Ch. 25 Fluid and Electrolytes – Flashcards

Unlock all answers in this set

Unlock answers
question
In one form of metabolic acidosis, a build up of fixed acids causes the concentration of bicarbonate ions to do what?
answer
fall
question
Solutes can be divided into two categories: electrolytes and ________
answer
nonelectrolytes
question
Match the components of the bicarbonate buffer system:
answer
weak acid --> H2CO3 weak base --> HCO3-
question
Fluid balance is maintained by the work of several organ systems working together. Which of the following systems is involved in fluid balance?
answer
digestive, cardiovascular, and urinary
question
Which are common electrolytes found in body fluids?
answer
Na+, Cl-, K+
question
If an acid is added to a solution, the concentration of H+ will ________, and the pH will ________
answer
increase and decrease
question
Most calcium comes from the diet and is lost in ________, _______, and _______
answer
urine, feces, and sweat
question
Match each chemical buffer system with its location:
answer
Protein --> within cells and blood phosphate --> within cells bicarbonate --> within the blood
question
Metabolic acids which are derived from metabolic wastes are more commonly referred to as ______ acids
answer
fixed
question
Magnesium ions are predominantly found where in the body?
answer
bone and within cells
question
The percentage of fluid in the body is dependent on the age of the individual and the relative amounts of _______ connective tissue and _______ muscle tissue
answer
adipose and skeletal
question
Respiratory alkalosis occurs when PCO2 levels are ______ than normal
answer
lower
question
A(n) ________ is any substances that dissociates in solution to form cations and anions
answer
electrolyte
question
Match the components of the phosphate buffering system:
answer
weak acid --> dihydrogen phosphate weak base --> hydrogen phosphate
question
Hormones that play a major role in homeostatic regulation of both electrolytes and fluids include:
answer
antidiuretic hormone, angiotensin II, and aldosterone
question
Which of the following are ways in which we lose fluid from the body?
answer
breathing, sweating, and urinating
question
If an acid-base disturbance has occurred, which buffering systems are no longer capable of compensating for pH changes in the body?
answer
chemical
question
Fluid sequestration differs from other fluid imbalances the total body fluid may be normal but it is distributed ___________
answer
abnormally
question
Carbonic acid is a _______ acid
answer
vobitile
question
The ECF has higher concentrations than the ICF of which of the following ions?
answer
Ca2+, Cl-, & Na+
question
If your arterial blood pH drops below 7.35, you are said to be in a state of physiological ________
answer
acidosis
question
________ occurs when bicarbonate ion levels are above normal
answer
metabolic alkalosis
question
Patients with a COPD, such as chronic bronchitis, cannot fully exhale causing their CO2 levels to increase. Because of this they are often in a state of respiratory _______
answer
acidosis
question
Imbalance in K+ levels in the plasma can lead to neuromuscular changes which can lead to _______ and respiratory arrest and death of the organism
answer
cardiac
question
The water in the body produced from aerobic cellular respiration is referred to as _______ water
answer
metabolic
question
Fluid imbalances can be organized into five categories including which of the following?
answer
dehydration, fluid sequestration, and hypotonic hydration
question
Which of the following can serve as a protein buffer system?
answer
intracellular proteins, hemoglobin in RBCs, and plasma proteins
question
An acid-base imbalance below 7.0 or above 7.7 will result in:
answer
death within a few hours
question
______ is the most abundant electrolyte in bones and teeth
answer
calcium
question
A chemical buffering system is composed of which of the following?
answer
weak base and weak acid
question
All are correct statements about Cl- and its regulation except which one?
answer
Cl- regulation is completely independent of Na+
question
The region of the brain that contains the thirst center is the:
answer
hypothalamus
question
Extracellular fluid includes ________ fluid and ______ _______
answer
interstitial and blood plasma
question
The physiological roles of phosphate include which of the following?
answer
component of phospholipids and with Ca2+, hardening of extracellular matrix
question
Systemic arterial blood should have a pH between:
answer
7.35 and 7.45
question
Metabolic acidosis occurs when aterial blood levels of:
answer
bicarbonate ion fall below normal
question
An increase in which of the following would ultimately or directly result in a decrease in fluid output by the kidneys?
answer
ADH, aldosterone, and renin
question
Insulin _______ blood K+ levels by stimulating ________ in cells
answer
decreases and Na< K pumps
question
Sodium is lost from the body in the ______
answer
sweat, feces, and urine
question
Renin is released by the _______ apparatus in the kidney
answer
juxtaglomerular
question
Place the following events in order:
answer
1. lactic acid and level rise 2. blood pH drops 3. kidneys reabsrob HCO3 4. blood pH rises
question
Hypovenilation leads to ______
answer
acidosis
question
_______ water loss always occurs regardless of the hydration status of the organism
answer
obligatory
question
Which organ is responsible for synthesizing ANP?
answer
heart
question
Which of the following may cause metabolic alkalosis?
answer
overuse of diuretics, overuse of antacids, and vomiting
question
Your father has chronic heart burn and is continually eating antacids as a result. This will ______ the pH of his blood
answer
increase
question
Low levels of Na+ (below the normal physiological levels) is correctly identified as __________
answer
hypatremia
question
Metabolic-induced acid-base disturbances are caused by:
answer
abnormal concentration of HCO3-
question
Which of the following are sources of fixed acids in the body?
answer
absorption from the GI tract, metabolism of lipids, and metabolic production of lactic acid
question
Inside the muscle cells calcium is stored in the _______ _______
answer
sarcoplasmic reticulum
question
Antidiuretic hormone exerts its effects by which of the following?
answer
increasing water reabsorption in the kidney and increasing thirst in the hypothalamus
question
In response to increased blood osmolarity, the osmoreceptors in the hypothalamus are stimulated to release more _______ hormone
answer
antidiuretic
question
Only the ______ form of calcium is physiologically active
answer
ionized
question
True or False: extracellular fluid contains more negatively charged proteins than the intracellular fluid
answer
false
question
The anion is a common buffer in urine and an important intracellular buffer against pH changes
answer
phosphate
question
Which of the following are examples of ways that fluid imbalances with changes in osmolarity can occur?
answer
water intoxication and profuse sweating
question
___________ hormone (vasopressin), which is released from the posterior pituitary gland, increases water reabsorption in the kidneys thereby increasing blood volume and blood pressure
answer
antidiuretic
question
True or False: most Americans consume meat and wheat which act to acidify the blood
answer
true
question
Which of the following can cause respiratory acidosis?
answer
airway obstruction, pulmonary edema, and emphysema
question
Which of the following can result in metabolic acidosis?
answer
severe diarrhea, increased anaerobic respiration, and excessive alcohol intake
question
A ________ is a solute that does not dissociate in solution
answer
non-electrolyte
question
Pleural ________ is the accumulation of fluid in the pleural cavity and is generally associated with lung infections
answer
effusion
question
The normal level of K+ in the extracellular fluid is in the range of which option?
answer
3.5-5.0 mEq/L
question
Which of the following can cause respiratory alkalosis?
answer
climbing a 14,000 ft peak, congestive heart failure, and hyperventilation
question
If the Na+ concentration in the ECF increases due to dehydration then the ECF becomes __________
answer
hypertonic
question
Because osmotic pressure depends on the number of solutes, Na Cl, which dissociates into Na+ and Cl-, exerts _______ osmotic pressure than glucose, which does not dissoicate
answer
more
question
Water moves between fluid compartments by what process?
answer
osmosis
question
Angiotensin II causes which of the following effects?
answer
vasoconstriction, increased thirst, and increased ADH secretion
question
An increase in aldosterone levels results in the increased reabsoprtion of what ion?
answer
Na+
question
ADH levels increase due to nerve stimulation from what type of receptors in the carotid arteries?
answer
baroreceptors
question
A decreased glomerulus filtration rate will _______ blood angiotension II levels
answer
increase
question
In the ECF, the blood _______ has a higher concentration of protein than the interstitial fluid
answer
plasma
question
ADH secretion is stimulated by which of the following?
answer
high blood osmolarity and low blood pressure
question
Your two year old brother throws a temper tantrum and holds his breath. This eventually will cause CO2 levels to _______ his blood pH to ______
answer
increase and decrease
question
Fluid movement between compartments occurs because of changes to the relative _______
answer
osmolarity
question
An increase in stretch of the adrenal cortex is stimulated by _______ blood pressure, and ______ Na+ plasma levels
answer
low and low
question
Because they are smaller in size and unable to offload CO2 as effectively, babies are more prone to respiratory _______ than adults
answer
acidosis
question
A decrease in Na+ concentration in the ECF due to low salt diet would result in which of the following options?
answer
decreased blood volume levels and decreased blood pressure
question
Patients with diabetes mellitus often suffer from a pH imbalance known as ________ due to the breakdown of lipids instead of carbohydrates
answer
ketoacidosis
question
ANP exerts its physiological effects in which of the following ways?
answer
decreasing renin release and decreasing vasoconstriction inperipheral blood vessels
question
A baby that has chronic severe diarrhea may develop metabolic _______
answer
acidosis
question
Renal compensation _______ blood bicarbonate levels
answer
increases or decreases
question
Your baby has had severe diarrhea for days and is going into metabolic acidosis. Her respiratory system will attempt to compensate by _______ the respiratory rate
answer
increasing
question
All of the following options are physiological roles of calcium except?
answer
establishing the resting membrane potential
question
The respiratory system can compensate for metabolic acidosis or alkalosis by:
answer
changing the respiratory rate
question
An increase in ANP in the body causes a(n) ______ loss of Na+ ions in the urine
answer
increased
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New