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HS130: Anatomy & Physiology II Unit 7 Seminar: Fluid/Electrolyte Balance; Acid/Base Equilibrium July 2007 Dr. Grant Iannelli Adjunct Professor, Kaplan University Copyright © 2007, Grant Iannelli, DC Welcome to the Seminar! Copyright © 2007, Grant Iannelli, DC Tonight’s Agenda Welcome Course Questions, Problems & Issues Unit 6 Review Seminar discussion Copyright © 2007, Grant Iannelli, DC Course Questions, Problems & Issues Copyright © 2007, Grant Iannelli, DC Unit 6 Issues to Review Copyright © 2007, Grant Iannelli, DC Fluid & Electrolyte Balance Copyright © 2007, Grant Iannelli, DC Fluids What are the three main fluid compartments of the body? Which of these make up extracellular fluid? Copyright © 2007, Grant Iannelli, DC Water What factors influence the percentage of water in the body? Copyright © 2007, Grant Iannelli, DC Water Gain What are the three sources of water for the body? Copyright © 2007, Grant Iannelli, DC Water Loss List the four organs from which fluid loss occurs. Copyright © 2007, Grant Iannelli, DC Water Loss Why is the body unable to reduce its fluid output to zero no matter how dehydrated it is? Copyright © 2007, Grant Iannelli, DC Electrolytes What is the difference between electrolytes and nonelectrolytes? Copyright © 2007, Grant Iannelli, DC Electrolytes Name the three most important negative ions. Name three important positive ions. Copyright © 2007, Grant Iannelli, DC Aldosterone How does aldosterone influence water movement between the kidney tubules and the blood? Copyright © 2007, Grant Iannelli, DC Copyright © 2007, Grant Iannelli, DC Water Movement What is the role of capillary blood pressure in water movement between the plasma and interstitial fluid? Copyright © 2007, Grant Iannelli, DC Water Movement What is the role of plasma proteins in water movement between the plasma and interstitial fluid? Copyright © 2007, Grant Iannelli, DC Urine Regulation Name the three hormones that regulate urine volume. Where is each made and what is the specific effect each has on urine volume? Copyright © 2007, Grant Iannelli, DC Copyright © 2007, Grant Iannelli, DC Fluid Disturbances Describe the common fluid imbalances. Dehydration Overhydration Edema Copyright © 2007, Grant Iannelli, DC Acid-Base Equilibrium Copyright © 2007, Grant Iannelli, DC Acids and Bases What is an acid? A base? Copyright © 2007, Grant Iannelli, DC The pH Scale What is the relationship between pH and the relative concentration of hydrogen and hydroxide ions in solution? Copyright © 2007, Grant Iannelli, DC Acid-Base Chemistry What is the chemical reaction that converts carbon dioxide and water to carbonic acid? •What enzyme catalyzes this reaction? Copyright © 2007, Grant Iannelli, DC Acid-Base Chemistry What is a buffer? Copyright © 2007, Grant Iannelli, DC Copyright © 2007, Grant Iannelli, DC Acid-Base Chemistry How does a buffer pair react if more hydrogen ions are added to the blood? Copyright © 2007, Grant Iannelli, DC Acid-Base Chemistry How does a buffer pair react if more hydroxide ions are added to the blood? Copyright © 2007, Grant Iannelli, DC Acid-Base Chemistry What changes occur in the blood as a result of buffering fixed acids? Copyright © 2007, Grant Iannelli, DC Acid-Base Balance Explain the respiratory mechanism of pH control. Copyright © 2007, Grant Iannelli, DC Renal pH Control Explain how the kidney uses NaH2PO4 to remove hydrogen ions from the blood. Copyright © 2007, Grant Iannelli, DC Disturbances Define acidosis and alkalosis. Copyright © 2007, Grant Iannelli, DC Disturbances Explain disturbances of the buffer pair. Copyright © 2007, Grant Iannelli, DC Case Study: Justin Peaks A mountain climber, Justin Peaks, spent several days camped at a very high altitude on a mountain. He noticed that he was breathing faster than normal and that he began to feel nervous, excitable, and his muscles were hyperactive. Suggest a reason for his symptoms. Copyright © 2007, Grant Iannelli, DC Case Study: Justin Peaks Justin felt ill and vomited several times. How would this affect his alkalosis? Copyright © 2007, Grant Iannelli, DC Case Study: Justin Peaks Because Justin didn’t feel well, he took several antacid tablets, which contained sodium bicarbonate. Was this a good idea? How would this affect his alkalosis? Copyright © 2007, Grant Iannelli, DC Case Study: Justin Peaks How would his body work to control his alkalosis and maintain homeostasis of the pH of his body fluids? Copyright © 2007, Grant Iannelli, DC Questions?? Ask ME or ask your classmates!! Copyright © 2007, Grant Iannelli, DC Thanks for attending! See you in discussion! Copyright © 2007, Grant Iannelli, DC