Page 239 - Saunders Comprehensive Review For NCLEX-RN
P. 239

c. A hypotonic solution has less solute
                                                                than an isotonic solution, whereas a
                                                                hypertonic solution contains more
                                                                solute.
                                             6. Active transport
                                                             a. If an ion is to move through a
                                                                membrane from an area of lower
                                                                concentration to an area of higher
                                                                concentration, an active transport
                                                                system is necessary.
                                                             b. An active transport system moves
                                                                molecules or ions against
                                                                concentration and osmotic pressure.
                                                             c. Metabolic processes in the cell supply
                                                                the energy for active transport.
                                                             d. Substances that are transported actively
                                                                through the cell membrane include
                                                                ions of sodium, potassium, calcium,
                                                                iron, and hydrogen; some of the
                                                                sugars; and the amino acids.
                                        H. Body fluid intake and output (Fig. 8-2)


                                             1. Body fluid intake
                                                             a. Water enters the body through 3
                                                                sources—orally ingested liquids, water
                                                                in foods, and water formed by
                                                                oxidation of foods.
                                                             b. About 10 mL of water is released by the
                                                                metabolism of each 100 calories of fat,
                                                                carbohydrates, or proteins.
                                             2. Body fluid output
                                                             a. Water lost through the skin is called
                                                                insensible loss (the individual is
                                                                unaware of losing that water).
                                                             b. The amount of water lost by
                                                                perspiration varies according to the
                                                                temperature of the environment and of
                                                                the body.
                                                             c. Water lost from the lungs is called
                                                                insensible loss and is lost through
                                                                expired air that is saturated with water
                                                                vapor.
                                                             d. The amount of water lost from the
                                                                lungs varies with the rate and the
                                                                depth of respiration.
                                                             e. Large quantities of water are secreted
                                                                into the gastrointestinal tract, but
                                                                almost all of this fluid is reabsorbed.


                                                          239
   234   235   236   237   238   239   240   241   242   243   244