Water balance

  1. What percentage is the body water content of an infant? Adult males? Adult females?
    • 73 or more
    • 60
    • 50
  2. What type of tissue is the least hydrated?
    Adipose, 20 percent water
  3. What percentage of skeletal muscle is water?
  4. T or F? Body water content declines to about 20 percent in old age.
    False. Declines to about 45.
  5. What is the total amount, in liters, of water in the body?
    40 L
  6. What are the 2 types of fluid compartments?
    • Intracellular fluid (ICF)
    • Extracellular fluid (ECF)
  7. Which fluid compartment is two-thirds of total body water, 25 L?
    ICF, in cells
  8. The extracellular fluid compartment holds how many L of water?
  9. The majority of ECF can be found in what 2 places?
    • Plasma (3 L)
    • Interstitial fluid (12 L)
  10. Name six other places that ECF can be found.
    • Lymph
    • CSF
    • Humors of the eye
    • Synovial fluid
    • Serous fluid
    • Gastrointestinal secretions
  11. These dissociate into ions in water.
  12. The electrolyte concentration of a solution is known as its what?
  13. How is osmolality expressed? It is the number of electrical charges in 1 L of solution.
    Milliequivalents per liter (mEq/L)
  14. T or F? Inorganic salts, both inorganic and organic acids and bases, and some proteins are electrolytes.
  15. T or F? Covalent bonds dissociate in water to form charged particles.
    False. Non-electrolytes have bonds, usually covalent, and do not dissociate.
  16. Name 4 organic molecules which are non-electrolytes.
    • Glucose
    • Lipids
    • Creatinine
    • Urea
  17. T or F? Any change in solute concentration in any compartment leads to net water flow.
  18. How do fluid exchanges between plasma and IF occur?
    Across capillary membranes.
  19. The small net leakage of fluid that remains behind in the interstitial space is removed by what system?
  20. Fluid movement between compartments depends on the complex permeability properties of what?
  21. T or F? Movements of nutrients, respiratory gases, and wastes are typically multidirectional.
    False. Movements are typically unidirectional.
  22. For proper hydration, water intake must equal what?
    Water output
  23. What is the average daily water intake in adults? (L)
    2.5 L
  24. In what way does most water enter the body?
    Ingestion of liquids and solid foods
  25. What is the body water that is produced by cellular metabolism?
    Metabolic water or water of oxidation
  26. In what 4 ways does water leave the body?
    • Feces, 100 mL
    • Sweat, 200 mL
    • Insensible losses via skin and lungs, 700 mL
    • Urine, 1500 mL
  27. In what 3 ways does water enter the body?
    • Metabolism, 250 mL
    • Foods, 750 mL
    • Beverages, 1500 mL
  28. Healthy people maintain the tonicity (sodium) of their body fluids within what range?
    280-300 milliOsmoles per kg
  29. What 2 things occur when there is a rise in plasma osmolality?
    • Thirst
    • Release of ADH
  30. What effect does the release of ADH have on the kidneys?
    Causes the kidneys to conserve water and excrete concentrated urine.
  31. T or F? A decline in osmolality inhibits both thirst and ADH, the latter followed by the output of large volumes of dilute urine.
  32. The essential water loss through urine (500 mL) is known as what?
  33. The 30 minutes between the intake of water and the start of the kidneys eliminating water reflects the time required for what to happen?
    Inhibit ADH release
  34. Diuresis, the free excretion of urine, reaches a peak how long after drinking?
    1 hour
  35. What chemical is the body's water magnet?
    Ionic sodium
  36. This may lead to weight loss, fever, mental confusion, hypovolemic shock, and loss of electrolytes.
  37. Dehydration is a negative fluid balance. Name 6 things that can cause ECF water loss.
    • Hemorrhage
    • Severe burns
    • Prolonged vomiting or diarrhea
    • Profuse sweating
    • Water deprivation
    • Diuretic abuse
  38. What are three signs and symptoms of dehydration?
    • Thirst
    • Dry flushed skin
    • Oliguria
  39. T or F? Dehydration causes cells to shrink due to the loss of water into ECF by osmosis.
  40. This occurs as a result of renal insufficiency or rapid excess water ingestion.
    Water intoxication or cellular over hydration
  41. What are 5 severe metabolic disturbances associated with hypotonic hydration?
    • Nausea
    • Vomiting
    • Muscular cramping
    • Cerebral edema
    • Possible death
  42. What is the atypical accumulation of interstitial fluid that is caused by anything that increases flow of fluid out of the blood or hinders its return?
    Edema (tissue swelling)
  43. T or F? Edema can lead to congestive heart failure true hypertension.
  44. T or F? A decrease in blood pressure or in capillary permeability can lead to edema.
    False. An increase in either can cause edema. Also, incompetent venous valves or blood vessel blockage.
  45. What is the decrease in plasma proteins caused by protein malnutrition, liver disease, or glomerulonephritis (kidney failure)? It can cause edema.
    Hypoproteinemia or other colloid osmotic pressure imbalances
  46. T or F? Blocked or surgically removed lymph vessels cause leaked proteins to accumulate in IF drawing fluid from the blood. It results in low blood pressure and severely impaired circulation.
  47. T or F? Water reabsorption in collecting ducts is proportional to ADH release.
  48. Besides the hypothalamic osmoreceptors that regulate ADH release, what else can cause a release of ADH?
    Change in blood volume or pressure (due to fever, sweating, vomiting, diarrhea, blood loss, traumatic burns)
  49. Electrolyte balance usually refers to the salt, acid, or base balance?
  50. Salts are ingested and lost via these 3 ways.
    • Sweat
    • Feces
    • Urine
  51. Name 4 functions that salts play a major role in.
    • Controlling fluid movement
    • Excitability
    • Secretory activity
    • Membrane permeability
  52. T or F? Sodium is the most abundant anion in ECF.
    False. It is the most abundant cation (positively charged).
  53. T or F? Sodium leaks into cells and is pumped out against its concentration by active transport.
  54. T or F? Renal acid based control mechanisms are coupled to sodium ion transport.
  55. What 2 major hormones regulate sodium balance?
    • Aldosterone
    • Atrial natriuretic peptide (ANP)
  56. The release of this hormone triggers the active reabsorption of the remaining 10 percent of the sodium that was not reabsorbed in the proximal tubules (65) or in the loops of Henle (25). It also influences potassium secretion into filtrate.
  57. Water will follow sodium that is being reabsorbed if what hormone is present?
  58. Granular cells of the JGA secrete renin in response to what 3 things?
    • Sympathetic nervous system stimulation
    • Decrease filtrate osmolality
    • Decrease stretch (due to low blood pressure)
  59. ANP is released by these cells in response to stretch, an increase in blood volume.
    Atrial cells
  60. T or F? The release of ANP increases ADH, renin, angiotensin II, and aldosterone production.
    False. ANP decreases production and increases excretion of sodium and water.
  61. Name 3 hormones that also influence sodium balance of body fluids.
    • Estrogens, increase sodium reabsorption
    • Progesterone, decrease reabsorption
    • Glucocorticoids, from adrenal glands, increase reabsorption and promote edema
  62. T or F? Potassium is part of the body's buffer system and is required for neuromuscular functioning and metabolic activities.
  63. What is the term for increased potassium in blood? For decreased potassium? May result in a disruption of electrical conduction in the heart, leading to sudden death.
    • Hyperkalemia
    • Hypokalemia
  64. 99 percent of the body's calcium is found as calcium phosphate salts in what part of the body?
  65. Calcium is important for these 4 functions.
    • Neuromuscular excitability
    • Blood clotting
    • Cell membrane permeability
    • Secretory activities
  66. This increases muscle excitability and causes tetany.
  67. This inhibits neurons and muscle cells and may cause life threatening cardiac arrhythmias.
  68. What hormone is secreted by the glands located on the posterior aspect of the thyroid gland in the pharynx.
    Parathyroid hormone (PTH)
  69. Declining plasma levels of calcium stimulate the release of PTH which targets what 3 organs?
    • Bones
    • Small intestine
    • Kidneys
  70. What does PTH activate in the bones that break down bone matrix?
  71. What indirect affect does PTH have on the small intestine?
    By stimulating the kidneys to transform vitamin D to its active form which is necessary for calcium absorption by the small intestine.
  72. The effect of PTH on this organ increases calcium reabsorption while decreasing phosphate ion reabsorption (calcium conservation and phosphate excretion go hand in hand).
  73. What is the major anion that accompanies sodium in ECF that helps maintain the osmotic pressure of blood?
  74. After reabsorption, how is excess chloride excreted?
    Via urine
  75. What percent of chloride is absorbed by the proximal convoluted tubule?
  76. T or F? Chloride is part of the buffer system that regulates homeostasis.
  77. What is the normal pH of arterial blood? Of ICF?
    • 7.35 to 7.45
    • 7.0
  78. T or F? Alkalosis is a drop in arterial pH to below 7.35.
    False. Alkalosis (alkalemia) is a blood pH of 7.45 and above, acidosis (academia) is a low pH.
  79. What are 4 sources of acids?
    • Breakdown of phosphorous containing proteins
    • Anaerobic respiration (glucose to lactic acid)
    • Fat metabolism yields organic acids (fatty acids, ketone bodies)
    • Stomach acid
  80. What are the 3 steps of hydrogen concentration regulated?
    • Chemical buffers
    • Brain stem respiratory centers
    • Renal mechanisms
  81. T or F? A high value in the measurement of partial pressure of carbon dioxide indicates respiratory acidosis (higher than the 35 to 45 mm Hg range).
  82. This occurs when a person breathes shallowly. Carbon dioxide accumulates in the blood increasing Pco2.
    Respiratory acidosis
  83. This results when CO2 is eliminated from the body to quickly causing blood pH to increase and results in hyperventilation.
    Respiratory alkalosis
  84. When CO2 and H2O is released following cellular metabolism, it is broken down by the enzyme carbonic anhydrase into what?
  85. What is the normal range of bicarbonate ion levels? Out of this range indicates a metabolic acid base imbalance.
    22 to 26 mEq/L
  86. T or F? Metabolic acidosis and alkalosis occurs at a cellular level.
  87. This occurs when there is low blood pH and HCO3 levels. Can be caused by ingestion of too much alcohol, accumulation of lactic acid (from exercise or shock), diabetic crisis, starvation, or persistent diarrhea.
    Metabolic acidosis
  88. This is indicated by rising blood pH and HCO and is less common. Caused by vomiting. Compensation involves slow shallow breathing allowing CO2 to accumulate in the blood.
    Metabolic alkalosis
  89. T or F? Renal compensations occur during acidosis retaining bicarbonate to offset.
  90. T or F? A weak acid dissociates completely into its ions.
    False. A strong acid will dissociate completely.
  91. What is a system of one or more compounds that act to resist pH changes when strong acid or base is added?
    Chemical buffer system
  92. What are 3 chemical buffer systems?
    • Bicarbonate
    • Phosphate
    • Protein
  93. Do acids carry a positive or negative charge?
  94. What charge do buffers carry?
  95. HCl (hydrochloric acid, strong acid) and NaHCO3 (bicarbonate, a weak base) neutralize each other and form a weak acid and what?
    NaCl (sodium chloride, salt)
  96. NaOH (sodium hydroxide, strong base) and a weak acid neutralize each other and form bicarbonate (weak base) and what?
  97. T or F? Chemical buffers can eliminate excess acids or bases from the body.
  98. What major organ eliminates volatile carbonic acid?
    Lungs (CO2)
  99. What major organ prevents metabolic acidosis and eliminates fixed metabolic acids (phosphoric, uric, lactic and ketones)?
  100. What are the two major renal mechanisms of acid base balance?
    • Conserving or generating HCO3
    • Excreting HCO3
  101. The difference in body content between sexes arises as males develop greater what?
    Muscle mass
  102. T or F? Homeostatic mechanisms slow down with age.
Card Set
Water balance
water balance