Pathology Exam 2: Chapters 7, 8, and 13
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Questions and Answers

What are the 3 divisions of extracellular fluid?

  • Interstitial spaces
  • Intravascular (blood vessels)
  • Blood plasma
  • All of the above (correct)
  • What is the normal human adult blood urea nitrogen level?

    6-20mg/dL

    Lower osmolality means the particles are more ________.

    diluted

    A high concentration of potassium is found within the cell.

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

    Match the following hormones with their functions within the Renin-Angiotensin-Aldosterone System (RAAS):

    <p>Renin = Initiates the RAAS by converting angiotensinogen to angiotensin I Angiotensin II = Stimulates aldosterone secretion from the adrenal cortex Aldosterone = Causes the renal tubules to increase reabsorption of sodium</p> Signup and view all the answers

    What does high urinary output, pale urine, and frequent urination indicate in patients with Diabetes Insipidus?

    <p>Large volume of dilute urine</p> Signup and view all the answers

    Study Notes

    Extracellular Fluid (ECF)

    • Divided into three main compartments: interstitial spaces, intravascular (blood vessels), and blood plasma
    • Main function is to regulate body temperature, maintain pH, and transport nutrients and waste products

    Hypertonic and Hypotonic Solutions

    • Hypertonic solutions: NaCl, Lactated Ringer's, and 10.45% NaCl
    • Hypertonic solutions have a higher concentration of solutes (particles) and a lower concentration of solvent (water)
    • Hypotonic solutions: have a lower concentration of solutes and a higher concentration of solvent
    • Isotonic solutions: have an equal concentration of solutes and solvent

    Polydipsia

    • Excessive thirst, which is normal when it accompanies conditions of water deficit
    • Characterized by compulsive water drinking

    Renin-Angiotensin-Aldosterone System (RAAS)

    • Renin is secreted and stored by the kidneys and promotes the production of angiotensin
    • Angiotensin II stimulates the secretion of aldosterone from the adrenal cortex
    • Aldosterone causes the renal tubules to increase in the reabsorption of sodium
    • Angiotensin II is a potent vasoconstrictive peptide that increases blood pressure

    Osmolality and Osmolarity

    • Osmolality (or osmolarity) refers to the concentration of dissolved particles of chemicals and minerals in blood serum
    • Normal serum osmolarity is 275-295 mOsm/L
    • Hypertonic solution has a value >295 mOsm/L

    Body Water

    • In the average adult male, body water is about 60% of body weight (about 42 L of H2O)
    • In the average adult female, body water is about 50% of body weight (about 42 L of H2O) due to adipose tissue

    Albumin and Oncotic Pressure

    • Albumin is a protein made by the liver
    • Albumin helps keep fluid in the bloodstream by exerting oncotic pressure
    • Oncotic pressure creates a water molecule deficit, with water molecules moving back into the circulatory system within the lower venous pressure end of capillaries

    SIADH and Hyponatremia

    • SIADH (Syndrome of Inappropriate Antidiuretic Hormone) is a condition where the body retains water instead of excreting it normally in urine
    • Signs and symptoms include nausea, vomiting, headache, confusion, weakness, and fatigue, with high urine osmolality (concentrated dark urine) and low serum osmolality

    Diabetes Insipidus (DI)

    • Absence of ADH in the body, leading to excessive urination, production of large amounts of pale urine, frequent urination, and bed wetting

    Cell Membrane and Tonicity

    • Cell membrane is semi-permeable, allowing solvent to pass through but not solute
    • Tonicity is a measure of the osmotic pressure between two solutions
    • Hypertonic cell size change: shrinks
    • Isotonic cell size change: neither shrinks nor swells
    • Hypotonic cell size change: swells

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    Description

    This quiz covers various topics in pathology, including extracellular fluid, hypertonic solutions, polydipsia, and blood urea nitrogen levels.

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