clinical Abnormalities: Hyponatremia and Hypernatremia

What happens to the brain and other tissues when hyponatremia develops slowly over several days?

They respond by transporting sodium, chloride, and organic solutes, such as glutamate, from the cells into the extracellular compartment.

p.4
Body Fluid Compartments

What percentage of total body water is found in the intracellular fluid compartment?

Approximately 60%.

p.14
Fluid Pressures and Starling’s Law

What opposes the hydrostatic pressure in peripheral capillaries?

Oncotic pressure.

p.28
Fluid Pressures and Starling’s Law

When does fluid flow occur in the body?

Only when there is a difference in pressure.

p.15
Fluid Regulation and Daily Intake/Output

How do kidneys contribute to acid-base balance?

By excreting hydrogen ions and reabsorbing bicarbonate.

p.13
Fluid Pressures and Starling’s Law

What is the primary force driving fluid out of the capillaries?

Capillary hydrostatic pressure.

p.61
Ionic Composition of Body Fluids

How do extracellular and intracellular fluids contrast in ionic composition?

Extracellular fluid is rich in sodium and chloride, while intracellular fluid is rich in potassium and phosphate.

p.12
Fluid Pressures and Starling’s Law

How do osmotic and hydrostatic pressures interact?

They balance each other to regulate fluid movement across the membrane.

p.42
Clinical Abnormalities: Hyponatremia and Hypernatremia

What neurological symptoms can hyponatremia cause?

Headache, nausea, lethargy, and disorientation.

p.8
Body Fluid Compartments

What is interstitial fluid?

Fluid that surrounds the cells in tissues.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

How can hypernatremia be treated?

By rehydrating the patient and gradually lowering sodium levels.

p.56
Extracellular and Intracellular Edema

How do burns affect capillary permeability?

Burns can lead to increased capillary permeability.

p.29
Membrane Characteristics

What is the permeability of plasma membranes to water?

Plasma membranes are freely permeable to water.

p.5
Fluid Regulation and Daily Intake/Output

What is the typical vapor pressure of inspired air?

Usually less than 47 mm Hg.

p.23
Ionic Composition of Body Fluids

What is the primary cation in extracellular fluid?

Sodium (Na+).

p.26
Membrane Characteristics

Why is membrane permeability important for cells?

It regulates the movement of ions and molecules, maintaining homeostasis.

p.39
Fluid Regulation and Daily Intake/Output

What happens to fluid volume during dehydration?

Fluid volume decreases, leading to increased osmolality.

p.53
Extracellular and Intracellular Edema

What are some factors that can lead to failure of venous pumps?

Paralysis of muscles, immobilization of parts of the body, and failure of venous valves.

p.49
Clinical Abnormalities: Hyponatremia and Hypernatremia

How common is hypernatremia compared to hyponatremia?

Hypernatremia is much less common than hyponatremia.

p.69
Measurement of Body Fluid Volumes

What should be done after administering the indicator?

Wait for equilibration.

p.54
Extracellular and Intracellular Edema

What is one cause of increased capillary pressure?

Excessive body heat.

p.6
Physiological Variations in Body Water

What factors can influence the percentage of water in the body?

Gender, age, and body composition.

p.61
Body Fluid Compartments

What are the major fluid compartments of the body?

Intracellular fluid and extracellular fluid.

p.15
Ionic Composition of Body Fluids

What role do kidneys play in maintaining osmotic balance?

They regulate the concentration of solutes in body fluids.

p.70
Measurement of Body Fluid Volumes

Why should a tracer be non-toxic when measuring body fluid volumes?

To ensure safety and avoid harmful effects on the body.

p.58
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is the body mass index (BMI) of the patient?

14.1.

p.61
Ionic Composition of Body Fluids

What is the ionic composition of extracellular fluids?

High in sodium and chloride ions.

p.37
Fluid Regulation and Daily Intake/Output

What happens to the volume of extracellular fluid (ECF) when a hypertonic solution is added?

There is an increase in ECF volume greater than the volume of fluid added.

p.13
Fluid Pressures and Starling’s Law

What is Starling's Law related to?

The balance of hydrostatic and oncotic pressures across the vascular wall.

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is a cause of excess water retention that can lead to hyponatremia?

Increased ADH (Antidiuretic Hormone).

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What causes hyponatremia?

Excessive fluid intake, certain medications, or underlying health conditions.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

How can hyponatremia be treated?

By restricting fluid intake and administering sodium supplements.

p.59
Clinical Abnormalities: Hyponatremia and Hypernatremia

What can diluted serum sodium levels lead to?

Headaches and seizures.

p.38
Physiological Variations in Body Water

Which compartment experiences a greater increase in volume after adding a hypotonic solution?

Intracellular fluid (ICF) increases to a greater extent.

p.50
Intracellular and Extracellular Edema

What is one cause of intracellular edema?

Hyponatremia.

p.3
Fluid Regulation and Daily Intake/Output

What are the main sources of daily water intake?

Beverages, food, and metabolic processes.

p.5
Fluid Regulation and Daily Intake/Output

How does cold weather affect atmospheric vapor pressure?

It decreases to nearly 0, causing increased water loss from the lungs.

p.5
Fluid Regulation and Daily Intake/Output

Why do we feel drier in cold weather?

Due to increased water loss from the lungs as temperature decreases.

p.24
Fluid Regulation and Daily Intake/Output

What is the daily output of NaCl in urine?

10 g/d.

p.1
Body Fluid Compartments

What is the primary function of body fluid compartments?

To maintain homeostasis and facilitate cellular functions.

p.7
Physiological Variations in Body Water

What percentage of total body water is found in infants?

73%.

p.7
Physiological Variations in Body Water

What is the total body water percentage in male adults?

60%.

p.55
Extracellular and Intracellular Edema

What liver condition can result in failure to produce proteins?

Liver disease, such as cirrhosis.

p.49
Clinical Abnormalities: Hyponatremia and Hypernatremia

When do severe symptoms of hypernatremia typically manifest?

With rapid and large increases in plasma sodium concentration.

p.69
Measurement of Body Fluid Volumes

What formula is used to calculate volume of distribution?

Volume (V) = Quantity (Q) / Concentration (C).

p.9
Body Fluid Compartments

What is the volume of extracellular fluid (ECF) in a 70 kg person?

14 liters.

p.32
Fluid Regulation and Daily Intake/Output

What effect does poisoning Na/K ATPases have on ion balance?

It disrupts the normal ion balance, leading to an influx of water and cell swelling.

p.31
Fluid Regulation and Daily Intake/Output

How do systemic blood pressure and pulmonary capillary pressure differ in their effects on edema?

Systemic blood pressure affects peripheral tissues, while pulmonary capillary pressure directly influences fluid dynamics in the lungs, leading to different edema responses.

p.58
Clinical Abnormalities: Hyponatremia and Hypernatremia

What are the serum levels of sodium, chloride, and osmolarity in the patient?

They are low.

p.13
Fluid Pressures and Starling’s Law

What pressure opposes the movement of fluid out of the capillaries?

Plasma oncotic pressure.

p.11
Ionic Composition of Body Fluids

How are the concentrations of ions in plasma and interstitial fluid considered for practical purposes?

They are considered similar.

p.57
Extracellular and Intracellular Edema

What congenital issues can lead to lymphatic return blockage?

Congenital absence or abnormality of lymphatic vessels.

p.42
Clinical Abnormalities: Hyponatremia and Hypernatremia

What severe outcomes can result from brain swelling due to hyponatremia?

Seizures, coma, permanent brain damage, and death.

p.8
Body Fluid Compartments

What does CSF stand for?

Cerebrospinal fluid.

p.56
Extracellular and Intracellular Edema

Which vitamin deficiency is particularly associated with increased capillary permeability?

Vitamin C deficiency.

p.36
Ionic Composition of Body Fluids

What happens to sodium (Na) and chloride (Cl) levels when saline solution is added to the ECF?

They remain constant and stay in the ECF.

p.24
Fluid Regulation and Daily Intake/Output

Why is maintaining extracellular fluid (ECF) volume critical?

It is essential for maintaining blood pressure.

p.33
Fluid Regulation and Daily Intake/Output

What is the duration of diarrhea experienced by the man?

2 days.

p.33
Fluid Regulation and Daily Intake/Output

How much weight did the man lose due to fluid loss?

3 pounds.

p.20
Gibbs-Donnan Effect

Who are the scientists associated with the Gibbs-Donnan effect?

Josiah Gibbs and Frederick Donnan.

p.10
Ionic Composition of Body Fluids

What role do electrolytes play in body fluids?

They help maintain fluid balance, nerve function, and muscle contraction.

p.6
Physiological Variations in Body Water

What is the average percentage of water in the human body?

About 60% for adults.

p.26
Membrane Characteristics

What factors can affect membrane permeability?

Temperature, lipid composition, and the presence of specific proteins.

p.15
Fluid Regulation and Daily Intake/Output

What is the primary function of the kidneys in relation to body fluid compartments?

To regulate the volume and composition of body fluids.

p.30
Ionic Composition of Body Fluids

How does the intracellular concentration of sodium change when Na/K pumps fail?

Intracellular sodium concentration increases.

p.54
Extracellular and Intracellular Edema

What effect does decreased arteriolar resistance have on capillary pressure?

It increases capillary pressure.

p.58
Clinical Abnormalities: Hyponatremia and Hypernatremia

What are the symptoms presented by the 15-year-old female?

Headache, polyuria, and grand mal seizures.

p.14
Fluid Pressures and Starling’s Law

What is the net filtration pressure in peripheral capillaries?

The difference between hydrostatic pressure and oncotic pressure.

p.70
Measurement of Body Fluid Volumes

What does it mean for a tracer to distribute evenly and rapidly?

It ensures that the tracer accurately reflects the volume of interest without delay or uneven distribution.

p.37
Fluid Regulation and Daily Intake/Output

What is the effect of osmosis when a hypertonic solution is added to the ECF?

Water moves out of the cells and into the extracellular compartment.

p.11
Ionic Composition of Body Fluids

Where do negatively charged ions (anions) tend to have a higher concentration?

In the interstitial fluid (ISF).

p.13
Fluid Pressures and Starling’s Law

What happens when capillary hydrostatic pressure increases?

It can lead to edema due to excess fluid leaving the capillaries.

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What can result from the overuse of diuretics?

Loss of sodium leading to hyponatremia.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is hypernatremia?

A clinical condition characterized by high sodium levels in the blood.

p.56
Extracellular and Intracellular Edema

How can toxins affect capillary permeability?

Toxins can increase capillary permeability.

p.59
Ionic Composition of Body Fluids

What is expected in patients with diabetes insipidus regarding serum osmolality?

It is expected to be high.

p.38
Ionic Composition of Body Fluids

What happens to the osmolarity of the ECF when a hypotonic solution is added?

It decreases.

p.25
Membrane Characteristics

What serves as the barrier between extracellular fluid (ECF) and intracellular fluid (ICF)?

The plasma membranes of cells.

p.50
Intracellular and Extracellular Edema

How can depression of metabolic systems lead to intracellular edema?

It can occur due to ischemic conditions in tissues.

p.53
Extracellular and Intracellular Edema

What is one cause of increased capillary pressure?

Excessive kidney retention of salt and water.

p.23
Ionic Composition of Body Fluids

Which anion is predominantly found in intracellular fluid?

Phosphate (HPO4^2-).

p.53
Extracellular and Intracellular Edema

What can cause high venous pressure?

Heart failure, venous obstruction, and venous constriction.

p.49
Clinical Abnormalities: Hyponatremia and Hypernatremia

What condition does hypernatremia cause in cells?

Cell shrinkage.

p.27
Body Fluid Compartments

How do osmotic forces affect body fluids?

They regulate the distribution of water between body compartments.

p.43
Clinical Abnormalities: Hyponatremia and Hypernatremia

How can osmosis-mediated demyelination of neurons be avoided in chronic hyponatremia?

By limiting the correction to less than 10 to 12 mmol/L in 24 hours and less than 18 mmol/L in 48 hours.

p.39
Extracellular and Intracellular Edema

What physiological condition can result from changes in fluid volume?

Edema can occur due to excess fluid volume.

p.2
Fluid Regulation and Daily Intake/Output

How do water and particles cross barriers between compartments?

Through processes like diffusion and osmosis.

p.55
Extracellular and Intracellular Edema

What type of malnutrition can lead to decreased plasma proteins?

Serious protein or caloric malnutrition.

p.9
Body Fluid Compartments

What percentage of total body water is extracellular fluid?

33% (1/3 of TBW).

p.4
Fluid Regulation and Daily Intake/Output

What role does the kidney play in fluid regulation?

It filters blood and regulates water and electrolyte balance.

p.70
Measurement of Body Fluid Volumes

How does a tracer not alter existing fluid distribution?

By being designed to only measure without affecting the body's natural fluid balance.

p.12
Fluid Pressures and Starling’s Law

What is hydrostatic pressure?

The pressure exerted by a fluid at equilibrium due to the force of gravity.

p.42
Extracellular and Intracellular Edema

What condition is caused by hyponatremia?

Cell edema (overhydration).

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What condition is characterized by overhydration and low sodium levels?

Hyponatremia.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What are the symptoms of hypernatremia?

Thirst, confusion, muscle twitching, and in severe cases, seizures.

p.59
Fluid Regulation and Daily Intake/Output

What can result from drinking large amounts of water without replacing electrolytes?

Water intoxication.

p.38
Ionic Composition of Body Fluids

What occurs when water diffuses into the cells after adding a hypotonic solution?

The intracellular and extracellular compartments reach the same osmolarity.

p.62
Fluid Regulation and Daily Intake/Output

What is the significance of patience in communication?

It allows for better understanding and fosters a respectful dialogue.

p.25
Membrane Characteristics

What is the permeability of cell membranes to solutes, particularly Na+?

Much lower permeability.

p.24
Fluid Regulation and Daily Intake/Output

What is of primary importance in the long-term regulation of ECF volume?

ECF osmolarity.

p.24
Ionic Composition of Body Fluids

How is ECF osmolarity mainly maintained?

By NaCl balance.

p.52
Extracellular and Intracellular Edema

What is a common clinical cause of interstitial fluid accumulation?

Excessive capillary fluid filtration.

p.3
Fluid Regulation and Daily Intake/Output

How does physical activity affect daily water output?

Increases water loss through sweat.

p.4
Body Fluid Compartments

What are the major body fluid compartments?

Intracellular fluid (ICF) and extracellular fluid (ECF).

p.39
Fluid Regulation and Daily Intake/Output

What is the relationship between fluid volume and osmolality?

As fluid volume decreases, osmolality increases, and vice versa.

p.49
Clinical Abnormalities: Hyponatremia and Hypernatremia

At what plasma sodium concentration do severe symptoms of hypernatremia usually occur?

Above 158 to 160 mmol/L.

p.43
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is the recommended limit for correcting chronic hyponatremia in 24 hours?

Less than 10 to 12 mmol/L.

p.4
Body Fluid Compartments

What are the two main subdivisions of extracellular fluid?

Interstitial fluid and plasma.

p.32
Membrane Characteristics

What is the role of Na/K ATPases in cells?

They help maintain the balance of sodium and potassium ions across the cell membrane.

p.6
Physiological Variations in Body Water

How does body fat percentage affect water content?

Higher body fat percentage typically results in lower total body water.

p.28
Ionic Composition of Body Fluids

What is an isotonic solution?

A solution with the same osmotic pressure as another solution.

p.70
Measurement of Body Fluid Volumes

Why is it important that a tracer is not metabolized or excreted?

To maintain a consistent measurement of the fluid volume over time.

p.12
Fluid Pressures and Starling’s Law

What is the primary force driving the movement of water across the cell membrane?

Osmotic pressure.

p.37
Ionic Composition of Body Fluids

What happens to osmolarity in both compartments after adding a hypertonic solution?

Osmolarity increases in both compartments.

p.12
Gibbs-Donnan Effect

What is the significance of the Gibbs-Donnan effect in cell membranes?

It describes how the distribution of ions affects osmotic pressure and fluid movement.

p.8
Body Fluid Compartments

What is intracellular fluid?

Fluid within the cells.

p.56
Extracellular and Intracellular Edema

What is one cause of increased capillary permeability?

Immune reactions that cause the release of histamine and other immune products.

p.8
Body Fluid Compartments

What are digestive secretions?

Fluids produced in the digestive system to aid in digestion.

p.72
Ionic Composition of Body Fluids

What can diffuse into cells in small amounts?

Radioactive sodium.

p.72
Measurement of Body Fluid Volumes

What term is often used instead of true extracellular fluid volume?

Sodium space or inulin space.

p.3
Fluid Regulation and Daily Intake/Output

What is the average daily water output for adults?

Approximately 2,500 ml/day.

p.3
Fluid Regulation and Daily Intake/Output

What are the primary routes of daily water output?

Urine, sweat, respiration, and feces.

p.5
Fluid Regulation and Daily Intake/Output

How much can evaporation increase in individuals with extensive burns?

It can increase as much as 10 times, to 3 to 5 L/day.

p.26
Membrane Characteristics

What role does membrane permeability play in drug delivery?

It influences how effectively drugs can enter cells and exert their effects.

p.55
Extracellular and Intracellular Edema

What skin conditions can lead to loss of plasma proteins?

Denuded skin areas such as burns and wounds.

p.30
Physiological Variations in Body Water

What happens to a cell's size when it loses its ability to run ATP-dependent Na/K pumps?

The cell size increases (swells).

p.32
Physiological Variations in Body Water

What happens to an animal's cells if Na/K ATPases are poisoned by a pesticide?

B. They will swell.

p.39
Ionic Composition of Body Fluids

What is osmolality?

A measure of the concentration of solutes in a solution.

p.28
Ionic Composition of Body Fluids

What are the three types of body fluids?

Isotonic, hypotonic, and hypertonic.

p.31
Fluid Regulation and Daily Intake/Output

What is the role of hydrostatic pressure in the development of edema?

Increased hydrostatic pressure can lead to fluid leakage from capillaries into surrounding tissues, causing edema.

p.2
Membrane Characteristics

What unique characteristics of the kidney allow separation of particle movement from water movement?

The kidney's specialized structures and functions, such as selective permeability.

p.11
Ionic Composition of Body Fluids

Where is the concentration of protein higher, plasma or interstitial fluid?

Higher concentration of protein is in the plasma.

p.11
Ionic Composition of Body Fluids

What is the difference in concentration of positively charged ions (cations) between plasma and interstitial fluid?

Cations are slightly greater (about 2%) in the plasma.

p.57
Extracellular and Intracellular Edema

What are some causes of blockage of lymph return?

Cancer, infections (e.g., filarial nematodes), surgery, congenital absence or abnormality of lymphatic vessels.

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is a common cause of sodium loss leading to hyponatremia?

Diarrhea and vomiting.

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is the term for low sodium levels in the blood?

Hyponatremia.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What are the symptoms of hyponatremia?

Nausea, headache, confusion, seizures, and in severe cases, coma.

p.8
Body Fluid Compartments

What is the role of pleural fluid?

To lubricate the pleural cavity and facilitate lung movement.

p.59
Clinical Abnormalities: Hyponatremia and Hypernatremia

What symptoms are typical of hypocortisolism?

Hyperkalemia, hyperosmolality, and hyperpigmentation.

p.36
Fluid Regulation and Daily Intake/Output

What is the effect of adding saline solution to the extracellular fluid (ECF)?

It increases ECF volume.

p.29
Fluid Regulation and Daily Intake/Output

What happens to osmotic concentration differences between ICF and ECF?

They cannot be sustained.

p.25
Membrane Characteristics

What mechanism actively removes Na+ from the cell interior?

The Na+ pump.

p.20
Gibbs-Donnan Effect

What does the Gibbs-Donnan effect describe?

The behavior of charged particles across a semipermeable membrane.

p.23
Ionic Composition of Body Fluids

What is the main anion in extracellular fluid?

Chloride (Cl-).

p.69
Measurement of Body Fluid Volumes

What is the principle behind measuring body fluid volumes?

Indicator dilution method.

p.39
Fluid Regulation and Daily Intake/Output

How does overhydration affect osmolality?

Overhydration decreases osmolality.

p.2
Membrane Characteristics

What separates each fluid compartment in the body?

Unique membrane characteristics.

p.9
Body Fluid Compartments

What is the total body water (TBW) volume in a 70 kg person?

42 liters.

p.69
Measurement of Body Fluid Volumes

What is measured to calculate the volume of distribution?

Concentration of the indicator.

p.27
Ionic Composition of Body Fluids

What is the relationship between osmotic pressure and solute concentration?

Higher solute concentration results in higher osmotic pressure.

p.43
Clinical Abnormalities: Hyponatremia and Hypernatremia

What is the recommended limit for correcting chronic hyponatremia in 48 hours?

Less than 18 mmol/L.

p.14
Fluid Pressures and Starling’s Law

How does oncotic pressure affect fluid movement in capillaries?

It pulls fluid back into the capillaries from the interstitial space.

p.61
Physiological Variations in Body Water

How do the fluid volumes differ between an average young adult man and woman?

Men generally have a higher total body water volume compared to women due to greater muscle mass.

p.28
Ionic Composition of Body Fluids

What characterizes a hypotonic solution?

It has a lower osmotic pressure than another solution.

p.9
Body Fluid Compartments

What percentage of total body water is intracellular fluid?

67% (2/3 of TBW).

p.37
Physiological Variations in Body Water

What happens to intracellular fluid (ICF) volume when a hypertonic solution is added?

There is a decrease in ICF volume.

p.41
Clinical Abnormalities: Hyponatremia and Hypernatremia

What condition can lead to sodium loss and hyponatremia?

Addison disease.

p.42
Clinical Abnormalities: Hyponatremia and Hypernatremia

What plasma sodium concentration level can lead to severe brain swelling?

Below 115 to 120 mmol/L.

p.40
Clinical Abnormalities: Hyponatremia and Hypernatremia

What causes hypernatremia?

Dehydration, excessive salt intake, or certain medical conditions.

p.8
Body Fluid Compartments

What is peritoneal fluid?

Fluid found in the peritoneal cavity, which helps reduce friction between abdominal organs.

p.56
Extracellular and Intracellular Edema

What effect does prolonged ischemia have on capillary permeability?

Prolonged ischemia can increase capillary permeability.

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Study Smarter, Not Harder