NURS 126: Body Fluid Composition and Regulation
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Questions and Answers

Water accounts for 50% of an adult's weight.

True

The amount of water in the body is higher in older adults.

False

Electrolytes are found in both intracellular and extracellular fluids.

True

Intracellular fluid accounts for approximately 1/3rd of body fluids.

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

Interstitial fluid is a sub-compartment of intracellular fluid.

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

Maintaining normal fluid and electrolyte levels is critical for normal body function and homeostasis.

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

Fat cells contain more water than muscle cells.

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

Extracellular fluid is more difficult to lose than intracellular fluid.

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

Transcellular fluid is approximately 1 L of the total body fluid.

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

Third spacing is a normal movement of fluid between compartments.

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

Body fluids facilitate the control of body temperature.

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

Electrolytes are only positively charged.

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

Sodium is the most abundant electrolyte in ICF.

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

Retention of sodium is associated with loss of body fluids.

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

The body constantly ensures normal levels of electrolytes in both ICF and ECF.

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

Oral liquids are the primary source of fluid loss.

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

Water produced by metabolism is 300 units

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

Osmosis is the movement of fluid from an area of high solute concentration to an area of low solute concentration

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

Filtration is a method of movement of fluid and electrolytes across compartments

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

Normal blood osmolality is 250-270 mOsm/kg water

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

Isotonic solution has a higher osmolality than serum osmolality

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

Oncotic pressure is the osmotic pressure exerted by albumin

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

Sodium is abundant in the intracellular fluid (ICF) and crosses into the extracellular fluid (ECF) during diffusion

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

Active transport is the movement of substances from an area of lower concentration to an area of higher concentration

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

Filtration is the movement of water and solutes from an area of low pressure to one of high pressure.

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

The hypothalamus is located in the middle of the brain.

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

The pituitary gland produces antidiuretic hormone (ADH).

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

The kidneys excrete 1 to 2 L of urine daily.

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

The nephron is the entire kidney.

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

The heart and blood vessels create the pressure for filtration of urine in the kidneys.

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

The lungs are responsible for acid-base balance.

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

The adrenal glands are responsible for producing aldosterone and cortisol.

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

Parathyroid hormone regulates calcium and phosphate balance.

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

Urine is formed by the liver.

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

The kidneys regulate electrolyte balance.

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

The hypothalamus produces anti-diuretic hormone (ADH).

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

The kidneys secrete renin in response to low blood pressure or low osmolality.

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

Angiotensin II causes the kidneys to excrete sodium and water.

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

Aldosterone causes the kidneys to excrete potassium and retain sodium.

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

Homeostasis is the ability of the body to maintain a stable internal environment despite changes in the external environment.

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

Fluid and electrolyte imbalances can lead to ill health.

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

The bladder stores urine until it is excreted during micturition.

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

Study Notes

Body Fluid Composition, Distribution, and Regulation

Introduction

  • Water accounts for 60% of an adult's weight, varying with age, gender, and body fat
  • Maintaining normal fluid and electrolyte levels is critical for normal body function, homeostasis, and acid-base balance

Compartments of Body Fluids

  • 2/3 of body fluids are found inside cells (Intracellular Fluid, ICF)
    • Mainly found in skeletal muscles
    • Lost mainly through cell trauma or fluid shift
  • 1/3 of body fluids are found outside cells (Extracellular Fluid, ECF)
    • Sub-compartments:
      • Interstitial fluid (around cells, e.g., lymph)
      • Intravascular fluid (inside blood vessels, e.g., plasma)
      • Transcellular fluid (e.g., synovial, cerebrospinal, pericardial, intraocular, pleural, sweat, and digestive secretions)

Third Spacing

  • Abnormal movement of ICF or ECF into other spaces not aimed at homeostasis
    • Examples: bleeding into joints, ascites, burns, and bowel obstruction

Functions of Body Fluids

  • Maintains the structure of cells, tissues, and organs
  • Transports oxygen and nutrients to cells
  • Transports metabolic waste for excretion
  • Facilitates control of body temperature
  • Lubricates joints for movement

Electrolytes

  • Active chemicals in body fluids
  • Can be positively (cation) or negatively (anion) charged
  • Electrolyte concentrations vary across fluid compartments (ICF and ECF)
  • Sodium (Na+) is the most abundant electrolyte in ECF
  • Retention of sodium is associated with retention of body fluids

Fluid and Electrolyte Gain or Loss

  • Fluid gain: oral liquids, water in food, and water produced by metabolism
  • Fluid loss: urine, stool, insensible loss (lungs and skin)

Movement of Fluid and Electrolytes

  • Osmosis: movement of fluid from an area of low solute concentration to an area of high solute concentration through a semi-permeable membrane
  • Diffusion: movement of substances from a region of higher concentration to one of lower concentration
  • Filtration: movement of water and solutes from an area of high pressure to one of lower pressure
  • Active transport (Sodium-Potassium pump): a cell's use of energy to actively move substances across its cell wall

Regulation of Fluid and Electrolyte Balance

  • Hypothalamus: detects changes in blood serum concentration and stimulates the pituitary gland to release hormones to control kidney function
  • Pituitary gland: stores and releases antidiuretic hormone (ADH) to regulate kidney function
  • Kidneys: filters 180L of plasma into urine daily, regulates ECF volume and concentration, and removes metabolic waste
  • Heart and blood vessels: pumps blood throughout the body and creates the pressure for filtration of urine in the kidneys
  • Lungs: excrete 300ml of water daily and control acid-base balance
  • Adrenal glands: produce aldosterone to regulate kidney's sodium and water absorption/retention
  • Parathyroid glands: regulate calcium and phosphate balance

Urine Formation

  • Formed by the kidneys
  • Urine consists of water and waste products mainly of protein breakdown
  • Under the influence of hormones from the endocrine system, the kidneys regulate water balance and maintain blood pH within the normal range

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Description

This quiz assesses understanding of body fluids and electrolytes, including their nature, function, and imbalances. It also covers nursing interventions to correct these imbalances.

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