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Definitions
Osmoles: The concentration of an osmotic solution. A milliequivalent is equal to 0.001 equivalent weight. An equivalent weight is equal to 1 mole divided by the valence of the substance. A MOLE is the molecular weight in grams per litre.
Concentration of Solutions
Percent Salt 0.9% NaCl (Normal Saline) Milliosmoles 300 milliosmoles/Liter Milliequivalents 325 milliequivalents/Liter
The passage of a liquid from a weak solution to a more concentrated solution across a semipermeable membrane that allows passage of the solvent (water) but not the dissolved solids.
Osmosis
Osmosis
Hypertonic Solution
Red Cell
0.9% NaCl
3% NaCl
Isotonic Solution
No movement of liquid will occur as the concentration of Sodium Chloride in the Red Cell and surrounding fluid are of equal strength.
0.9% NaCl
0.9% NaCl
Normal Saline
310 mosm
Problem 1
A patient has recently started working outdoors in the hot weather.
After a few days he experienced headaches, low blood pressure and a rapid heart rate. His blood sodium was down to 125 meq/L.
Answer to Problem 1
The patient lost sodium by perspiration. The low sodium in his blood allowed fluid to move into cells by osmosis. Lack of fluid lowered his blood pressure to give him a headache. The increased heart rate was his bodies way of trying to increase blood pressure.
Problem 2
A patient has hypertension.
His doctor has advised her eat a low salt diet. She consumed a lot of salt the day before her last checkup. Her blood pressure was up. Why?
Answer to Problem 2
The extra salt she consumed made her blood hypertonic. Hypertonic blood will attract fluids from body cells by osmosis.
Na+ + ClGlucose
Aldosterone
Adrenal Gland
Kidney
Hormone secreted from the adrenal cortex Stimulates kidneys Retain sodium Retain water Secrete potassium
Estrogen
Female hormone from the ovaries Similar to aldosterone Stimulates the kidneys to retain sodium Increases fluid retention
Cortisol
Hormone from the adrenal cortex Converts lipids and protein to glucose Depress inflammation Stimulates the kidneys to retain sodium Increases fluid retention Elevated levels cause edema
Collecting Duct
H2O Hypertonic
Interstitial Fluid
Urine
Calcitonin
BLOOD
Calcium
Estrogen
BLOOD
Calcium
Parathormone
BLOOD
Calcium
+ H
HCO3
Blood Kidney Nephron
Secreted Rebsorbed
H+
HCO3-
Urine
Kidneys Regulate pH by
Excreting excess hydrogen ions & retaining bicarbonate if pH is too low Retaining hydrogen ions & excreting bicarbonate if pH is too high
Lungs Regulate pH
Breathe faster to get rid of excess carbon dioxide if pH is too low. Carbon dioxide dissolves in blood to forms carbonic acid. Breathe slower to retain carbon dioxide if pH is too high.
CO2 + H2O
H2CO3
Carbonic Acid
H+ + HCO3Bicarbonate
A patient is taking Narcotics for Pain. The narcotics have depressed his breathing rate. What will happen to his blood pH?
pH will decrease because he will retain excess carbon dioxide which will increase the amount of acid in the blood
Buffers Regulate pH
Chemicals that resist changes in pH. Prevent large pH changes when an acid or base is added.
Strong Acid
Acid that releases many hydrogen ions
e.g. HCl
Weak Acid
Acid that releases only a few hydrogen ions e.g. Carbonic Acid
H2CO3+ NaCl
Weak Acid Salt
Acidosis
pH below 7.35 Depresses the nervous system
coma
Alkalosis
pH above 7.45 Overexcites the nervous system convulsions - Tetany
Respiratory Acidosis
Any condition that impairs breathing Carbon dioxide increases in blood Excess carbon dioxide lowers pH
Respiratory Alkalosis
Hyperventilation Carbon dioxide decreases in blood Low carbon dioxide raises pH
Metabolic Acidosis
Not caused by breathing or carbon dioxide imbalance. Excess acid in blood
Metabolic Alkalosis
Not caused by breathing or carbon dioxide imbalance. Deficiency of acid in the blood.
Vomiting, Diuretics.
Sodium
Attracts water into the ECF. (Extra Cellular Fluid) Nerve impulse. Muscle contractions.
Hypernatremia
Excess sodium in the blood.
Hyponatremia
Deficiency of sodium in the blood Hypotension (Low blood pressure) Tachycardia (Fast heart beat above 100BPM) Muscle weakness
Potassium
Attracts water into the ICF (Intracellular Fluid) Nerve impulse Muscle contractions
Hyperkalemia
Excess potassium in the blood
Cardiac arrhythmias and cardiac arrest Elevated T wave in ECG Muscle weakness
Hypokalemia
Deficiency of potassium in the blood
Cardiac arrhythmias and cardiac arrest Flattened T wave in ECG Muscle weakness
Calcium
Mostly in bones and teeth Blood clotting Nerve impulse Muscle contraction
Hypercalcemia
Excess calcium in the blood Kidney stones Bone pain Cardiac arrhythmias Cancer
Hypocalcemia
Deficiency of calcium in the blood
Tetany (uncontrolled muscle contraction) Weak heart muscle Increased clotting time
Aldosteronism
Excess production of aldosterone Elevated sodium levels Depressed potassium levels Hypertension
Addisons Disease
Hyposecretion of the Adrenal Cortex
Hyposecretion of Aldosterone Hyposecretion of Glucocorticoids
Hormones that convert protein sugar
Hypotension
Sodium deficiency
Cushings Syndrome
Excess glucocorticoids Tumor of adrenal gland Side effect of steroid drugs cortisone Hyperglycemia Fat accumulation Abdomen Back of neck (buffalo hump)
Insulin
Cell
Glucose
Blood
Diabetes Mellites
Hyposecretion or hypoactivity of insulin Hyperglycemia Glycosurea Polyurea Thirst Body burns more fat
Ketone bodies
Metabolic Acidosis
ADH
H2O Hypertonic
Interstitial Fluid
Urine
Diabetes Insipidus
Hyposecretion of ADH Increased urine volume Diabetes insipidus is caused by a problem with your pituitary gland or your kidneys.
The End