Pharmacology IV: Electrolyte Imbalance and Kidney Injuries
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Questions and Answers

What is the normal level of Na+ in the body?

  • 150-160 mEq/L
  • 120-130 mEq/L
  • 165-175 mEq/L
  • 135-145 mEq/L (correct)
  • What is the definition of hyponatremia?

  • Serum Na+ > 150 mEq/L
  • Serum Na+ = 140 mEq/L
  • Serum Na+ > 145 mEq/L
  • Serum Na+ < 135 mEq/L (correct)
  • What is the main cause of hypernatremia?

  • ADH or vasopressin release
  • Liver failure or CHF
  • Renal water loss only
  • Primary Na+ gain or water loss (correct)
  • What is the role of V2 receptors in the renal collecting ducts?

    <p>Increase water absorption</p> Signup and view all the answers

    What is the result of osmotic diuresis or diabetes insipidus?

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

    What is the effect of ADH or vasopressin release on the vasculature?

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

    What is the relationship between osmolarity and conc solute?

    <p>Osmolarity is directly proportional to conc solute</p> Signup and view all the answers

    What is the result of severe hyponatremia?

    <p>Severe electrolyte imbalance</p> Signup and view all the answers

    What is the primary reason for water loss in hypernatremia?

    <p>Water loss or less water intake</p> Signup and view all the answers

    What is the response of the posterior pituitary to high osmolarity?

    <p>Release of ADH or vasopressin</p> Signup and view all the answers

    What is the effect of V1b receptors on the brain?

    <p>Constriction of blood vessels</p> Signup and view all the answers

    What is the result of a state of hyperosmolarity?

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

    What is the effect of CHF on Na+ levels?

    <p>Decrease Na+ levels</p> Signup and view all the answers

    What is the role of V1a receptors in the vasculature?

    <p>Constriction of blood vessels</p> Signup and view all the answers

    What is the relationship between osmolarity and serum Na+ levels?

    <p>Osmolarity increases with decreasing serum Na+ levels</p> Signup and view all the answers

    What is the main cause of hyponatremia?

    <p>CHF, liver failure or SIADH</p> Signup and view all the answers

    Study Notes

    Electrolyte Imbalance

    • Normal sodium (Na+) level: 135-145 mEq/L
    • Osmolarity: concentration of solute (constant) / solvent (constant)

    Hyponatremia (Serum Na+ < 135 mEq/L)

    • Causes:
      • CHF (Congestive Heart Failure)
      • Liver failure
      • SIADH (Syndrome of Inappropriate Antidiuretic Hormone)
      • ADH (Antidiuretic Hormone) or vasopressin release from posterior pituitary in response to high osmolarity
    • ADH binds to three receptors:
      • V1a in vasculature (vasoconstriction)
      • V1b in brain
      • V2 in renal collecting ducts (increased water absorption)

    Hypernatremia (Plasma Na+ > 145 mEq/L)

    • Represents a state of hyperosmolarity
    • Causes:
      • Primary Na+ gain
      • Water loss or less water intake (more common)
      • Renal water loss due to:
        • Osmotic diuresis
        • Diabetes insipidus (↓ ADH)

    Electrolyte Imbalance

    • Normal sodium (Na+) level: 135-145 mEq/L
    • Osmolarity: concentration of solute (constant) / solvent (constant)

    Hyponatremia (Serum Na+ < 135 mEq/L)

    • Causes:
      • CHF (Congestive Heart Failure)
      • Liver failure
      • SIADH (Syndrome of Inappropriate Antidiuretic Hormone)
      • ADH (Antidiuretic Hormone) or vasopressin release from posterior pituitary in response to high osmolarity
    • ADH binds to three receptors:
      • V1a in vasculature (vasoconstriction)
      • V1b in brain
      • V2 in renal collecting ducts (increased water absorption)

    Hypernatremia (Plasma Na+ > 145 mEq/L)

    • Represents a state of hyperosmolarity
    • Causes:
      • Primary Na+ gain
      • Water loss or less water intake (more common)
      • Renal water loss due to:
        • Osmotic diuresis
        • Diabetes insipidus (↓ ADH)

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    Description

    This quiz covers electrolyte imbalance, specifically hyponatremia, and kidney injuries, including normal sodium levels and osmolarity.

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