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NURS 403 Exam Questions And 100% Correct Answers

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NURS 403 Exam Questions And 100% Correct Answers



Homeostasis

A state of internal balance and stability



Intracellular fluid

40% of body weight

Fluid within each one of the body's cells



Extracellular fluid

Intravascular (5%)

Interstitial (15%)



Intravascular fluid

Fluid within the blood vessels

5% of body weight



Interstitial fluid

15 % of body weight

Fluid in tissue space outside of the cells



What does our body need?

Oxygen

Water

Nutrients-glucose

Electrolytes-control, including intake/storage/elimination

,How is homeostasis achieved?

Normal values must be reached-volume, concentration, composition of the body fluids



Osmotic pressure

Water pulling

Volume of partic les in a solution

Partic les do pulling

Controlled by albumin



Albumin

Protein in blood

Causes osmotic pressure

Isn't produce in nephrotic conditions or liver cirrhosis

When kidney is damage, albumin spills into the urine



Hydrostatic pressure

Water pushing

Pushing water from high to low concentrations

The volume inside BVs

Controlled by left ventricular function

If someone has HF or myopathy of the left ventricle it can affect the contraction and
therefore the hydrostatic pressure



Active transport

Requires ATP and carrier molecules

Requires energy

,Maintains gradient

Examples: osmolality, osmotic pressure, hydrostatic pressure

Osmolality

Thickness of a solution

Passive transport

Diffusion from high to low concentration

Does not require energy

E.g., diffusion, facilitated diffusion, osmosis

Facilitated diffusion

Insulin is a carrier for glucose into cells

Osmosis

Particles cause movement of water

What are hormones?

Signal carriers and catalysts

Trigger pathways and systems to maintain homeostasis

Water deficit

When there is not enough fluid circulating in the body

Not enough osmolality - blood is more concentrated

Increase in arterial blood pressure, initiating thirst

Try to conserve as much fluid as possible->decreased UO




Water excess

Decreased osmolality (blood is more diluted)

Inhibitory pathway to cease production of ADH

Increased urine output

, ADH in fluid deficit

Increase in osmotic pressure i.e., blood is more concentrated

As serum osmolality rises->ADH is released and is transported to the nephrons in the
kidney

Tells the kidneys to retain water




Steps of RAA pathway

1. Dehydration, Na deficiency, hemorrhage

2. Decreased blood volume

3. Decreased blood pressure

4. Juxtaglomerular cells of kidney

5. Kidney increases renin

6. Liver increases angiotensinogen

7. Angiotensin 1 increased

8. Lungs (ACE)



Pulmonary system

Thorax

Conduction airways

Respiratory airways

Pulmonary blood flow

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