Water pH and bufffer
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What is the primary function of osmosis in fluid movement across a semi-permeable membrane?

  • It combines fluids from different solute concentrations.
  • It allows fluid to move from high to low solute concentration.
  • It restricts the movement of proteins across membranes.
  • It facilitates fluid movement from low to high solute concentration. (correct)
  • Which of the following pressures exerted by the capillary is highest at the arterial end?

  • Interstitial oncotic pressure
  • Arterial hydrostatic pressure (correct)
  • Venous oncotic pressure
  • Venous hydrostatic pressure
  • Which electrolyte is the principal extracellular cation responsible for maintaining the osmotic equilibrium?

  • Na⁺ (correct)
  • K+
  • Ca²+
  • Mg²+
  • What role does aldosterone play in electrolyte and water balance?

    <p>It promotes sodium reabsorption and water retention.</p> Signup and view all the answers

    Which of the following conditions can lead to dehydration?

    <p>Diarrhea and vomiting</p> Signup and view all the answers

    What is the most common reason for diarrhea leading to hypovolemia?

    <p>Food poisoning</p> Signup and view all the answers

    Which symptom is NOT typically associated with dehydration in infants?

    <p>High fever</p> Signup and view all the answers

    What is a characteristic symptom of nephrotic syndrome that may cause edema in a child?

    <p>Pitting edema</p> Signup and view all the answers

    Which of the following best describes the role of water in metabolic processes?

    <p>Serves as a reactant</p> Signup and view all the answers

    Which compartment of body water is considered extracellular fluid?

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

    What is one function of water relevant to homeostasis?

    <p>Acts as a universal solvent</p> Signup and view all the answers

    How does water contribute to temperature regulation in the body?

    <p>By evaporating and cooling the surface</p> Signup and view all the answers

    What form of edema might be observed in a well-nourished child with swelling in the face and lower extremities?

    <p>Pitting edema</p> Signup and view all the answers

    Which buffer system primarily acts in response to an increase in $H^+$ ions in the extracellular fluid (ECF)?

    <p>Carbonic acid-bicarbonate buffer system</p> Signup and view all the answers

    Which of the following components is involved in the phosphate buffer system?

    <p>$H_2PO_4^-$</p> Signup and view all the answers

    What role do –COO- groups in proteins serve in the buffering system?

    <p>They act as proton acceptors.</p> Signup and view all the answers

    How does the equilibrium shift in the carbonic acid-hydrogen carbonate buffer system when $H^+$ ions are added?

    <p>It shifts to the left, decreasing $H_2CO_3$ concentration.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the hemoglobin buffer system?

    <p>Works primarily in the extracellular fluid.</p> Signup and view all the answers

    What happens to the volume of extracellular fluid (ECF) during dehydration?

    <p>It decreases.</p> Signup and view all the answers

    Which clinical symptom is NOT typically associated with severe dehydration?

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

    What increases in the body as a result of dehydration?

    <p>Osmotic pressure</p> Signup and view all the answers

    Which treatment is appropriate for overhydration?

    <p>Administration of hypertonic saline</p> Signup and view all the answers

    How do Van der Waals forces contribute to molecular interactions?

    <p>They result from fluctuations in charge density.</p> Signup and view all the answers

    What drives the self-association of nonpolar compounds in an aqueous environment?

    <p>Hydrophobic interactions</p> Signup and view all the answers

    What is a characteristic of a nucleophile in metabolic reactions?

    <p>It attacks electron-deficient sites.</p> Signup and view all the answers

    Which of the following interactions helps shape biomolecular structure through the attraction of oppositely charged groups?

    <p>Electrostatic interactions</p> Signup and view all the answers

    What percentage of body fluid is composed of intracellular fluid in a typical adult?

    <p>63%</p> Signup and view all the answers

    Which of the following is a component of extracellular fluid?

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

    What accounts for the largest proportion of extracellular fluid?

    <p>Interstitial fluid</p> Signup and view all the answers

    How much water is typically lost through urine in a day?

    <p>1.5 L/day</p> Signup and view all the answers

    Which of these ions has a normal serum range of 135 - 145 mEq/L?

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

    What mechanism actively moves substances against their concentration gradient?

    <p>Active transport</p> Signup and view all the answers

    In women, what proportion of total body fluid is extracellular fluid?

    <p>1/3</p> Signup and view all the answers

    Which of the following is NOT a type of extracellular fluid?

    <p>Intracellular fluid</p> Signup and view all the answers

    What is the primary role of water in facilitating digestion?

    <p>It forms saliva necessary for digestion.</p> Signup and view all the answers

    In the context of dehydration, what clinical sign is most indicative of hypovolemia in a child?

    <p>Decreased skin turgor.</p> Signup and view all the answers

    Which factor is primarily responsible for regulating water balance in the body?

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

    What might cause alkalosis in the human body?

    <p>Excessive acid loss through vomiting.</p> Signup and view all the answers

    What percentage of the brain is composed of water?

    <p>75%</p> Signup and view all the answers

    What is the significance of elevated hematocrit levels in a dehydrated child?

    <p>Reflects concentrated blood due to low plasma volume.</p> Signup and view all the answers

    Which property of water contributes to its role as a universal solvent?

    <p>Its hydrogen bonding capabilities.</p> Signup and view all the answers

    Which of the following best describes nephrogenic diabetes insipidus?

    <p>Inability to concentrate urine due to unresponsiveness to ADH.</p> Signup and view all the answers

    Study Notes

    Water's Role in the Body

    • Water is the major component of most body parts
    • Makes up 83% of blood and 75% of the brain
    • Essential for brain hormone and neurotransmitter production
    • Regulates body temperature (through sweating and respiration)
    • Acts as a shock absorber for the brain and spinal cord
    • Transports oxygen throughout the body
    • Comprises 22% of bones and 75% of muscles
    • Forms saliva for digestion
    • Converts food to components needed for survival and digestion
    • Keeps mucosal membranes moist
    • Allows cells to grow, reproduce, and survive
    • Flushes body waste, primarily through urine
    • Lubricates joints

    Biomedical Importance of Water

    • Water is a universal solvent due to its dipolar structure and capacity for forming hydrogen bonds
    • Water is an excellent nucleophile, participating in many metabolic reactions
    • Water balance depends on hypothalamic mechanisms controlling thirst, ADH, kidney function and evaporative losses
    • Nephrogenic diabetes insipidus results from unresponsiveness of renal tubular osmoreceptors to ADH
    • Water dissociates into hydroxide ions and protons, affecting pH
    • Buffers (like bicarbonate) regulate extracellular fluid pH (between 7.35 and 7.45)
    • Acidosis (blood pH <7.35) arises from conditions like diabetic ketosis or lactic acidosis
    • Alkalosis (pH >7.45) may be caused by vomiting acidic gastric contents

    Case Study of a Dehydrated Child

    • A three-year-old child presented with persistent vomiting and diarrhea for 24 hours.
    • On examination, the child was lethargic, irritable, and had dry mucous membranes and decreased skin turgor.
    • Vital signs: Heart rate of 150 bpm, blood pressure of 80/50 mmHg, and temperature of 38.5°C
    • Laboratory findings: Elevated serum sodium and hematocrit levels

    Look at Eyes for Dehydration

    • Photographs/illustrations demonstrate the difference in eye appearance between a child with normal hydration and dehydration. Dehydration shows shrunken eyes.

    Probable Diagnosis

    • The case study likely indicates hypovolemia (dehydration)
    • The primary mechanism for elevated serum sodium levels in dehydration is an imbalance between water loss and sodium retention.
    • Elevated hematocrit in dehydration suggests concentration of red blood cells

    Edema -- Hypervolemia/Volume Overload

    • A seven-year-old child presented with swelling in her face and lower extremities.
    • Swelling worsened during the evening and improved slightly upon waking in the morning.
    • Examination: Well-nourished, periorbital puffiness, and pitting edema in lower extremities.

    Possible Cause of Edema

    • Potential causes of edema in the child include nephrotic syndrome, heart failure, malnutrition, or allergic reaction.

    Water Balance

    • Water is crucial for life as the solvent of life
    • Water provides the aqueous medium for biochemical reactions in the organism
    • Water acts as a reactant in various metabolic reactions
    • Water serves as a transport vehicle for solutes in the body

    Homeostasis

    • The body's ability to maintain a stable internal environment despite external changes
    • Water plays a significant role in maintaining homeostasis through its properties as an insulator, its resistance to temperature change, and as a universal solvent, its role as a coolant and protecting against temperature extremes by insulating frozen lakes

    Distribution of Body Water

    • Water is distributed in the body's compartments: intracellular fluid (ICF - inside cells) and extracellular fluid (ECF - outside cells).
    • ICF accounts for about 63% of total body water, ECF about 37%

    Major Compartments for Fluids

    • Intracellular fluid (ICF): Located inside cells (63% of total body water)
    • Extracellular fluid (ECF): Located outside cells (37% of total body water)
      • Interstitial fluid: Between cells (25%)
      • Intravascular fluid: Within blood vessels (5-8%)
      • Transcellular fluid: Cerebrospinal, pericardial, synovial, and gastrointestinal fluids (1-2%)

    Distribution of Water: Male vs. Female

    • The distribution of water in the body varies slightly between males and females, though general proportions are roughly 2/3 intracellular fluid (ICF) and 1/3 extracellular fluid (ECF)

    Water Steady State

    • Intake of water must equal the output of water in the body
    • Water gain comes from food and drink, and metabolism (0.3 L/day).
    • Water loss occurs via skin (insensible water loss 0.9 L/day), lungs, urine (1.5 L/day), and feces (0.1 L/day)

    Electrolytes Composition of Body Fluids

    • Electrolytes are essential for normal bodily function, including maintaining osmotic balance
    • Crucial electrolytes include:
      • Sodium (Na+): Primary extracellular cation (135-145 mEq/L)
      • Potassium (K+): Primary intracellular cation (3.5-5.5 mEq/L)
      • Calcium (Ca2+): (8.5-10.5 mg/dL)
      • Ionized Calcium: (4.5-5.5 mg/dL)
      • Magnesium (Mg2+): (1.5-2.5 mEq/L)
      • Bicarbonate (HCO3-): (24-30 mEq/L)
      • Chloride (Cl-): (95-105 mEq/L)
      • Phosphate (PO43-). (2.8-4.5 mg/dL)

    Mechanisms Controlling Fluid and Electrolyte Movement

    • Diffusion: Passive movement of substances from a high concentration to a low concentration
    • Facilitated diffusion: Passive transport with the assistance of special transport proteins
    • Active transport: Movement of substances against a concentration gradient, requiring energy
    • Osmosis: Movement of water across a semi-permeable membrane from a low solute concentration to a high solute concentration
    • Hydrostatic pressure: Pressure exerted by fluid against a wall
    • Oncotic pressure: Osmotic pressure exerted by proteins

    Fluid Exchange Between Capillary and Tissue

    • Capillary pressure and interstitial fluid pressure influence Fluid exchange
    • Comparing Arterial and Venous ends of capillaries

    Electrolyte Composition of Body Fluids

    • Electrolytes are essential for maintaining osmotic equilibrium and water balance
    • Significant difference between extracellular fluid (ECF) and intercellular fluid (ICF) concentrations is crucial for effective cell function.
    • Sodium (Na+) is the dominant extracellular cation, while potassium (K+) is the major intracellular cation

    Regulation of Electrolyte Balance

    • Electrolyte and water balance are regulated together by kidneys
    • Aldosterone; ADH (antidiuretic hormone); Renin-angiotensin system are crucial hormones

    Dehydration

    • Dehydration is characterized by water depletion in the body, caused by deficient intake or excessive loss
    • Two types: loss of water alone and loss of electrolytes and water
    • Causes of dehydration include: diarrhea, vomiting, excessive sweating, adrenocortical dysfunction, kidney disease, and deficiency of ADH

    Dehydration Features

    • Decrease in extracellular fluid volume (ECF) and electrolyte concentrations
    • Water is drawn from inside cells, causing them to shrink, disrupting cellular metabolism
    • Antidiuretic hormone (ADH) secretion increases to conserve water
    • Plasma protein and blood urea concentrations increase
    • Electrolytes are lost from the body (e.g., Na+, K+)

    Clinical Symptoms of Severe Dehydration

    • Increased pulse rate, decreased blood pressure, sunken eyeballs, decreased skin turgor, lethargy, confusion, and coma
    • Therapy: Intake of plenty/additional fluids, 5% glucose

    Overhydration

    • Overhydration involves excessive water retention in the body due to high intake or issues with kidney function/ADH
    • Clinical manifestations include headaches, lethargy, and seizures.
    • Therapy requires restricting water intake and possibly administering hypertonic saline

    Other Interactions

    • Van der Waals forces: Weak intermolecular forces (example: dipole-dipole interactions; Hydrogen bonding; dispersion forces)
    • Hydrophobic interactions: Nonpolar compounds tend to aggregate together in aqueous environments because they minimize their contact with water molecules
    • Electrostatic interactions: Occur between charged groups in biological molecules (example: salt bridges)

    Nucleophiles

    • Nucleophiles are electron-rich molecules that readily donate electrons to form bonds
    • Examples in biology include water, phosphates, and the nitrogen atoms in amines.
    • Water is an important biological nucleophile that plays a key role in hydrolysis during metabolic reactions.

    Electrophiles

    • Electrophiles are electron-poor molecules that readily accept electrons to form bonds
    • Examples include common carbonyl carbons in amides, esters, and aldehydes.

    Dissociation of Water

    • Water dissociates into hydrogen ions (H+) and hydroxide ions (OH−)
    • A water molecule (H₂O) can dissociate into a hydrogen ion (H+) and a hydroxide ion (OH−).

    Henderson-Hasselbalch Equation

    • Describes the relationship between pH, pKa, and the concentrations of an acid and its conjugate base
    • Used to calculate the pH of buffer solutions

    pH & Buffers

    • pH: Measure of hydrogen ion concentration in a solution (logarithmic scale from 0-14).
    • pKa: The negative log of acid dissociation constant, reflecting the strength of a weak acid
    • Buffers: Solutions that resist changes in pH upon addition of acid or base by reacting with the added acid or base and neutralizing it.

    pH Scale

    • pH range of 0-14, with 7 being neutral, less than 7 acidic, greater than 7 basic

    • The pH of a substance is linked to the ratio of hydrogen and hydroxide ions

    • It measures the concentration of H+ and OH- ions

    • pH values correspond to concentrations of H+ and OH− ions.

    • Buffers*

    • Weak acids or bases that resist pH change during neutralization reactions.

    • Contain a weak acid and its conjugate base or a weak base and its conjugate acid

    • Ex: Acetate buffer (CH3COOH and CH3COO-)

    • Buffer Capacity*

    • A measure of how much acid or base a buffer solution can neutralize before its pH changes significantly.

    • Maximum when the concentrations of a weak acid and its salt/weak base and its salt are equal.

    • Buffer Systems in Body Fluids*

    • Body fluids contain important buffer systems (e.g., phosphate, carbonic acid-bicarbonate, and protein buffers.)

    • These systems help maintain a stable pH in the blood and other fluids.

    • The Carbonic Acid-Bicarbonate Buffer System*

    • Most important buffer system in the body for maintaining blood pH. Its key components are carbonic acid (H2CO3) and bicarbonate(HCO3-).

    • Phosphate Buffer System*

    • This buffer plays a crucial role in regulating the pH of body fluids, particularly in plasma and erythrocytes. Its critical components are dihydrogen phosphate and monohydrogen phosphate

    • Proteins as Buffers*

    • Proteins in the body act as buffers by containing functional groups (e.g., -COO- and -NH3+). These groups can accept or donate protons (H+).

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    This quiz explores the critical functions of water in the human body, highlighting its importance in maintaining physiological processes. Learn about water's role in temperature regulation, nutrient transport, and as a solvent in biochemical reactions. Understand how water impacts overall health and body function.

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