Fluid Compartments and Body Composition
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Questions and Answers

What is the primary composition of body fluids?

  • Lipids and minerals
  • Proteins and carbohydrates
  • Electrolytes only
  • Water and solutes (correct)
  • Which compartment has the highest volume of total body water?

  • Extracellular fluid
  • Intracellular fluid (correct)
  • Interstitial fluid
  • Plasma
  • What percentage of body weight is attributed to total body water in a typical adult?

  • 60% (correct)
  • 70%
  • 40%
  • 50%
  • Which fluid is considered part of the interstitial fluid?

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

    How does water content change with age?

    <p>Declines to about 45%</p> Signup and view all the answers

    Which of the following is classified as a non-electrolyte?

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

    What is a significant reason for water balance disorders?

    <p>Electrolyte imbalance</p> Signup and view all the answers

    Which physiological factor increases total body water content?

    <p>Higher testosterone levels</p> Signup and view all the answers

    What is the minimum daily sensible water loss in urine required to excrete wastes?

    <p>500 ml</p> Signup and view all the answers

    What effect does an increase in Antidiuretic Hormone (ADH) have on urine concentration?

    <p>Urine becomes concentrated</p> Signup and view all the answers

    What type of feedback system regulates the release of ADH?

    <p>Negative feedback</p> Signup and view all the answers

    Where are osmoreceptors located that sense ECF solute concentration?

    <p>In the hypothalamus</p> Signup and view all the answers

    What happens to the body fluids when ADH levels decrease?

    <p>Body fluids decrease volume</p> Signup and view all the answers

    What triggers the release of antidiuretic hormone (ADH)?

    <p>Low blood pressure</p> Signup and view all the answers

    Which hormone is responsible for stimulating water reabsorption in the collecting ducts?

    <p>Antidiuretic Hormone (ADH)</p> Signup and view all the answers

    What is the general response of baroreceptors in conditions of high blood pressure?

    <p>Inhibit ADH release</p> Signup and view all the answers

    Which condition is characterized by ECF water loss?

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

    What is the primary ion concentration monitored by osmoreceptors that influences ADH release?

    <p>Sodium (Na+)</p> Signup and view all the answers

    What is a potential consequence of dehydration?

    <p>Mental confusion</p> Signup and view all the answers

    What is the primary result of hypotonic hydration?

    <p>Cell swelling</p> Signup and view all the answers

    Which mechanism leads to an atypical accumulation of interstitial fluid (IF)?

    <p>Increased capillary permeability</p> Signup and view all the answers

    How does renal insufficiency contribute to water balance disorders?

    <p>It causes hypotonic hydration</p> Signup and view all the answers

    What condition results from an impairment in colloid osmotic pressures?

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

    What is a common treatment for hypotonic hydration?

    <p>Hypertonic saline</p> Signup and view all the answers

    What effect does increased colloid osmotic pressure in interstitial fluid have on blood pressure?

    <p>It lowers blood pressure due to fluid being drawn from the blood</p> Signup and view all the answers

    Which ion is most critical for regulating extracellular fluid (ECF) volume and water distribution?

    <p>Sodium (Na+)</p> Signup and view all the answers

    What regulates sodium balance in the body?

    <p>Hormonal and neural control linked to blood pressure</p> Signup and view all the answers

    Which hormone is primarily responsible for the reabsorption of sodium in the kidneys?

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

    Where in the nephron is the majority of sodium reabsorption occurring?

    <p>Proximal tubules</p> Signup and view all the answers

    What happens to sodium during the filtration process in the nephron?

    <p>Sodium is never secreted into the filtrate</p> Signup and view all the answers

    Which of the following mechanisms is not part of sodium transport regulation?

    <p>Sodium secretion into sweat</p> Signup and view all the answers

    How is excess potassium (K+) affected by aldosterone?

    <p>Leads to potassium secretion in exchange for sodium</p> Signup and view all the answers

    What bodily functions do electrolytes primarily control?

    <p>Fluid movements and membrane permeability</p> Signup and view all the answers

    Which of the following is NOT a way electrolytes are lost from the body?

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

    What is the primary trigger for the release of aldosterone?

    <p>Elevated potassium levels in extracellular fluid</p> Signup and view all the answers

    How does angiotensin II affect kidney function?

    <p>Stimulates sodium reabsorption</p> Signup and view all the answers

    What effect does Atrial Natriuretic Peptide (ANP) have on blood pressure?

    <p>Decreases both blood pressure and blood volume</p> Signup and view all the answers

    In which part of the body is aldosterone produced?

    <p>Adrenal cortex</p> Signup and view all the answers

    What is the primary function of ADH in relation to sodium?

    <p>Allows water to follow sodium</p> Signup and view all the answers

    Which of these physiological actions does aldosterone NOT perform?

    <p>Promotes diuresis</p> Signup and view all the answers

    What is the relationship between K+ levels in the ECF and aldosterone secretion?

    <p>Increased K+ levels trigger aldosterone release</p> Signup and view all the answers

    What releases Atrial Natriuretic Peptide (ANP) in response to increased blood pressure?

    <p>Atrial myocytes</p> Signup and view all the answers

    Which of the following effects does not result from the action of renin-angiotensin-aldosterone mechanism?

    <p>Inhibition of vasoconstriction</p> Signup and view all the answers

    What effect does an increase in blood pressure have on the release of renin?

    <p>Inhibits renin release</p> Signup and view all the answers

    Study Notes

    Fluid Compartments

    • Total body water is approximately 60% of body weight.
    • Two main fluid compartments: intracellular fluid (ICF) and extracellular fluid (ECF).
    • ICF is approximately 2/3 of total body water, ECF is approximately 1/3
    • ECF is further divided into plasma and interstitial fluid.
    • Extracellular fluid (ECF) is composed of:
      • Plasma (~3 L)
      • Interstitial Fluid (IF) (~13 L)
      • Other (Lymph, Cerebrospinal fluid (CSF), Humors of the eyes, Synovial fluid, Serous fluid, Gastrointestinal secretions)

    Composition of Body Fluids

    • Water acts as a universal solvent.
    • Solutes are dissolved substances in water and are either electrolytes or non-electrolytes.
    • Electrolytes are charged particles and include sodium, potassium, calcium, magnesium, chloride, bicarbonate, phosphate, and sulfate.
    • Non-electrolytes are uncharged particles, such as glucose, lipids, creatinine, and urea.

    Regulation of Water Output

    • Water loss occurs through obligatory and sensible mechanisms.
    • Obligatory water loss refers to the continual loss of water from the skin and lungs.
    • Sensible water loss includes water loss through urine and faeces, which is subject to physiological regulation.
    • The body requires a minimum daily waste excretion volume of 500 ml through urine.

    Regulation of Water Output: Antidiuretic Hormone (ADH)

    • ADH is a hormone released from the posterior pituitary gland.
    • Main role is to control water reabsorption in the kidneys.
    • ADH release is triggered by an increase in ECF osmolality (concentration of solutes).
    • High ADH leads to concentrated urine to conserve water, and low ADH leads to dilute urine, losing water.
      • Other triggers for ADH release include:
        • Changes in blood volume or pressure (e.g., low blood pressure).
        • Blood vessel baroreceptors.
        • Renin-angiotensin-aldosterone mechanism.

    Water Balance Disorders

    • Dehydration is a condition characterized by excess ECF water loss

      • Causes: Haemorrhage, burns, vomiting or diarrhea, sweating, water deprivation, diuretics, endocrine disturbances.
      • Symptoms: "cottony" mouth, thirst, dry skin, low urine output.
      • May lead to: weight loss, fever, mental confusion, hypovolemic shock, electrolyte depletion.
    • Hypotonic hydration (water intoxication) is caused by an excess of water in the ECF.

      • Characterized by low ECF osmolality and hyponatremia (low sodium levels).
      • Water moves into cells due to osmosis, causing cells to swell and potentially lead to metabolic disturbances.
      • Treatment involves administering hypertonic saline.
    • Oedema is the accumulation of fluid in the interstitial space (IF) leading to swelling.

      • Causes include:
        • Increased capillary hydrostatic pressure due to factors like incompetent venous valves, blood vessel blockage, congestive heart failure.
        • Increased capillary permeability due to inflammation.
        • Decreased venous return to blood caused by imbalances in colloid osmotic pressures, leading to fluid retention.

    Electrolyte Balance

    • Electrolytes play a crucial role in regulating fluid movements, providing minerals for nerve excitability, secretory activity, and membrane permeability.
    • Electrolyte balance primarily refers to salt balance, which is essential for maintaining fluid balance and body function.
    • Sodium (Na+) is the most abundant cation in the ECF, and plays a critical role in regulating fluid movement and osmotic pressure.

    Regulation of Sodium Balance

    • Na+ balance is closely tied to blood pressure and blood volume control mechanisms.
    • Changes in blood pressure or volume trigger neural and hormonal responses to regulate Na+ content via the Renin-Angiotensin-Aldosterone mechanism, Aldosterone, and Atrial Natriuretic Peptide (ANP).

    Regulation of Sodium Balance: Aldosterone

    • Aldosterone is a steroid hormone produced by the adrenal gland.
    • It stimulates the kidneys to increase Na+ reabsorption and K+ secretion, decreasing urine output and increasing blood volume.
    • Triggered by:
      • Angiotensin II (a product of the renin-angiotensin mechanism).
      • High K+ levels in the ECF.

    Regulation of Sodium Balance: Renin-Angiotensin-Aldosterone Mechanism

    • This mechanism is the primary pathway for aldosterone release.
    • A drop in body Na+ content stimulates renin production by the kidneys.
    • Renin triggers the formation of angiotensin II, which ultimately leads to aldosterone release.
    • Angiotensin II also promotes vasoconstriction (narrowing of blood vessels) to increase blood pressure.
    • This mechanism helps to restore normal Na+ and K+ levels in the blood.

    Regulation of Sodium Balance: Atrial Natriuretic Peptide (ANP)

    • ANP is a hormone released by the heart in response to atrial stretch (increased blood pressure).
    • ANP acts to decrease blood pressure and volume.
    • Effects include:
      • Inhibition of ADH, renin, and aldosterone release.
      • Promotion of Na+ and water excretion in the kidneys.
      • Direct vasodilation and the reduction of angiotensin II levels, which is a vasoconstrictor.
    • This helps to lower blood pressure and volume.

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    Description

    This quiz explores the fluid compartments of the body, including intracellular fluid and extracellular fluid, and their respective compositions. It also discusses the roles of water as a solvent and the types of solutes in body fluids, including electrolytes and non-electrolytes. Test your knowledge on how water output is regulated in the body.

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