Intravenous Fluids and Osmosis

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Questions and Answers

Which of the following correctly describes active transport?

  • Movement of molecules from low to high concentration using energy. (correct)
  • Movement of molecules from high to low concentration without energy.
  • Movement of water only, disregarding solute concentration.
  • Movement of molecules in equilibrium across a membrane.

What is the main characteristic of hypotonic solutions?

  • They do not facilitate water movement across cell membranes.
  • They have a higher concentration of solutes than blood.
  • They have a lower concentration of solutes than blood. (correct)
  • They cause cells to lose water and shrink.

Osmosis primarily involves the movement of which substance?

  • Active transport of electrolytes against a gradient.
  • Buffers to maintain pH levels in cells.
  • Solutes from low to high concentration.
  • Water from a region of lower solute concentration to a higher solute concentration. (correct)

What effect does hypertonic IV solution have on cells?

<p>Cells lose water and shrink. (D)</p> Signup and view all the answers

Which of the following is a common cause of fluid imbalance?

<p>Improper electrolyte levels. (D)</p> Signup and view all the answers

What role do electrolytes play in cellular hydration?

<p>They help regulate fluid movement between compartments. (A)</p> Signup and view all the answers

Which statement about diffusion is true?

<p>It helps equalize the concentration of substances across a membrane. (A)</p> Signup and view all the answers

What happens to water molecules during osmosis when a cell is placed in a hypertonic solution?

<p>Water exits the cell into the solution. (D)</p> Signup and view all the answers

What is an example of active transport in humans?

<p>Uptake of glucose in the intestine (C)</p> Signup and view all the answers

What characterizes dehydration?

<p>Total body fluids less than normal (B)</p> Signup and view all the answers

In which type of solution does endosmosis occur?

<p>Hypotonic solution (B)</p> Signup and view all the answers

What happens to a cell in a hypertonic solution?

<p>The cell becomes flaccid (C)</p> Signup and view all the answers

Which condition can lead to overhydration?

<p>Rapid drinking of water (B)</p> Signup and view all the answers

Osmotic pressure is primarily determined by which factor?

<p>Concentration of solute (C)</p> Signup and view all the answers

What is the process called when water moves out of the cell in a hypertonic solution?

<p>Exosmosis (D)</p> Signup and view all the answers

What is a common effect of dehydration on body fluids?

<p>Decrease in intracellular fluid volume (D)</p> Signup and view all the answers

What role does intracellular fluid (ICF) primarily play in cellular functions?

<p>Facilitating intracellular chemical reactions (B)</p> Signup and view all the answers

Which mechanism primarily maintains fluid output regulation in the body?

<p>Antidiuretic hormone (ADH) secretion (C)</p> Signup and view all the answers

How does an increase in extracellular fluid (ECF) volume affect intracellular fluid (ICF)?

<p>It decreases ICF volume as water moves towards ECF. (A)</p> Signup and view all the answers

What is a key function of electrolytes in fluid balance?

<p>They facilitate osmosis between ICF and ECF. (A)</p> Signup and view all the answers

Which type of fluid does not cause net movement of water across a semipermeable membrane?

<p>Isotonic solutions (B)</p> Signup and view all the answers

What happens to urine volume when antidiuretic hormone (ADH) levels increase?

<p>Urine volume decreases. (A)</p> Signup and view all the answers

What effect does capillary blood pressure have on fluid balance?

<p>It pushes water out of blood into interstitial fluid. (D)</p> Signup and view all the answers

What can lead to dehydration of cells in the body?

<p>High electrolyte concentration in ECF (B)</p> Signup and view all the answers

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Study Notes

Types of IV Solutions

  • Isotonic Fluids maintain equal osmolarity with blood; example: 0.9% Normal Saline (0.9% NaCl).
  • Hypotonic Fluids have lower solute concentration than blood, infusing cells with fluids; examples include 0.45% Saline, 0.25% Saline, and 5% Dextrose.
  • Hypertonic Solutions contain higher concentrations of solutes; example: 3% Normal Saline (3% NaCl), causing cell water to move into the intravascular space.

Movements of Fluids

  • Diffusion is the migration of molecules from high to low concentration, balancing concentration across membranes. Example: Copper sulfate in water eventually distributes evenly.
  • Active Transport requires energy (ATP) to move molecules against a concentration gradient; vital for glucose uptake in the intestines and mineral uptake in plant roots.
  • Osmosis is the movement of solvent molecules from low to high solute concentration through semi-permeable membranes. It is influenced by osmotic pressure, determined by solute concentration.

Types of Osmosis

  • Endosmosis occurs in hypotonic solutions, where water moves into cells, causing them to swell (turgid).
  • Exosmosis occurs in hypertonic solutions, where water exits the cell, causing it to shrink (flaccid).

Fluid Imbalances

  • Dehydration results in reduced total body fluid volume when output exceeds intake, first affecting interstitial fluid then intracellular fluid (ICF) and plasma.
  • Overhydration arises from excessive fluid intake compared to output, potentially caused by excessive IV fluids or rapid consumption of water, leading to water intoxication.

Body Fluid Compartments

  • Intracellular Fluid (ICF) is the largest compartment, facilitating essential chemical reactions within cells.

Mechanisms Maintaining Fluid Balance

  • Regulation of Fluid Output: Primarily managed through urine volume adjusted by Antidiuretic hormone (ADH), which enhances sodium and water reabsorption in the kidneys.
  • Regulation of Fluid Intake: Extracellular fluid (ECF) electrolyte concentration affects ECF volume; enhanced ECF volume triggers ADH secretion.
  • Fluid Exchange via Blood: Capillary blood pressure promotes water movement out of blood while blood protein concentration pulls water back into blood, regulating plasma and interstitial fluid balances.

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