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INTEGRATED SCIENCE II
YEAR I SEMESTER II
Unit v
Diffusion
Compounds move toward
the area of lower
concentration
Compounds permeable to
the cell membrane will
move through diffusion.
(Compounds unable to
pass through the
membrane will only pass
if membrane channels
open)
Osmosis: Diffusion of Water
The diffusion of water across a selectively
permeable membrane is called osmosis.
Regulating the water flow through the plasma
membrane is an important factor in maintaining
homeostasis within a cell.
Osmosis
Each compound obeys the
law of diffusion
However, some
compounds are unable to
cross the cell membrane
(glucose, electrolytes…)
Water can cross  will
enter or exit the cell
depending its
concentration gradient
Note: the cell membrane
is a semipermeable
membrane
What controls osmosis?
Unequal
distribution of
particles, called a
concentration
gradient, is one
factor that
controls osmosis.
Before
Osmosis
After
Osmosis
Selectively
permeable
membrane
Water molecule
Sugar molecule
Cells in an isotonic solution
isotonic solution-
(= concentrations)
the concentration of
dissolved substances in
the solution is the same
as the concentration of
dissolved substances
inside the cell.
H2O
H2O
Water Molecule
Dissolved Molecule
Cells in an isotonic solution
water molecules move
into and out of the cell at
the same rate, and cells
retain their normal
shape.
H2O
H2O
Water
Molecule
Dissolved
Molecule
Cells in a hypotonic solution
hypotonic solution:
dilute solution thus low
solute concentration
In a hypotonic solution,
water enters a cell by
osmosis, causing the cell
to swell.
H2O
H2O
Water
Molecule
Dissolved
Molecule
Cells in a hypertonic solution
hypertonic solution:
concentrated solution,
thus a high solute
concentration
In a hypertonic solution,
water leaves a cell by
osmosis, causing the cell
to shrink
H2O
H2O
Water
Molecule
Dissolved
Molecule
Passive Transport
When a cell uses no energy to move particles across a
membrane passive transport occurs
Particles go DOWN their concentration gradient.
Diffusion & osmosis are passive transport.
Concentration gradientPlasma
membrane
Passive Transport by proteins
Passive transport of materials across the membrane
using transport proteins is called facilitated diffusion.
Channel
proteins
Concentrati
on gradient
Plasma
membra
ne
Passive Transport by proteins
Some transport proteins, called channel proteins,
form channels that allow specific molecules to flow
through.
Active Transport
active transport :Movement of materials through a
membrane against a concentration gradient and
requires energy from the cell.
Concentration
gradient
Plasma
membrane
Carrier
proteins
Cellular energy
Cellular
energy
Cell Membrane Transport
How active transport occurs
a transport protein called a carrier protein first binds
with a particle of the substance to be transported.
Each type of carrier protein has a shape that fits a
specific molecule or ion.
Endocytosis is an energy-using process by which cells
absorb molecules (such as proteins) by engulfing them. It is
used by all cells of the body because most substances
important to them are large polar molecules that cannot
pass through the hydrophobic plasma or cell membrane.
The opposite process is exocytosis.
Cell Membrane Transport
1- Factors affecting transport
- cell membrane
- Chemical gradient
- Electrical gradient
- Rate of transport
2- Passive transport
- Diffusion
- Osmosis
- Facilitated diffusion
3- Active transport
- Pumps
- phagocytosis
- Endocytosis/exocytosis
Factors affecting transport: cell membrane
 The cell needs to absorb and
excrete various compounds
throughout its life.
These compounds need to
pass through the membrane
which is made from a
phospholipid bilayer
 The phospholipid bilayer is
formed by phospholipid
molecules bipolar
molecule: the fatty acid side
is hydrophobic, the
phosphoric side is
hydrophilic
The membrane is
permeable to:
- H2O
- Gases (O2, CO2, N2)
- Lipids
- Small, neutral molecules
(such as urea)
The membrane is
impermeable to:
- Small, charged molecules
- “large molecules” such as
amino acids, glucose and
larger
 these compounds
must go through
channels present in the
membrane in order to
enter or exit the cell
Factors affecting transport: Chemical gradient
Compound moves from
an area of high
concentration to low
concentration (or
concentration gradient)
All compounds
permeable to the
phospholipid bilayer will
move this way
Factors affecting transport: Electrical force
Positive ions are
attracted to negative ions
and vice versa
Ions are repelled by ions
of the same charge (+
against + and – against -)
Transport of Large Particles
 Endocytosis is a process by which a cell surrounds and takes
in material from its environment.
 The material is engulfed and enclosed by a portion of the cell’s
plasma membrane.
 resulting vacuole with its contents moves to the inside of the cell
 Exocytosis is the expulsion or secretion of materials from a cell.
Exocytose
Endocytosis
Dialysis
Definition
Artificial process that partially replaces renal
function
Removes waste products from blood by diffusion
(toxin clearance)
Removes excess water by ultrafiltration
(maintenance of fluid balance)
Wastes and water pass into a special liquid –
dialysis fluid or dialysate
Types
Haemodialysis (HD)
Peritoneal Dialysis (PD)
They work on similar principles: Movement of solute or
water across a semi permeable membrane (dialysis
membrane)
Peritoneal dialysis (PD) is a treatment for patients
with severe chronic kidney disease. The process uses the
patient's peritoneum in the abdomen as a membrane
across which fluids and dissolved substances
(electrolytes, urea, glucose, albumin and other small
molecules) are exchanged from the blood.
Ultrafiltration
Made possible by osmosis
Movement of water
Across semipermeable membrane
From low osmolality to high osmolality
Osmolality – number of osmotically active particles
in a unit (litre) of solvent
1.
2.
Blood cells are too big to pass through the dialysis membrane,
but body wastes begin to diffuse (pass) into the dialysis solution.
3.
Diffusion is complete. Body wastes have diffused through the membrane,
and now there are equal amounts of waste in both the blood and the
dialysis solution.
The process of ultra filtration in PD
11.
2
.
Blood cells are too big to pass through the semi-permeable membrane,
but water in the blood is drawn into the dialysis fluid by the glucose.
3.
Ultra filtration is complete. Water has been drawn through the peritoneum
by the glucose in the dialysis fluid by the glucose in the dialysis fluid. There is now
extra water in the dialysis .
Haemodialysis
Dialysis process occurs outside the body in a
machine
The dialysis membrane is an artificial one: Dialyser
The dialyser removes the excess fluid and wastes
from the blood and returns the filtered blood to the
body
Haemodialysis needs to be performed three times a
week
Each session lasts 3-6 hrs
HD Access
2 types of access for HD:
 Must provide good flow
 Reliable access
A fistula: arterio-venous (AV)
Vascular Access Catheter
AV Fistula
AV Fistula
Addendum to Principles (PD)
Standard dialysis solution contains:
 Na+
– 132 mEq/l
 Cl-
– 96 -102 mEq/l
 Ca2+
– 2.5 – 3.5 mEq/l
 Mg2+
– 0.5 -1.5 mEq/l
Dialysis solution buffer:
 Sodium lactate
 Pure HCo3
-
 HCo3
-
/Lactate combinations
Lactate is absorbed and converted to HCo3
-
by the
liver
Dextrose solution strengths: 1.5%, 2.5%, 4.25%
PD Access
Done under
LA or GA
LAB MONITORING
Haemoglobin
Albumin
Calcium
Phosphorus
GFR
(24 hour urine)
Sodium
Potassium
Urea
Creatinine
Unit 5

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Unit 5

  • 1. INTEGRATED SCIENCE II YEAR I SEMESTER II Unit v
  • 2. Diffusion Compounds move toward the area of lower concentration Compounds permeable to the cell membrane will move through diffusion. (Compounds unable to pass through the membrane will only pass if membrane channels open)
  • 3. Osmosis: Diffusion of Water The diffusion of water across a selectively permeable membrane is called osmosis. Regulating the water flow through the plasma membrane is an important factor in maintaining homeostasis within a cell.
  • 4. Osmosis Each compound obeys the law of diffusion However, some compounds are unable to cross the cell membrane (glucose, electrolytes…) Water can cross  will enter or exit the cell depending its concentration gradient Note: the cell membrane is a semipermeable membrane
  • 5. What controls osmosis? Unequal distribution of particles, called a concentration gradient, is one factor that controls osmosis. Before Osmosis After Osmosis Selectively permeable membrane Water molecule Sugar molecule
  • 6. Cells in an isotonic solution isotonic solution- (= concentrations) the concentration of dissolved substances in the solution is the same as the concentration of dissolved substances inside the cell. H2O H2O Water Molecule Dissolved Molecule
  • 7. Cells in an isotonic solution water molecules move into and out of the cell at the same rate, and cells retain their normal shape. H2O H2O Water Molecule Dissolved Molecule
  • 8. Cells in a hypotonic solution hypotonic solution: dilute solution thus low solute concentration In a hypotonic solution, water enters a cell by osmosis, causing the cell to swell. H2O H2O Water Molecule Dissolved Molecule
  • 9. Cells in a hypertonic solution hypertonic solution: concentrated solution, thus a high solute concentration In a hypertonic solution, water leaves a cell by osmosis, causing the cell to shrink H2O H2O Water Molecule Dissolved Molecule
  • 10. Passive Transport When a cell uses no energy to move particles across a membrane passive transport occurs Particles go DOWN their concentration gradient. Diffusion & osmosis are passive transport. Concentration gradientPlasma membrane
  • 11. Passive Transport by proteins Passive transport of materials across the membrane using transport proteins is called facilitated diffusion. Channel proteins Concentrati on gradient Plasma membra ne
  • 12. Passive Transport by proteins Some transport proteins, called channel proteins, form channels that allow specific molecules to flow through.
  • 13. Active Transport active transport :Movement of materials through a membrane against a concentration gradient and requires energy from the cell. Concentration gradient Plasma membrane Carrier proteins Cellular energy Cellular energy
  • 15. How active transport occurs a transport protein called a carrier protein first binds with a particle of the substance to be transported. Each type of carrier protein has a shape that fits a specific molecule or ion. Endocytosis is an energy-using process by which cells absorb molecules (such as proteins) by engulfing them. It is used by all cells of the body because most substances important to them are large polar molecules that cannot pass through the hydrophobic plasma or cell membrane. The opposite process is exocytosis.
  • 16. Cell Membrane Transport 1- Factors affecting transport - cell membrane - Chemical gradient - Electrical gradient - Rate of transport 2- Passive transport - Diffusion - Osmosis - Facilitated diffusion 3- Active transport - Pumps - phagocytosis - Endocytosis/exocytosis
  • 17. Factors affecting transport: cell membrane  The cell needs to absorb and excrete various compounds throughout its life. These compounds need to pass through the membrane which is made from a phospholipid bilayer  The phospholipid bilayer is formed by phospholipid molecules bipolar molecule: the fatty acid side is hydrophobic, the phosphoric side is hydrophilic
  • 18. The membrane is permeable to: - H2O - Gases (O2, CO2, N2) - Lipids - Small, neutral molecules (such as urea) The membrane is impermeable to: - Small, charged molecules - “large molecules” such as amino acids, glucose and larger  these compounds must go through channels present in the membrane in order to enter or exit the cell
  • 19. Factors affecting transport: Chemical gradient Compound moves from an area of high concentration to low concentration (or concentration gradient) All compounds permeable to the phospholipid bilayer will move this way
  • 20. Factors affecting transport: Electrical force Positive ions are attracted to negative ions and vice versa Ions are repelled by ions of the same charge (+ against + and – against -)
  • 21. Transport of Large Particles  Endocytosis is a process by which a cell surrounds and takes in material from its environment.  The material is engulfed and enclosed by a portion of the cell’s plasma membrane.  resulting vacuole with its contents moves to the inside of the cell  Exocytosis is the expulsion or secretion of materials from a cell. Exocytose Endocytosis
  • 22. Dialysis Definition Artificial process that partially replaces renal function Removes waste products from blood by diffusion (toxin clearance) Removes excess water by ultrafiltration (maintenance of fluid balance) Wastes and water pass into a special liquid – dialysis fluid or dialysate
  • 23. Types Haemodialysis (HD) Peritoneal Dialysis (PD) They work on similar principles: Movement of solute or water across a semi permeable membrane (dialysis membrane) Peritoneal dialysis (PD) is a treatment for patients with severe chronic kidney disease. The process uses the patient's peritoneum in the abdomen as a membrane across which fluids and dissolved substances (electrolytes, urea, glucose, albumin and other small molecules) are exchanged from the blood.
  • 24. Ultrafiltration Made possible by osmosis Movement of water Across semipermeable membrane From low osmolality to high osmolality Osmolality – number of osmotically active particles in a unit (litre) of solvent
  • 25. 1. 2. Blood cells are too big to pass through the dialysis membrane, but body wastes begin to diffuse (pass) into the dialysis solution. 3. Diffusion is complete. Body wastes have diffused through the membrane, and now there are equal amounts of waste in both the blood and the dialysis solution.
  • 26. The process of ultra filtration in PD 11. 2 . Blood cells are too big to pass through the semi-permeable membrane, but water in the blood is drawn into the dialysis fluid by the glucose. 3. Ultra filtration is complete. Water has been drawn through the peritoneum by the glucose in the dialysis fluid by the glucose in the dialysis fluid. There is now extra water in the dialysis .
  • 27. Haemodialysis Dialysis process occurs outside the body in a machine The dialysis membrane is an artificial one: Dialyser The dialyser removes the excess fluid and wastes from the blood and returns the filtered blood to the body Haemodialysis needs to be performed three times a week Each session lasts 3-6 hrs
  • 28. HD Access 2 types of access for HD:  Must provide good flow  Reliable access A fistula: arterio-venous (AV) Vascular Access Catheter
  • 31. Addendum to Principles (PD) Standard dialysis solution contains:  Na+ – 132 mEq/l  Cl- – 96 -102 mEq/l  Ca2+ – 2.5 – 3.5 mEq/l  Mg2+ – 0.5 -1.5 mEq/l Dialysis solution buffer:  Sodium lactate  Pure HCo3 -  HCo3 - /Lactate combinations Lactate is absorbed and converted to HCo3 - by the liver Dextrose solution strengths: 1.5%, 2.5%, 4.25%