Definition: Movement of water across a semipermeable membrane from areas of lower solute concentration to those of higher.
Osmoregulation
Definition: Maintenance of constant osmotic pressure in bodily fluids by regulating water and salt concentrations.
Normal condition: Isotonic at 0.9% saline.
Hypertonic: More concentrated extracellular fluid.
Hypotonic: More dilute extracellular fluid.
Types of Thirst
Osmotic Thirst:
Triggered by eating salt/sugar, increasing plasma osmolality and drawing water out from cells.
Adding water dilutes extracellular fluid, decreasing osmolality.
Hypovolemic Thirst:
Results from loss of bodily fluids (hemorrhage, vomiting).
Fluid replacement must be isotonic to rehydrate effectively.
Regulation of Fluid Balance
Osmotic Dehydration:
Cerebral osmoreceptors release ADH (antidiuretic hormone) to conserve water via kidneys.
Thirst response activated if dehydration persists.
Hypovolemic Dehydration:
Baroreceptors respond to low blood volume, increasing heart rate, releasing ADH, renin, and aldosterone.
Retains water and salts, triggering thirst as well.
Hormones in Fluid and Electrolyte Balance
ADH:
Produced in hypothalamus, released by the posterior pituitary.
Increases water retention in kidneys, enhances collecting duct's water permeability.
Aldosterone:
Secreted from adrenal cortex in response to angiotensin II.
Stimulates sodium reabsorption in the kidneys.
Renin-Angiotensin-Aldosterone System (RAAS)
Baroreceptors activate RAAS in response to low blood pressure:
Renin from kidneys → converts angiotensinogen to angiotensin I.
ACE in lungs converts angiotensin I to angiotensin II.
Angiotensin II promotes vasoconstriction and stimulates ADH and aldosterone release, aiding in blood pressure regulation.
Blood Pressure Regulation
Blood pressure influenced by:
Blood volume
Resistance in blood vessels
Blood viscosity
Blood Glucose Regulation
Glucose: Primary energy source for body's cells; must be kept within narrow range.
Hyperglycemia: Too much glucose; can lead to diabetes.
Hypoglycemia: Too little glucose.
Hormonal regulation with insulin (lowers blood glucose) and glucagon (raises blood glucose).
Insulin Action
Produced by beta cells of pancreas, promotes glucose uptake post-meal, facilitating energy production or storage (glycogenesis).
Glucagon Action
Produced by alpha cells in response to low glucose, stimulates liver to produce glucose from glycogen (glycogenolysis) and amino acids (gluconeogenesis).
Balancing Insulin and Glucagon
Insulin decreases blood glucose while glucagon increases it, maintaining balance.
Diabetes Overview
Type I Diabetes: Insulin deficiency due to autoimmune destruction of pancreatic beta cells.
Type II Diabetes: Insulin resistance; often related to diet and lifestyle.