Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  ssrpk 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

hello ssrpk,

can you please explain me the difference between equilibrium potential and membrane potential.

know that intracellular pottasium is high and extracellular sodium is high.restimg membrane potential is -90 and to get into equilibrium position the ions tend to be in equloibrium with intracellular environment,If i get the concept right.

I am not able to figure out how sodium has - 45 and pottasium +15??


  #2

also the explanation for cardiac muscle excitation for raised extracellular pottasium.If extracellular pottasium more the cell is hyperpolarised,how can the change in ions to a minimal level will alter the excitability.confused about this.can u please help me out.

  #3

According to Nerst equation.....

Equilibrium potential is that potential which block furthur flux of ions across CM...........

Now RMP is -90...

Eq-Na+ is +45.

Eq-K is -105

Eq-Cl is -90


___________________
Love humans,save humans & live like humans.

  #4

thank you very much SDK

  #5

well realize one thing!

as long as these conc. of K+ and Na+ are maintained in and out of the celll ,there will be no iso-electric point for the cell tht means potential difference wil be shifting back and forth for each ion during diff. phases [resting and action potentail]

therefore any change in conc. diff. will hv an impact on it eq.potential and inturn will affect resting membrane potential!

because K+ flux is greater among other ions during restinmg phase therefore a change in it's ECF conc. will hv dramatic affect on it's eq.potential a/a RMP!

High K+ in ECF - lower gradient for outflux during repolariztion -depolarization!

low K+ in ECF- huigh gradient for outflux--- hyperpolarization!

Cardiac Pacemaker Cells:

Hyperkalemia: repolarization is slowed down[conc. effect] [refractory period inc.]and phase IV is prolonged due to hiugh permeability of K+(more efflux) which reduces the tendency of cell to get depolarized.

Hypokalemia: repolarization speeds up [conc. effect] [refractory period dec.] and Phase IV gets shortened due to low permeability of K+ [lesser efflux] which enhances the tendency of the cell to get depolarized.



N.B. remember tht this permeability effect will not hv significant effect on non-pacemaker cells!


___________________
life is guud







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.