click below
click below
Normal Size Small Size show me how
Fluid/Electrolytes
| Question | Answer |
|---|---|
| What percentage of body weight is water? | 50%–70% |
| Who has the highest percentage of body water? | Infants (65%–80%) |
| What percentage of blood is water? | 80%–83% |
| What is the main regulator of water intake? | Thirst mechanism |
| What portion of body fluids is intracellular? | Two-thirds |
| What portion of body fluids is extracellular? | One-third |
| What is interstitial fluid? | Fluid surrounding and between cells |
| What is intravascular fluid? | Plasma within blood vessels and heart |
| what is osmosis? | Movement of water through a semipermeable membrane from low solute to high solute concentration. |
| What is diffusion? | Movement of molecules from high concentration to low concentration. |
| What is filtration? | Movement of fluid across a membrane due to pressure differences. |
| functions of water? | Maintains temperature, transports substances, lubricates joints/digestive tract. |
| What protects the brain and spinal cord? | Water (via cushioning fluid) |
| Where are osmoreceptors located? | Hypothalamus |
| How much water do adults need daily? | 1.5–2 liters |
| Which hormones regulate fluid balance? | Antidiuretic hormone (ADH) aldosterone, atrial natriuretic factor (ANF) |
| List common signs of fluid volume deficit. (hypovolemia) | Dry skin, poor turgor, thirst, weak pulse, low BP, elevated HR, dry tongue/lips. |
| What symptom is a late sign of hypovolemia? | Nonelastic skin turgor |
| What are severe symptoms of fluid volume deficit? | Confusion, decreased level of consciousness |
| List common signs of fluid volume excess. (Hypervolemia) | Edema, crackles, jugular vein distention, weight gain, high BP, bounding pulse. |
| Electrolytes | Chemical substances that, when dissolved in water, release either their positive or their negative electrically charged particles, called ions. |
| Sodium | Determines ECF volumes, controls fluid distribution throughout the body. Stimulates conduction of electrical impulses |
| Potassium | Can affect the heart rhythm and cause life-threatening arrhythmias |
| Calcium | The most common mineral in our body. Stimulates the transmission of electrical impulses along nerve pathways. Vitamin D is required for absorption |
| Magnesium | Part of bone structure, assists with the work of the heart, muscles, and nerve cells, lowers blood pressure |
| Chloride | Found in interstitial fluid, lymph fluid, sweat, gastric, pancreatic, digestive juices, and in blood |
| Phosphorus | Primary intracellular anion, essential to all body tissues, especially red blood cells and muscle cells. Is used in energy exchange by cells. Serves as part of the acid–base buffering system |
| What buffer system is the primary regulator? | Bicarbonate–carbonic acid |
| Which system adjusts CO₂ levels? | Respiratory system—the lungs control retention and elimination of carbon dioxide (CO2), an acid |
| Which system regulates hydrogen and bicarbonate over time? | the kidneys control retention and elimination of hydrogen (H), an acid, and sodium bicarbonate (NaHCO3), a base |
| what is acidosis? | an increase of acids in the blood and moves the pH to below 7.35 |
| What causes respiratory acidosis? | CO₂ retention (not breathing adequately) |
| What causes metabolic acidosis? | Increased hydrogen ions or low bicarbonate |
| What is alkalosis? | Alkalosis is an increase in blood alkalinity and moves the pH to above 7.45 |
| What causes alkalosis? | Breathing rapidly and deeply, will “blow off” more CO2 than normal |
| What causes metabolic alkalosis? | Loss of hydrogen ions or increased bicarbonate |
| What describes metabolic alkalosis? | Kidneys excrete hydrogen ions to save potassium ions, leading to pH increasing above 7.45 |