Osmotic Balance
Process:
H2O & anions (HCO3- & Cl-) pass freely thru membrane
Cation pump regulates balance by moving Na+ & K+ in and out of cell
Ca++ necessary for:
qMaintain cell integrity
qATPase activity of spectrin
qCalmodulin – a Ca++-binding protein controls the calcium ATPase pump
Na+ = 1:12
K+ = 25:1
Intra vs extracellular
Results of inbalance:
“colloid osmotic hemolysis” an intravascular hemolytic process
Sickle cell anemia & Hereditary Spherocytosis