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pressure exerted on inside of capillary walls by blood which pushes fluid out of capillary into interstitial space
Capillary hydrostatic pressure (P_C)
force caused by dispersion of plasma proteins and pulls water into capillaries
Plasma-colloid osmotic pressure (π_P)
pressure exerted on outside of capillary walls by ISF, pushes fluid from interstitial space to capillary
Interstitial fluid hydrostatic pressure (P_IF)
force caused by plasma proteins that leak into ISF (negligible in normal conditions)
Interstitial fluid-colloid osmotic pressure (π_IF)
what are the outward pressures?
Pc and π_IF
what are the inward pressures?
π_P and P_IF
___% is ICF
40%
___% is ECF
20%
___% of body weight is water
60%
___% of ECF is plasma, so its __% of total body weight
20%; 4%
___% of ECF is interstitial fluid, so its __% of total body weight
80%; 16%
indicator for TBW
radio-labeled water
indicator for ECF
inulin (can cross capillary walls but cannot enter cells)
indicator for plasma
albumin (Large protein that remains in plasma and doesn’t cross capillary walls)
C=
M/V
M=mass
V=volume
net exchange pressure equation:
NEP=(PC+πIF)−(πP+PIF)
Basically outward minus inward pressure
Positive NEP means ultrafiltration
Negative NEP means reabsorption
EF (percentage of end-diastolic volume (EDV) that leaves the heart)=
SV/EDV
Poiseuille’s Law:
Q = πΔPr⁴ / 8ηL
Q = flow
ΔP = pressure gradient
r = vessel radius
η = viscosity
L = vessel length
↑ pressure → ↑ flow
↑ radius → ↑ flow
↑ viscosity → ↓ flow
↑ length → ↓ flow
PP (pulse pressure) driven by:
SV (↑ PP) and compliance (↓ compliance → ↑ PP)
MAP driven by
CO and TPR
DP most sensitive to
TPR and HR
SP most sensitive to
SV and compliance
which has higher pH: arterial or venous and what are they?
arterial is 7.45 while venous is 7.35
pH=
6.1 + log ( [HCO₃⁻] / (0.03 × PCO₂) )
most important buffer?
protein
majority of bicarb reabsorption happens in?
proximal tubule
why is compensation for metabolic alkalosis not that effective?
compensation is respiratory acidosis which means we decrease respiratory rate and retain CO2 but since we are holding breath we do not breathe in O2 which is a problem
anion gap? only useful in?
difference between measured cations in ECF (primarily sodium) and anions (bicarb and chloride)
-useful in metabolic acidosis