Fluid Compartments and Balance
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Questions and Answers

To maintain physiological function, the cells of the body require a constant supply of water comprising ____________ of the volume of fluid outside cells.

~75%

Which one of the following does the extracellular fluid NOT comprise?

  • Other body fluids
  • Cytosol (correct)
  • Interstitial fluid
  • Plasma
  • The ionic concentrations and ________________ of body fluids are as important as their absolute quantity.

    pH

    Stability of the volumes, solute concentrations, and pH of the ECF and ICF involves each of the following inter-related processes, EXCEPT:

    <p>Density balance</p> Signup and view all the answers

    The body is in ________________ when the amount of water gained each day is equal to the amount lost to the environment.

    <p>fluid balance</p> Signup and view all the answers

    Fluid balance reflects primarily the control of _________________________ inside and outside of the cell.

    <p>ionic concentrations</p> Signup and view all the answers

    What are ions released through the breakdown of inorganic compounds called?

    <p>electrolytes</p> Signup and view all the answers

    If the gains and losses for each electrolyte are in balance, the body is said to be in:

    <p>electrolyte balance</p> Signup and view all the answers

    Electrolyte balance primarily involves balancing the rates of absorption across the digestive tract with rates of loss at the:

    <p>Kidneys</p> Signup and view all the answers

    The body is in acid-base balance when the production of __________________ in the body is precisely matched by their loss.

    <p>hydrogen ions</p> Signup and view all the answers

    Preventing a reduction of pH is complicated as the body generates a variety of ___________ during normal metabolism.

    <p>acids</p> Signup and view all the answers

    The extracellular fluid (ECF) and the intracellular fluid (ICF) are called:

    <p>Fluid compartments</p> Signup and view all the answers

    The principal ions in the extracellular fluid (ECF) are all of the following, EXCEPT:

    <p>Potassium (K+)</p> Signup and view all the answers

    The principal components of the intracellular fluid (ICF) include large numbers of ____________ proteins.

    <p>negatively charged</p> Signup and view all the answers

    Cell membranes are ______________________ and ions can only enter or leave by specific channels or carriers.

    <p>Selectively permeable</p> Signup and view all the answers

    Despite the differences in concentration of specific substances, the intracellular fluid (ICF) and extracellular fluid (ECF) _____________________ concentrations in most instances are identical.

    <p>osmotic</p> Signup and view all the answers

    Minor components of the extracellular fluid (ECF) include each of the following, EXCEPT:

    <p>Plasma</p> Signup and view all the answers

    In clinical situations, it is customary to approximate that two-thirds of the total body water (TBW) is in the:

    <p>Intracellular fluid (ICF)</p> Signup and view all the answers

    Continuous movement of water through the extracellular fluid (ECF) and intracellular fluid (ICF) functions to perform all of the following, EXCEPT:

    <p>Help transport insoluble lipids and tissue proteins which cannot enter the circulation by crossing capillary walls</p> Signup and view all the answers

    Which of the following is NOT one of the four key concepts in the regulation of fluids and electrolytes?

    <p>Most fluids and electrolytes are normally lost by evaporation</p> Signup and view all the answers

    Which of the following hormones is NOT involved in the major physiological adjustments affecting fluid balance and electrolyte balance?

    <p>Insulin</p> Signup and view all the answers

    Which two major ions contribute to the osmotic concentrations of the extracellular fluid (ECF) and intracellular fluid (ICF), respectively?

    <p>Sodium and potassium</p> Signup and view all the answers

    __________ are substances that combine with hydrogen (H+) ions (pH > 7).

    <p>bases</p> Signup and view all the answers

    Slight changes in acid-base balance can cause each of the following, EXCEPT:

    <p>Edema</p> Signup and view all the answers

    Which of the following is NOT a major mechanism to maintain hydrogen (H+) ion homeostasis?

    <p>Chloride consumption</p> Signup and view all the answers

    Buffers are dissolved compounds that can remove:

    <p>Hydrogen (H+) ions</p> Signup and view all the answers

    Which of the following is NOT one of the three main acid-base buffer systems?

    <p>Carbohydrate</p> Signup and view all the answers

    The functions of blood include each of the following, EXCEPT:

    <p>Supporting and cushioning the central nervous system (CNS)</p> Signup and view all the answers

    Formed elements of blood include each of the following, EXCEPT:

    <p>Plasma</p> Signup and view all the answers

    Red blood cells are formed by differentiation of embryonic stem cells (______________________) in the red bone marrow.

    <p>erythropoiesis</p> Signup and view all the answers

    Which of the following white blood cell types is responsible for the body's specific defenses?

    <p>Lymphocytes</p> Signup and view all the answers

    Which of the following is NOT a function of platelets?

    <p>Scar formation</p> Signup and view all the answers

    The cessation of bleeding is also called:

    <p>Haemostasis</p> Signup and view all the answers

    The three phases of haemostasis include each of the following, EXCEPT:

    <p>Scar phase</p> Signup and view all the answers

    The ______________ pathway - which begins when enzymes from either the extrinsic or intrinsic pathways activate Factor X starting a cascade ending with conversion of fibrinogen to fibrin.

    <p>common</p> Signup and view all the answers

    Which of the following is NOT an organ of the lymphatic system?

    <p>Kidney</p> Signup and view all the answers

    Lymphatic vessels carry lymph from peripheral tissues through the lymph nodes (which filtrate foreign substances from lymph) to the:

    <p>venous system</p> Signup and view all the answers

    Movement of interstitial fluid into lymphatic vessels depends on the interstitial fluid _____________ pressure.

    <p>hydrostatic</p> Signup and view all the answers

    The blockage of lymphatic vessels can result in a rise in the volume of interstitial fluid, which can result in a massive regional:

    <p>edema</p> Signup and view all the answers

    Which one of the following is part of the lymphatic system's non-specific defenses?

    <p>Inflammation</p> Signup and view all the answers

    Study Notes

    Fluid Compartments

    • Body cells require a constant supply of water, which comprises ~75% of the volume of fluid outside cells
    • Extracellular fluid (ECF) comprises interstitial fluid, plasma, and other body fluids (e.g., lymph, cerebrospinal fluid)
    • Intracellular fluid (ICF) is the cytosol
    • Stability of fluid volume and pH in ECF and ICF is essential for physiological function
    • The body is in fluid balance when water gained equals water lost. The digestive system is the primary route for water intake, while the urinary system is the primary route for water loss.
    • Electrolyte balance refers to the control of ionic concentrations inside and outside cells
    • Electrolytes are ions released through the breakdown of inorganic compounds and conduct electrical current
    • Electrolyte balance involves balancing intake from food and water with losses in urine, sweat, and feces.
    • Acid-base balance refers to the precise matching of acid production and loss in the body.
    • The body generates acids during metabolism, requiring mechanisms to prevent pH reduction.
    • ECF and ICF are called fluid compartments, with distinct ionic compositions.

    Major Ions in Compartments

    • Major ions in ECF: sodium (Na+), potassium (K+), chloride (Cl-), bicarbonate (HCO3-)
    • Major ions in ICF: negatively charged proteins
    • Cell membranes are selectively permeable, allowing ions to pass only through specific channels or carriers
    • Despite differences in specific ion concentrations, ICF and ECF have equal osmotic concentrations due to free water movement across membranes.

    Body Fluid Movement

    • Minor components of ECF include lymph, aqueous humor, and cerebrospinal fluid (CSF).
    • About two-thirds of total body water (TBW) is typically found in the ICF.
    • Continuous water movement between ECF and ICF is essential for:
      • Ensuring constant communication between plasma and interstitial fluid.
      • Regulating body temperature.
      • Transporting insoluble lipids and tissue proteins.
      • Distributing nutrients, hormones, and gases.

    Fluid and Electrolyte Regulation

    • The body's content of water and electrolytes rises if intake exceeds losses and falls if losses exceed intake.
    • Homeostatic mechanisms regulating fluid and electrolyte composition respond to changes in ECF, not ICF.
    • Hormones involved in fluid and electrolyte balance include:
      • Antidiuretic hormone (ADH).
      • Aldosterone.
      • Natriuretic peptides (ANP and BNP).
    • Sodium (Na+) is the major ion contributing to ECF osmotic concentration, while potassium (K+) is the major ion for ICF.

    Acid-Base Balance

    • Bases combine with hydrogen (H+) ions, increasing pH (pH > 7).
    • Slight changes in acid-base balance can:
      • Alter enzyme activity rates.
      • Shift distribution of other ions.
      • Modify hormone function.
    • Mechanisms maintaining H+ ion homeostasis include:
      • Buffer systems.
      • Exhalation of carbon dioxide.
      • Kidney excretion.
    • Buffers remove H+ ions, preventing drastic pH changes.
    • The three main acid-base buffer systems are bicarbonate, phosphate, and protein.

    Blood Composition and Function

    • Blood functions include:
      • Transport of gases, nutrients, hormones, and waste products.
      • Thermoregulation.
      • Immunity.
    • Formed elements of blood include:
      • Red blood cells (RBCs or erythrocytes).
      • White blood cells (WBCs or leukocytes).
      • Platelets.
    • Red blood cells are formed through erythropoiesis in red bone marrow.
    • Lymphocytes are responsible for the body's specific defense mechanisms.
    • Platelets function in:
      • Temporary patching of damaged blood vessels.
      • Scar formation.
      • Clot contraction.
      • Transport of clotting chemicals.

    Haemostasis

    • Haemostasis refers to the cessation of bleeding.
    • The three phases of haemostasis include:
      • Vascular phase.
      • Platelet phase.
      • Coagulation phase.
    • The common pathway in coagulation involves activation of Factor X by enzymes from the extrinsic or intrinsic pathways, ultimately leading to fibrin formation.

    Lymphatic System

    • The lymphatic system consists of:
      • Thymus.
      • Spleen.
      • Lymph nodes.
    • Lymphatic vessels transport lymph from peripheral tissues through lymph nodes (filtering foreign substances) to the venous system.
    • Movement of interstitial fluid into lymphatic vessels depends on hydrostatic pressure.
    • Blockage of lymphatic vessels can cause edema.
    • The lymphatic system's non-specific defenses include inflammation, skin, and mucous membranes.

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    Description

    Explore the crucial concepts of fluid compartments in the body, including intracellular and extracellular fluids. Understand the importance of fluid balance, electrolyte balance, and acid-base balance for physiological function. Test your knowledge on how these factors contribute to overall health and bodily functions.

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