An element or compound that, when dissolved or dissociated in water or solvent, separates into ions that are electrically charged
Define Ion
Atoms or groups of atoms that have acquired an electrical charge through the gain or loss of an electron or electrons
Define Cation
Positively charged atoms
Type of cations
Sodium Na+Calcium Ca+PotassiumK+Magnesium Mg+
Define Anion
Negatively charged atoms
Types of Anions
Chloride Cl-Bocarbonate HCO-3Phosphate PO43-
Osmosis
Movement of a pure solvent through a semipermeable membrane from a solution with a lower solute concentration to one with a higher solute concentration
Diffusion
Movement of molecules from an area of higher concentration to an area of lower concentration
Filtration
Process by which water and diffusible substances move together in response to fluid pressure
Active Transport
Movement of materials across the cell membrane by means of chemical activity that allows the cell to admit larger molecules than would otherwise be possible
Hypertonic Solution
Situation in which one solution has a greater concentration of solute than another solution; therefore the first solution exerts more osmotic pressure
Isontonic Solution
Situation in which two solutions have the same concentration of solute; therefore both solutions exert the same osmotic pressure
Hypotonic Solution
Situation in which one solution has a smaller concentration of solute than another solution; therefore the first solution exerts less osmotic pressure
Osmotic Pressure
Total influence of a protein on the osmotic activity of plasma water
Osmoloarity
Osmotic pressure of a solution expressed in osmols or milliosmols per liter of the solution
Sensible water loss
Water loss that occurs though excess perspiration
Insensible water loss
Loss of fluid from the body by evaporation, such as that which normally occurs during respiration
Types of IV solutions
Dextrose and water solutions
Saline solution
Dextrose and saline
Multiple electrolyte solutions
Solute
Substance dissolved in a solution
Solvent
Any liquid in which another substance can be dissolved
Hypovolemia
Decreased circulatory blood volume resulting from extracellular fluid losses
Osmoreceptors
Receptor that is sensitive to fluid concentration in the blood plasma and that regulates the secretion of antidiuretic hormone
Homeostasis
State of relative constancy in the internal environment of the body, maintained naturally by physiological adaptive mechanisms
Hormones that regulate fluid intake
Antidiuretic hormone (ADH)
Atrial natriuretic peptide (ANP)
Renin-angiotensin-aldosterone mechanisem (RAAS)
Normal Potassium level
3.5-5
Normal Sodium level
135-145
Normal calcium level
8.5-10.5
Normal Magnesium level
1.5-2.5
Normal chloride level
95-105
Normal bicarbonate level
arterial 22-26
venous 24-30
Normal phosphorus level
2.8-4.5
Buffer
Substance or group of substances that can absorb or release hydrogen ions to correct an acid-base imbalance
Acidosis
An increase of hydrogen ions producing a lower pH
Alkalosis
A decrease of hydrogen ions producing a higher pH
2 physiological buffers of the body
lungs
kidney
Respiratory acidosis
Increased arterial carbon dioxide concentration
excess carbonic acid
Increased hydrogen ion concentration
pH less the 7.35
Respiratory alkalosis
Decreased arterial carbon dioxide concentration
Decreased hydrogen ion concentration
pH greater than 7.45
Metabolic acidosis
high hydrogen ion concentration in the extracellular fluid caused by either a primary increase in hydrogen ions or a decrease in bicarbonate
Metabolic alkalosis
significant loss of acid from the body or by increased levels of bicarbonate
Anion gap
Difference between the concentrations of serum cations and anions: determined by measuring the concentrations of sodium cations and chloride and bicarbonate anions
Medictions that cause fluid electrolyte and acid-base disturbances
Diuretics
Steroids
Potassium supplements
Anibiotics
Tums
Milk of magnesia
NSAIDS
Crystalloids
Intravenous (IV) fluid and electrolyte therapy
Colloids
Blood and blood components
Venipuncture
Technique in which a vein is punctured transcutaneously by a sharp, rigid stylet or by a needle attached to a syringe