Exam #1 Flashcards
hypovolemic
decreased blood volume
hypoatremic
decreased Na levels in body
factors (other than disease) that effect normal values
gender, age, ethnicity, time of day/month/year, posture, source of sample, stress, nutrition, pregnancy, medications, etc.`
sensitivity
the ability of a test to detect disease in a diseased population
specificity
the ability of a test to detect non-disease in a non diseased population
positive predictive value
number of truly positive results within the total number of positive results (how confound am I that a pos test means disease)
negative predictive value
number of truly negative results within the total number of negative results (how confidant am I that a neg result means non-disease)
homeostasis
maintenance of the constancy of the internal environment (i.e. ECF)
indicators used to detect true compartment volumes
TBW: tritium labeled H2O (3-H2O)
ECF: labeled polysaccharide (14-C) - insulin
Plasma: labeled protein (125I) - albumin
assumptions - conservation of mass equation for determining fluid volumes
volume of indicator injected is negligible
indicator disperses equally and only in compartment of interest
enough time was allowed for equilibrium to be reached
compound did not metabolize, secrete or excrete
principle of electrical neutrality
within a single fluid compartment, the positive charges equal the negative charges
amphipathic molecule
possesses two opposing physical / chemical features in the same molecule (ex. lipid constituents of bilayers)
three lipid constituents of bilayers
glycerol-phospholipids - glycerol and phospate (polar, hydrofoil head and fat acid (non-polar, hydrophobic tail)
cholesterol - polar hydroxyl group (OH), ridged ring system, and non-polar hydrocarbon tail
sphingomyelin - ceramide (hydrophobic) to which phosphate group and other head groups are attached
polarity
differential attraction of atoms for the shared electrons that make up the bond (for atoms or molecules)
- occurs in covalent bonds
- determines solubility in aqueous environment
hydrogen bond
weak electrostatic attraction between a hydrogen bound to an electronegative atom and another electronegative atom
weak intermolecular attractions - key in biological systems
hydrogen bonds
ionic bonds (salt bridges) - electrostatic attractions b/t positive and negative entities
hydrophobic bonds - interactions that exist b/t molecules that are non-polar
what factors determine if a substance will pass through a membrane
size, polarity, and charge
aquaporins
family of transmembrane proteins that allow the passage of water through them via electrostatic interactions b/t water and the side chains
permeability coefficients (cm/sec)
ability of a substance to cross a membrane
- higher - more permeable
oil-water partition coefficient (beta)
%age of a molecule that will exist in the oil compartment relative to the aqueous compartment of a solution
- high = larger conc gradient
facilitated diffusion
integral membrane protein
specificity
saturable
requires conc gradient
Vmax
maximum rate of transport; pt where no matter how much you inc conc gradient, you will not see a change in velocity