BIO 669 FLUID AND ELECTROLYTE
BALANCE/ACID BASE BALANCE
NORTHERN KENTUCKY UNIVERSITY
EXAM QUESTIONS AND ANSWERS
Aldosterone is influenced by what? - answer-circulating blood volume, blood pressure,
plasma concentrations of sodium and potassium
What is released when circulating blood volume of bp is decreased or sodium is
decreased or potassium is increased? - answer-renin is secreted and released by the
kidneys
Renin stimulates the release of what? - answer-angiotensin
Water balance is primarily regulated by what? - answer-antidiuretic hormone (adh,
vasopressin)
Adh secretion increases what? - answer-water reabsorption into the plasma
What are thirst receptors called? - answer-osmolality receptors
What are osmolality receptors stimulated by? - answer-hyperosmolality and plasma
volume depletion
Volume receptors and baroreceptors stimulate the release of _______ from the ______
and stimulate thirst due to fluid loss - answer-adh; pituitary gland
If sodium levels rise too much, _____________ will be stimulated to be released to aid
in the retention of water - answer-adh
An isotonic fluid excess is called? - answer-hypervolemia
Excessive administration of iv fluids can lead to? - answer-hypervolemia
Hypersecretion of aldosterone can lead to? - answer-hypervolemia
What are the symptoms of hypervolemia? - answer-distended neck veins, increased bp,
increased hydrostatic pressure leading to edema formation
Hypervolemia is treated with? - answer-diuretics
Aldosterone enhances the loss of____________ - answer-potassium
, Sodium and chloride balance is maintained by______________________ - answer-
renin-angiotensin-aldosterone system
The renin-angiotensin-aldosterone system controls ______________ retention and thus
volume/pressure in the vascular system - answer-sodium
The renin-angiotensin-aldosterone system affects __________________ and
___________ release - answer-vasomotor tone; adh
_______________ leads to sodium and water reabsorption back into the circulation and
excretion of potassium - answer-aldosterone
______________________ cause sodium and water exertion - answer-nature tic
peptides
__________________ is the major intracellular electrolyte and is essential for normal
cellular functions - answer-potassium
The distribution of potassium between intracellular and extracellular fluids is influenced
by what factors? - answer-insulin, aldosterone, epinephrine, alkalosis
An insulin deficiency, aldosterone deficiency, acidosis, cell lysis and strenuous exercise
can facilitate the shift of potassium________ of cells - answer-out
The ________________ is the most efficient regulator of potassium balance - answer-
kidney
When the body senses a lot of potassium has been ingested what happens? - answer-
potassium will be excreted in urine
During acute acidosis hydrogen ions accumulate in the icf and potassium shifts
_______________ - answer-out of the cell
_____________________ ____________________ is the ability of the body to adapt to
increased levels of potassium - answer-potassium adaptation
Shallow t waves and u waves are seen on and ekg in ________________________ -
answer-hypokalemia
Insulin promotes cellular uptake of potassium and insulin administration may cause
________________ - answer-hypokalemia due to an ecf potassium deficit
Diabetic ketoacidosis causes an increase in hydrogen ion concentration in the ecf
causing ______________ to shift into the cell in exchange for ________________ -
answer-hydrogen; potassium
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