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OA Questions and Answers C
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omplete Guide
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Questions and Answers Graded A+
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WhatvisvStarling'svLawvofvCapillaryvforces?
Howvdoesvthisvexplainvwhyvavnutritionallyvdeficientvchildvwouldvhavevedema?
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☑️☑️Starling'svLawvdescribesvhowvfluidsvmovevacrossvthevcapillaryvmembrane.vTherevarevtwovmaj
orvopposingvforcesvthatvactvtovbalanceveachvother,vhydrostaticvpressurev(pushingvwatervoutvofvthevcapil
laries)vandvosmoticvpressurev(includingvonconticvpressure,vwhichvpushesvfluidvintovthevcapillaries).
Bothvelectrolytesvandvproteinsv(onconticvpressure)vinvthevbloodvaffectvosmoticvpressure,vhighvelectrolyt
evandvproteinvconcentrationsvinvthevbloodvwouldvcausevwatervtovleavevthevcellsvandvinterstitialvspacevand
v entervthevbloodvstreamvtovdilutevthevhighvconcentrations.
On,vthevothervhand,vlowvelectrolytevandvproteinvconcentrationsv(asvseenvinvavnutritionallyvdeficientvchild)v
wouldvcausevwatervtovleavevthevcapillariesvandventervthevcellsvandvinterstitialvfluidvwhichvcanvleadvtovede
ma.
HowvdoesvthevRAASv(Renin-Angiotensin-
AldosteronevSystem)vresultvinvincreasedvbloodvvolumevandvincreasedvbloodvpressure?
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☑️☑️Avdropvinvbloodvpressurevisvsensedvbyvthevkidneysvbyvlowvperfusion,vwhichvinvturnvbeginsvtovsecr
etevrenin.
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, Reninvthenvtriggersvthevlivervtovproducevangiotensinogen,vwhichvisvconvertedvtovAngiotensinvIvinvthevlungsv
andvthenvangiotensinvIIvbyvthevenzyme
Angiotensin-
convertingvenzymev(ACE).vAngiotensinvIIvstimulatesvperipheralvarterialvvasoconstrictionvwhichvraisesvBP.
AngiotensinvIIvisvalsovstimulatingvthevadrenalvglandvtovreleasevaldosterone,vwhichvactsvtovincreasevsodiumv
andvwatervreabsorptionvincreasingvbloodvvolume,vwhilevalsovincreasedvpotassiumvsecretionvinvurine.
Howvcanvhyperkalemiavleadvtovcardiacvarrest?
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v ☑️☑️Normalvlevelsvofvpotassiumvarevbetweenv3.5vandv5.2vmEq/dL.vHyperkalemiavrefersvtovpota
ssiumvlevelsvhighervthatv5.2vmEq/dL.
Avmajorvfunctionvofvpotassiumvisvtovconductvnervevimpulsesvinvmuscles.vToovlowvandvmusclevweaknessvoccursv
andvtoovmuchvcanvcausevmusclevspasms.
Thisvisvespeciallyvdangerousvinvthevheartvmusclevandvanvirregularvheartbeatvcanvcausevavheartvattack