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Questions and Answers
What percentage of the body weight is contributed by fluids?
What percentage of the body weight is contributed by fluids?
Which fluid compartment holds the majority of the body's fluids?
Which fluid compartment holds the majority of the body's fluids?
What is the primary cause of hyponatremia?
What is the primary cause of hyponatremia?
Which of the following is typically a clinical sign of hyponatremia?
Which of the following is typically a clinical sign of hyponatremia?
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Which electrolyte is considered the major extracellular electrolyte?
Which electrolyte is considered the major extracellular electrolyte?
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What percentage of extracellular fluid is composed of plasma?
What percentage of extracellular fluid is composed of plasma?
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Which statement is most accurate regarding extracellular fluid accumulation?
Which statement is most accurate regarding extracellular fluid accumulation?
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Which of the following is not an intracellular electrolyte?
Which of the following is not an intracellular electrolyte?
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Which fluid compartment consists of both interstitial and plasma fluids?
Which fluid compartment consists of both interstitial and plasma fluids?
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Which of the following represents a common cause for sodium reabsorption issues?
Which of the following represents a common cause for sodium reabsorption issues?
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What is the primary function of the cell membrane?
What is the primary function of the cell membrane?
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What serious clinical signs are particularly associated with changes in potassium levels?
What serious clinical signs are particularly associated with changes in potassium levels?
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Which mechanism involves the movement of water across a membrane?
Which mechanism involves the movement of water across a membrane?
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What serum potassium concentration is considered hypotonic?
What serum potassium concentration is considered hypotonic?
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What is the role of channel and carrier proteins in the cell membrane?
What is the role of channel and carrier proteins in the cell membrane?
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How does passive transport differ from active transport?
How does passive transport differ from active transport?
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What is hypokalemia most commonly caused by?
What is hypokalemia most commonly caused by?
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What condition is hyperkalemia most likely associated with?
What condition is hyperkalemia most likely associated with?
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What is the primary purpose of the sodium-potassium pump?
What is the primary purpose of the sodium-potassium pump?
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In the context of fluid therapy, why is it important to formulate the degree of dehydration?
In the context of fluid therapy, why is it important to formulate the degree of dehydration?
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What is a common clinical sign of hyperkalemia?
What is a common clinical sign of hyperkalemia?
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Which test is frequently performed to assess plasma concentration?
Which test is frequently performed to assess plasma concentration?
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Which clinical sign is indicative of fluid overload?
Which clinical sign is indicative of fluid overload?
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What compensatory mechanism occurs when blood supply to the kidneys is decreased?
What compensatory mechanism occurs when blood supply to the kidneys is decreased?
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What differentiates IV catheter types in veterinary settings?
What differentiates IV catheter types in veterinary settings?
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What is a disadvantage of using hypertonic fluids in veterinary medicine?
What is a disadvantage of using hypertonic fluids in veterinary medicine?
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Which electrolyte imbalance is characterized by symptoms of bradycardia and cardiac arrhythmias?
Which electrolyte imbalance is characterized by symptoms of bradycardia and cardiac arrhythmias?
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What can cause a drop in serum potassium levels?
What can cause a drop in serum potassium levels?
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What is the primary method of fluid movement between the extracellular fluid (ECF) and intracellular fluid (ICF)?
What is the primary method of fluid movement between the extracellular fluid (ECF) and intracellular fluid (ICF)?
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What is a potential risk of acidosis in relation to potassium levels?
What is a potential risk of acidosis in relation to potassium levels?
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What is the primary mechanism for moving electrolytes against their concentration gradient?
What is the primary mechanism for moving electrolytes against their concentration gradient?
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Which statement accurately describes the function of the cell membrane?
Which statement accurately describes the function of the cell membrane?
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Which route of fluid administration is often used for rapid rehydration?
Which route of fluid administration is often used for rapid rehydration?
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What is a notable disadvantage of using hypertonic fluids in therapy?
What is a notable disadvantage of using hypertonic fluids in therapy?
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What is the primary role of the sodium-potassium pump in cell physiology?
What is the primary role of the sodium-potassium pump in cell physiology?
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Which condition is commonly associated with fluid overload?
Which condition is commonly associated with fluid overload?
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Which mechanism of fluid movement allows for the diffusion of molecules down their concentration gradient?
Which mechanism of fluid movement allows for the diffusion of molecules down their concentration gradient?
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What factor must be calculated to determine the appropriate amount of fluids a patient requires?
What factor must be calculated to determine the appropriate amount of fluids a patient requires?
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What does passive transport primarily rely on?
What does passive transport primarily rely on?
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Which type of intravenous catheter is typically used for short-term fluid administration?
Which type of intravenous catheter is typically used for short-term fluid administration?
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Which fluid compartment makes up 15% of the body's fluid?
Which fluid compartment makes up 15% of the body's fluid?
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What percentage of the body's fluids is stored in the intracellular compartment?
What percentage of the body's fluids is stored in the intracellular compartment?
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Which anion is primarily found in extracellular fluid?
Which anion is primarily found in extracellular fluid?
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What is the clinical consequence of significant sodium loss?
What is the clinical consequence of significant sodium loss?
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Which condition is not commonly associated with hyponatremia?
Which condition is not commonly associated with hyponatremia?
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Which electrolyte is predominantly located within cells?
Which electrolyte is predominantly located within cells?
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What can excessive extracellular fluid accumulation in the body lead to?
What can excessive extracellular fluid accumulation in the body lead to?
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Which of the following represents a major intracellular electrolyte?
Which of the following represents a major intracellular electrolyte?
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Which condition can lead to hyponatremia due to fluid loss?
Which condition can lead to hyponatremia due to fluid loss?
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Which of the following best describes the plasma fluid compartment's percentage in body fluids?
Which of the following best describes the plasma fluid compartment's percentage in body fluids?
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What is the most common cause of hypokalemia?
What is the most common cause of hypokalemia?
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Which clinical signs are most closely associated with hyperkalemia?
Which clinical signs are most closely associated with hyperkalemia?
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What serum potassium concentration indicates hypokalemia?
What serum potassium concentration indicates hypokalemia?
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Which condition may lead to hyperkalemia due to cellular release of potassium?
Which condition may lead to hyperkalemia due to cellular release of potassium?
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What is the most common cause of hyperkalemia in animals?
What is the most common cause of hyperkalemia in animals?
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When serum potassium levels drop due to cellular uptake, what happens to total body potassium?
When serum potassium levels drop due to cellular uptake, what happens to total body potassium?
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Which hormone is primarily involved in potassium regulation through kidney function?
Which hormone is primarily involved in potassium regulation through kidney function?
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What might be a clinical sign of severe potassium depletion?
What might be a clinical sign of severe potassium depletion?
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Under what condition is hyperkalemia most likely to become life-threatening?
Under what condition is hyperkalemia most likely to become life-threatening?
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What can cause a significant drop in serum potassium levels in animals?
What can cause a significant drop in serum potassium levels in animals?
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Study Notes
Cell Physiology
- Cell membrane: A semi-permeable membrane, restricting movement of large molecules like electrolytes and proteins.
- Channel proteins and carrier proteins: Within the cell membrane, they are responsible for moving electrolytes and proteins.
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Fluid Compartments: The body is comprised of 60% fluid, divided into intracellular (40%) and extracellular (20%).
- Extracellular fluid: Further divided into interstitial fluid (15%) and Plasma (5%).
- Movement of fluids: Water moves freely between the intracellular and extracellular fluid, requiring no specific channels.
- Sodium Potassium Pump: Essential for transmission of electrical messages. It is crucial for heart contractions, nerve stimulation, and muscle movement.
Electrolytes
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Major Electrolytes:
- Sodium (Na+): Major extracellular electrolyte.
- Potassium (K+): Major intracellular electrolyte.
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Other Electrolytes: Chloride (Cl-), Phosphorus (H2PO4-), Magnesium (Mg++), Calcium (Ca++), and Bicarbonate (HCO3-).
Hyponatremia
- Most common electrolyte disturbance due to fluid loss.
- Most common causes: Diarrhea and Vomiting.
- Other causes: Diuretics, Renal disease, and Addison’s disease.
- Dramatic losses can cause cerebral edema and neurological signs.
- Clinical Signs: Lethargy and muscle weakness.
Potassium
- The main intracellular electrolyte.
- Changes in potassium levels are serious due to their clinical signs.
- Clinical Signs of Hypokalemia: Bradycardia, cardiac arrhythmias, and lethargy.
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Causes of Hypokalemia:
- Anorexia
- Excessive fluid loss (GI/diarrhea or Urinary)
Hypokalemia
- Serum Potassium levels: Levels begin to drop when potassium is driven into the cells. Serum potassium concentration decreases only after significant total body potassium loss (below 3.5 mEq/L).
- Clinical Signs: Muscle weakness, and in severe cases, hypoventilation and hypotension.
Hyperkalemia
- Causes: Urinary obstruction, trauma to the renal system, anuria or oliguria, and Addison’s disease.
- Life-threatening: Potassium is normally excreted by the kidneys.
- Acidosis: Potassium is driven out of the cells.
- Clinical Signs: Bradycardia, arrhythmia, and lethargy.
Hypernatremia
- Cause: Excessive sodium intake or insufficient water intake.
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Clinical Signs:
- Mild: Thirst, lethargy, and restlessness.
- Severe: Seizures, coma, and death.
- Treatment: Fluid therapy with hypotonic solutions and correction of underlying cause.
Cell Physiology
- The cell membrane is a semi-permeable membrane that restricts the movement of electrons and proteins
- Channel proteins and carrier proteins within the membrane are responsible for electron transport
- The cell membrane divides the body into different compartments
- Electrolytes and molecules flow through these compartments through either passive or active transport
- Passive transport moves molecules down the concentration gradient (high to low), examples include diffusion and osmosis
- Active transport moves electrolytes or proteins against the concentration gradient, an example is the Sodium Potassium Pump
Fluid Movement in the Body
- Water moves freely between the extracellular fluid (ECF) and intracellular fluid (ICF) without requiring channels, carriers, or other proteins
- The pumping of sodium against its concentration gradient is used for transmitting electrical signals within nerve cells
- The sodium-potassium pump generates action potentials responsible for heart contraction, nerve stimulation, and overall movement of muscles and limbs
- Even small changes in sodium and potassium concentrations can cause changes to bodily function, large shifts will manifest into clinical symptoms
Fluid Compartments
- Approximately 60% of the body weight is composed of fluids
- Intracellular fluid is approximately 40% of body weight
- Extracellular fluid accounts for approximately 20% of body weight, with 15% being interstitial fluid and approximately 5% being plasma
- Sodium reabsorption from the distal convoluted tubule (DCT) influences fluid compartments
Electrolytes
- Major electrolytes:
- Sodium (Na+) - extracellular
- Potassium (K+) - intracellular
- Other electrolytes:
- Chloride (Cl-) - major extracellular anion
- Phosphorus (H2PO4-)
- Magnesium (Mg++)
- Calcium (Ca++)
- Bicarbonate (HCO3-)
Hyponatremia
- The most common electrolyte disturbance due to fluid loss
- Volume loss, often due to diarrhea or vomiting
- Other causes include diuretics, renal disease, and Addison’s disease
- More dramatic losses can lead to cerebral edema and neurological signs
- Clinical signs include lethargy and muscle weakness
Potassium
- The main intracellular electrolyte
- Changes in potassium levels are particularly serious due to the clinical signs that can be seen, including bradycardia, cardiac arrhythmias, and lethargy
Potassium Levels
- Serum levels begin to drop when potassium (K+) is driven into the cells
- Serum potassium will decrease only after a considerable loss of total body K+ loss
- Serum potassium concentration < 3.5 mEq/L signifies a significant loss
- Clinical signs do not appear until depletion is severe, including muscle weakness, hypoventilation, and hypotension (seen in very severe losses)
Abnormal Serum Concentrations of Potassium (K+)
- Frequently occur in animals with fluid disturbances
- Hypokalemia:
- Most commonly seen
- Requires supplementation
- Causes: anorexia, excessive fluid loss (GI/diarrhea or urinary)
- Hyperkalemia:
- Less commonly encountered
- Causes: urinary obstruction, trauma to the renal system (ureter, bladder, etc.), anuric or oliguric states, Addison’s disease
- Life-threatening, as potassium (K+) is normally excreted by the kidneys
- Acidosis can drive potassium (K+) out of the cells, increasing serum levels
Hyperkalemia
- Clinical signs include bradycardia, arrhythmia, and lethargy
- Can be life-threatening, as potassium (K+) is normally excreted by the kidneys
- Acidosis can drive potassium (K+) out of the cells, increasing serum levels
Questions Answered
-
Which of the following is not a major fluid compartment?
- Pericardial
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The body is comprised of 60% fluid. What are the percentages of the two major compartments?
- 40% intracellular, 20% extracellular
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What is the major extracellular electrolyte?
- Sodium
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Which of the following best represents the major intracellular electrolytes?
- Phosphate, Magnesium, Potassium
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Some extracellular fluids can collect in various parts of the body secondary to infection, injury, or compromised circulation?
- True
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Which of the following is the largest fluid compartment of the body?
- Intracellular
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What part of the brain detects an increase in plasma concentration?
- Hypothalamus
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What test is routinely performed that indicates plasma concentration?
- Specific gravity
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When the blood supply to the kidneys is decreased, what homeostatic mechanism is used to compensate for it?
- Renin-angiotensin system
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Which electrolyte would exhibit the following clinical signs: bradycardia, cardiac arrhythmia, and lethargy?
- Hyperkalemia
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Description
This quiz covers the fundamental concepts of cell physiology, including the functions of the cell membrane, the roles of channel and carrier proteins, and the distribution of fluids in the body. Additionally, it explores the importance of electrolytes such as sodium and potassium and their roles in various physiological processes. Test your knowledge on these critical topics!