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Flashcards on Fluid, Electrolyte & Acid-Base Balance
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Cell Membrane
Controls exchange between ICF and ECF through diffusion, osmosis, facilitated diffusion, and active transport.
Intracellular Fluid (ICF)
Inside cells; contains ~66% of total body water.
Extracellular Fluid (ECF)
Outside cells; contains ~33% of total body water.
Na+ (Sodium)
Fluid balance, nerve transmission. Main cation in ECF.
K+ (Potassium)
Muscle and nerve function. Main cation in ICF.
ADH
Water reabsorption in kidneys.
Aldosterone
Retains Na+ and water, excretes K+.
ANP
Promotes excretion of Na+ and water.
RAAS
Increases BP and volume through vasoconstriction and Na+ retention.
Diffusion
Solutes move from high to low concentration; no energy required.
Osmosis
Water moves from low to high solute concentration; no energy required.
Tonicity
Effect of a solution on cell volume.
Isotonic
Solution with no effect on cell volume.
Hypertonic
Solution that causes cells to shrink.
Hypotonic
Solution that causes cells to swell.
Acid
Donates H+; pH < 7.
Base
Accepts H+/donates OH-; pH > 7.
Acid-Base Balance
Regulation of pH within a narrow range to maintain physiological function.
Acidosis
pH < 7.35
Alkalosis
pH > 7.45
Bicarbonate Buffer
Main pH buffer in ECF.
Starling's Principle
Fluid movement depends on balance between hydrostatic and oncotic pressure.
Hydrostatic Pressure
Pushes fluid out of capillaries.
Oncotic Pressure
Pulls fluid into capillaries.
Tranexamic Acid
Antifibrinolytic drug used to prevent excessive bleeding.
Shock
MAP < 65 mmHg, reduced tissue perfusion.
ADH (in response to Low BP)
Increases water reabsorption in response to low BP.
Disseminated Intravascular Coagulation (DIC)
Uncontrolled clotting leading to consumption of clotting factors and bleeding.