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2nd Term 3rd Year
CC2
Electrolytes
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Cards (101)
What do you the equality in number of cations and anions?
Electroneutrality
What do you call a molecule that carries a negative charge and that moves towards the anode?
Anion
What do you call a molecule that carries a positive charge and that moves towards the cathode?
Cation
Where is 2/3 of the body's water compartment?
Intracellular
Where is the 1/3 of the water compartment of the body located?
Extracellularly
In the normal plasma, how many percent is water? How about solutes?
93%
is water
7%
is solutes
Water retention of atleast 3L of water results to what condition?
Edema
What condition is termed when there is a 10-20L of water is excreted?
AVP deficiency
Increase in osmolality results in what conditions?
Thirst
, and
concentration of solution
Decrease in osmolality can result into what conditions?
Water overload and dilution of solution
What is the normal value of Osmolality in the body?
275-295 mOsm/kg
Sodium accounts for approximately how much of the osmotic activity in the plasma?
90%
What is the term as the difference between unmeasured anions and unmeasured cations?
Anion Gap
What is the normal value for the anion gap using Ka+ and Na+?
10-20 mmol/L
What is the normal value for the anion gap using Na+?
8-16 mmol/L
What system primarily responds to the decrease in blood volume?
Renin-angiotensin-aldosterone system
What is the other name for Sodium?
Natrium
What is the most abundant extracellular cation?
Sodium (Na)
What electrolyte has the greatest influence in the plasma(LEC) or serum(LAB) osmolality?
Sodium
Regulation of Na+ depends on what two system?
Water intake
and
Renal regulation
What is the major hormone that regulates sodium ion?
Aldosterone
What hormone is released by the heart that blocks the action of aldosterone and renin, which in turn increases rate of excretion for Na+?
Atrial Natriuretic Factor (ANF)
What is the reference value for Na+?
135-145 mmol/L
In sodium determination using Ion Selective Electrode (ISE), what is the medium used?
Glass aluminum silicate
What should be the level of Sodium in serum top be considered Hypernatremia?
>145
mmol/L
What is the major defense against hyperosmolality and hyperteremia?
Thirst
Chronic hypernatremia may be indicative of what condition?
Hypothalamic disease
What are the causes of hypernatremia?
Excessive water loss and gain of sodium
What is the most common electrolyte disorder?
Hyponatremia
What hormonal condition causes hypernatremia that cannot be corrected with fluid restriction?
Barterr's syndrome
For every 100 mg/dL of increase in glucose how much does sodium decrease?
1.6 mmol/L
What levels of Na+ in serum is deemed clinically significant?
less than 130 mmol/L
What should be the level of Sodium in serum top be considered Hyponatremia?
<135 mmol/L
Rapid correction of hyponatremia can lead to what?
Cerebral myelinolysis
Slow correction of hyponatremia can lead to what?
cerebral edema
Normal urine values of sodium in 24-hour urine?
40-220 mmol/day
, but varies with diet
Normal sodium levels in the CSF?
136-150 mmol/L
What is the other name of Potassium?
Kalium
What electrolyte is the major intracellular cation in the body?
Potassium
This electrolyte has hemolysis as a major interference with the test?
Potassium
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