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Solute and Fluid exchange

Hannah Tribe CVS1 Degree Englisch 40 Karten

Karten in diesem Stapel (40)

  1. 1Many substances are transported around the body in ______water
  2. 2What controls what enters and leaves cells?the membrane
  3. 3What are the features of passive transport?1. no energy required
    2. down a gradient
    3. can be simple or facilitated
  4. 4name 4 different types of passive transport1. diffusion (concentration gradient)
    2. osmosis
    3. convection (pressure gradient)
    4. electrochemical flux (electrochemical gradient)
  5. 5What are the features of active transport?1. requires energy
    2. against the gradient
  6. 6Name the 3 types of capillaries1. continuous - no gaps (e.g. BBB)
    2. fenestrated - small gaps between cells (v. water permeable, in kidneys)
    3. discontinuous - large gaps (e.g. sinusoids in liver, spleen)
  7. 7What controls rate of solute transport?1. Passive diffusion
    2. Fick's Law
    3. Lipid solubility of solute
    4. Properties of the membrane
    5. Presence of intercellular clefts
    6. Glycocalyx
  8. 8What is the equation for time taken for particles to diffuse a certain distance?t = x^2/2D
  9. 9what are x and D in that equation?x = distance for particle to move
    D = diffusion coefficient for that solute in a specific medium
  10. 10What determines D?1. size/shape of molecule
    2. viscosity of the fluid
    3. strength of interactions between solute and solvent
  11. 11What is Fick's Law?Js (mass movement of solute in certain time) = -D x area x (change in concentration)/x
  12. 12What properties of the membrane affect solute transport?1. thickness/composition
    2. presence of aqueous pores
    3. carrier proteins
    4. active transport mechanisms
  13. 13What is the glycocalyx?A layer covering the endothelium acting like a sieve to block proteins passing through
  14. 14How can Fick's Law be modified for permeability?Js = -P x Am x change in concentration
  15. 15What is Am?The actual route taken by a solute through a membrane
  16. 16What are 4 routes of transport for solutes across a membrane?1. Transcellular
    2. vesicles
    3. intercellular
    4. aquaporins
  17. 17What is transcellular transport?Through the cell, via simple diffusion or using carrier proteins/channels
  18. 18What solutes use vesicles?Large, lipophobic proteins
  19. 19How can solutes travel intercellularly?1. through gap junctions (small lipophobic)
    2. through fenestrations
    3. through large gaps (e.g. in inflammation)
  20. 20What is flow limiting diffusion?Diffusion is very efficient so only flow affects it
  21. 21How is diffusion limited by flow in alveoli?If flow is slow, O2 diffuses readily into blood at one end of alveoli, but by the time it reaches the other end, some may have diffused out again.
  22. 22How can rate of diffusion be increased?1. increase blood flow
    2. recruit capillaries
    3. change concentration gradient
    4. dilate arterioles to increase no. of perfused capillaries
  23. 23What does an abnormality in fluid exchange result in?Oedema
  24. 24What 2 pressures act on capillary walls in both directions?1. hydrostatic pressures
    2. osmotic pressures
  25. 25What is the hydrostatic pressure?the 'push' of a fluid to leave the area it is in (e.g. move out of the vessel)
  26. 26What is the overall hydrostatic pressure?(Pc - Pi) = Pressure in capillary pushing outwards minus pressure in interstitial fluid pushing in
  27. 27What is the osmotic pressure and how is it determined?The pull of water back into an area, due to the pull of large proteins
  28. 28What is the overall osmotic pressure?(πp - πi) = pull of the proteins in the capillary minus pull from interstitial fluid
  29. 29Jv = Lp x A x [(Pc-Pi) - σ(πp-πi)] This is Starling's principle of fluid exchange, what do Lp and A represent?Lp = 'hydraulic conductance of epithelium' (how leaky it is)
    A = wall area
  30. 30What is σ?It is the reflection coefficient. This is the fraction of the osmotic pressure actually exerted (taking into account proteins that travel through the membrane)
  31. 31In normal capillaries, what is favoured, filtration or absorption?Filtration
  32. 32What happens in hypovolaemia? (e.g. haemorrhage)Reabsorption is favoured, so that blood volume can be restored
  33. 33What is the net filtration pressure?= Pc - [ σ(πp - πi) + Pi]
    = Pc - 13 (approx)
  34. 34Where does the fluid which is filtered go?Drains into lymphatics - will be drained back into circulation via left subclavian vein)
  35. 35The lymphatic system contains _______ and _____ _______ to aid flow against ________.valves,
    smooth muscle,
    gravity
  36. 36How is lymph flow helped by skeletal muscle?Lymph vessels surround skeletal muscle. As muscle contracts, it contracts lymph vessels too, to help its return to the great veins.
  37. 37What are 5 causes of oedema?1. Increased Pc
    2. Decreased πp
    3. Increased πi
    4. inflammatory response
    5. lymphatic problems
  38. 38How could Pc be increased?DVT or heart failure causing build up of blood
  39. 39How could πp be decreased?malnutrition or liver disease which prevents the proteins being taken into blood
  40. 40What can cause lymphatic problems?1. obstruction of lymph drainage
    2. removal of lymphatics after cancer surgery

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Beschreibung
Degree CVS1 Karteikarten am Solute and Fluid exchange, erstellt von Hannah Tribe am 27/04/2014.
Erstellt von
Hannah Tribe
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