BIOL 221 Lecture Notes - Lecture 11: Hyperkalemia, Ph, Acidosis

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6 Mar 2020

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With hyperkalemia (increased plasma potassium) potassium moves into cells in exchange for hydrogen ions. With hypokalemia potassium ions leave the cell in greater amounts in exchange for hydrogen ions. Indicate the direction that potassium and hydrogen ions would be moved during hyperkalemia and during hypokalemia. Think-pair-share: potassium: acidosis (increased h+) causes h+ to move into cell, which way will k+ move, alkalosis (decreased h+) causes h+ to move out of cell, which way will. K+ move: what happens to k+ of plasma & if concentration when k+ moves, indicate the movement of k+ and h+ on the diagrams. Acidosis (increased h+ concentration) causes hydrogen ions to enter cells in exchange for potassium ions. Alkalosis (decreased h+ concentration) causes hydrogen ions to leave cells in exchange for potassium ions. Indicate the directions of potassium and hydrogen ion movement on the diagrams (use the upper one for acidosis and the lower for alkalosis).

Related Questions

Read the following scenarios and indicate which of the following processes they describe.

11. Sodium molecules move randomly around a solution of sodium chloride in water, frequently colliding with other sodium ions and chloride ions. secondary active transport diffusion osmosis facilitated diffusion primary active transport

12. Sodium ions (Na+) move through sodium channels in a synthetic membrane. primary active transport secondary active transport facilitated diffusion osmosis

13. Water molecules move into the cytosol of a cell placed in a hypotonic solution. primary active transport secondary active transport facilitated diffusion osmosis

14. Water molecules move into the cytosol of a cell placed in pure water. facilitated diffusion osmosis secondary active transport primary active transport

15. Water molecules move out of a cell placed in a hypertonic solution. facilitated diffusion primary active transport secondary active transport osmosis

16. The action of sodium-potassium pumps moves sodium ions (Na+) out of a cell and potassium ions (K+) into a cell. facilitated diffusion secondary active transport osmosis primary active transport

17. Glucose molecules move into cells lining the intestine against their concentration gradient driven by the movement of sodium ions (Na+) into the cells down their concentration gradient. osmosis secondary active transport primary active transport facilitated diffusion

18. A beaker of water is separated by a selectively permeable membrane that allows the passage of water but not ions. A solution of 4% sodium chloride (NaCl) is placed on one side of the membrane and pure water is placed on the other side of the membrane. The solutions are allowed to equilibrate. At this point, which process is going on? facilitated diffusion osmosis secondary active transport primary active transport

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1) A drop of urine would follow this path

a) renal pyramid/major calyx/minor calyx/renal pelvis/ureter

b) minor calyx/major calyx/renal pyramid/renal pelvis/ureter

c) renal pelvis/minor calyx/major calyx/renal pyramid/ureter

d) renal pyramid/minor calyx/major calyx/renal pelvis/ureter

2) The production of filtrate starts at

a) Loop of Henle

b) capsular space

c) distal convoluted tubule

d) proximal convoluted tubule

3) Major reabsorption of water happens by ____at the _____

a) contransport, distal convoluted tubules

b) Cl- shift, nephron loop

c) countercurrent, nephron loop

d) countercurrent, ureter

4) Angiotensin II causes production of ____to increase Na + reabsorption in the _________

a) renin; collecting duct

b) aldosterone; PCT

c) ADH; nephron loop

d) aldosterone; collecting duct

5) Most of the reabsorbed compounds from the filtrate end up in the

a) peritubular capillary

b) urine

c) nephron loop

d) DCT

6) Reabsorption of urea happens by

a) transcellular movement

b) by paracellular movement

c) by cotransport with glucose

d) by HCO3- movement

7) Transport Maximum, in urinary system terms, refers to

a) proteins performing âtransportâ out of the filtrate at maximum rate

b) the reason why a diabetic produces large volumes of diluted urine

c) excess filtrate components being urinated out of the body

d) All choices are correct

8) Urine does not drop below pH 4.5 because

a) proteins that move H+ into filtrate stop working when too much H+ builds up in filtrate

b) proteins in urine neutralize acid

c) H+ are always buffered

d) the buffering system in urine does not run out

9) Hyperkalemia will

a) activate adrenal cells to secrete aldosterone

b) can stop the heart

c) No choices are correct

d) cause reduced excitability of neurons

e) All choices are correct

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Part A

The ultimate problem with cholera that can lead to death is __________.

only water loss

fluid loss with electrolyte concentrations remaining normal

severe dehydration and electrolyte imbalance

only electrolyte loss

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Part B

The loss of chloride ions is occurring as a result of an continuously open __________, found in certain intestinal epithelial cells.

chloride channel protein

sodium pump

ATP dependent sodium/potassium pump

potassium pump

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Part C

The main purpose of the chloride channel proteins on the apical surface of the intestinal epithelial cells is to create an osmotic gradient that ultimately causes __________ to move through the intestinal epithelium and into the intestinal lumen to assist in the formation of mucus. These are the same chloride channel proteins, adversely affected in cystic fibrosis.

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Part D

The main physiologic mechanism used to control the opening of the chloride channel protein is through the use of __________.

G proteinâlinked receptors

potassium pump

enzyme-linked receptors

sodium pump

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Part E

The main factor that causes cholera is the overstimulation of __________ by the __________.

guanylate cyclase; the bacterium Vibrio cholerae

adenylate cyclase; the bacterium Vibrio cholerae

guanylate cyclase; cholera toxin

adenylate cyclase; cholera toxin

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Part F

The normal physiologic mechanism used by G proteinâlinked receptors is for a ligand to bind to the G proteinâlinked receptor; this in turn activates __________ located in the intracellular side of the plasma membrane, which eventually leads to the physiologic effector action.

diacylglycerol

inositol triphosphate

G protein

cyclic AMP

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Part G

Cholera toxin bypasses the normal sequential cascade of events involving G protein activation. The __________subunit of cholera toxin enters into the cell and directly activates __________. This leads to a non-physiologic (non-homeostatic) action of inappropriately maintaining the chloride channel proteins open. This causes excessive __________, sodium, and water to leave the intestinal epithelial cells.

A; G protein; chloride

B; G protein; chloride

B; inositol triphosphate; calcium

A; diacylglycerol; chloride

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Part H

A defect in the chloride channel protein, causing it to not open, will _________ the chloride, sodium, and water loss in cholera. However, it will also cause the individual to have __________ mucus.

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Part I

A drug that prevents the cholera toxin from attaching to the __________ in the intestinal epithelial cell could be a useful treatment.

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