Page 390 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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      However, measurements with osmometers as  H 2O) –1  = mOsm · (L H 2O) . If two solutions of
      well as the biophysical application of osmotic  different osmolality (∆c osm) are separated by a
      concentration refer to the number of osmoles  water-permeable selective membrane , ∆c osm
      per unit volume of solvent as opposed to the  will exert an osmotic pressure difference (∆π)
      total volume of the solution. This and the fact  across the membrane in steady state if the
      that volume is temperature-dependent are the  membrane is less permeable to the solutes
      reasons why osmolality (Osm/kg H 2O) is gen-  than to water. In this case, the selectivity of the
      erally more suitable.           membrane, or its relative impermeability to
        Ideal osmolality is derived from the molality  the solutes, is described by the reflection
      of the substances in question. If, for example,  coefficient (σ), which is assigned a value be-
      1 mmol (180 mg) of glucose is dissolved in 1 kg  tween 1 (impermeable) and 0 (as permeable as
      of water (1 L at 4!C), the molality equals  water). The reflection coefficient of a semi-
      1 mmol/kg H 2O and the ideal osmolality  permeable membrane is σ = 1. By combining
      equals  1 mOsm/kg H 2O.  This  relationship  van’t Hoff’s and Staverman’s equations, the
      changes when electrolytes that dissociate are  osmotic pressure difference (∆π) can be calcu-
                    +
                       –
      used, e.g., NaCl  Na + Cl . Both of these ions  lated as follows:  and Units
      are osmotically active. When a substance that  ∆π = σ · R · T · ∆c osm.  [13.3]
      dissociates is dissolved in 1 kg of water, the
      ideal osmolality equals the molality times the  Equation 13.3 shows that a solution with the
      number of dissociation products, e.g., 1 mmol  same osmolality as plasma will exert the same
      NaCl/kg H 2O = 2 mOsm/kg H 2O.  osmotic pressure on a membrane in steady  Dimensions
        Electrolytes weaker than NaCl do not disso-  state (i.e., that the solution and plasma will be
      ciate completely. Therefore, their degree of  isotonic) only if σ = 1. In other words, the mem-
      electrolytic dissociation must be considered.  brane must be strictly semipermeable.
        These rules apply only to ideal solutions, i.e.,  Isotonicity, or equality of osmotic pressure,
      those that are extremely dilute. As mentioned  exists between plasma and the cytosol of red
      above, bodily fluids are nonideal (or real) solu-  blood cells (and other cells of the body) in
      tions because their real osmolality is lower  steady state. When the red cells are mixed in a
      than the ideal osmolality. The real osmolality  urea  solution  with  an  osmolality  of
      is calculated by multiplying the ideal osmolal-  290 mOsm/kg H 2O, isotonicity does not pre-
      ity by the osmotic coefficient (g). The osmotic  vail after urea (σ " 1) starts to diffuse into the
      coefficient is concentration-dependent and  red cells. The interior of the red blood cells
      amounts to, for example, approximately 0.926  therefore becomes hypertonic, and water is
      for NaCl with an (ideal) osmolality of  drawn inside the cell due to osmosis (! p. 24).
      300 mOsm/kg H 2O. The real osmolality of this  As a result, the erythrocytes continuously
      NaCl solution thus amounts to 0.926 · 300 =  swell until they burst.
      278 mOsm/kg H 2O.                 An osmotic gradient resulting in the sub-
        Solutions with a real osmolality equal to  sequent flow of water therefore occurs in all
      that of plasma (! 290 mOsm/kg H2 O) are said  parts of the body in which dissolved particles
      to be isosmolal. Those whose osmolality is  pass through water-permeable cell mem-
      higher or lower than that of plasma are hyper-  branes or cell layers. This occurs, for example,
      osmolal or hyposmolal.          when Na and Cl pass through the epithelium
                                            +
                                                –
                                      of the small intestine or proximal renal tubule.
      Osmolality and Tonicity         The extent of this water flow or volume flow Jv
                                          –1
                                        3
      Each osmotically active particle in solution (cf.  (m · s ) is dependent on the hydraulic conduc-
                                              –1
                                                 –1
      real osmolality) exerts an osmotic pressure (π)  tivity k (m · s · Pa ) of the membrane (i.e., its
      as described by van’t Hoff’s equation:  permeability to water), the area A of passage
                                      (m ), and the pressure difference, which, in
                                        2
                                      this case, is equivalent to the osmotic pressure
        π = R · T · c osm       [13.2]
      where R is the universal gas constant (8.314 J ·  difference ∆π (Pa):  377
            –1
       –1
      K · Osm ), T is the absolute temperature in K,  Jv = k · A · ∆π [m · s ].  [13.4]
                                                    –1
                                                  3
      and c osm is the real osmolality in Osm · (m 3
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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