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An in-depth exploration of osmosis and osmoregulation, focusing on water transport across semipermeable membranes, osmotic pressure, pathways for water movement, and the concept of effective osmoles. The text also covers the components of extracellular fluid osmolality and the biologic consequences of water movement, as well as cells defending volume and regulation of extracellular fluid osmolality.
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-^ If Jv = 0, then^ ∆
C^ ∆s^
van’t Hoff equation ∆Π^ = RT
∆C^ s^
Osmotic pressure
-^ ∆Π is not a pressure, but is an expression of adifference in water concentration across amembrane.
-^ ∆^ Π
Osmolarity •
Σ^ aC^ ss
-^ Colligative property
Concept of Effective Osmoles• Effective osmoles pull water.• Ineffective osmoles are membrane permeant, and do notpull water• Reflection coefficient
= RT^ Σ
-^ Tonicity
-^ The composition of the extracellular fluid isassessed by measuring plasma or serumcomposition.•^ Plasma osmolality ~ 290 mOsm/l Na salts
2 x 140 mOsm/l Glucose
5 mOsm/l Urea^
5 mOsm/l
-^ Therefore, clinically, physicians frequently referto the plasma (or serum) Na concentration as anindex of extracellular fluid osmolality andtonicity.
-^ Extracellular hypertonicity increases expression ofgenes encoding proteins that increase intracellularosmoles. Membrane transportersEnzymes that synthesize intracellular solutes -^ Clinical correlate: Rapid changes in extracellularfluid tonicity alter cell volume and causeneurologic complications, while slow changes arewithout an efect on cell volume and without anapparent clinical effect.
→^ Increased renal water excretion• Low body water/high plasmaosmolality
→^ Increased thirst and low renal water excretion