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Course: Health and medicine > Unit 14
Lesson 2: Lab values and concentrations- Introduction to lab values and normal ranges
- What's inside of blood?
- Units for common medical lab values
- What is an equivalent?
- The mole and Avogadro's number
- Molarity vs. molality
- Molarity vs. osmolarity
- Calculate your own osmolarity
- Molarity, molality, osmolarity, osmolality, and tonicity - what's the difference?
- Tonicity - comparing 2 solutions
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Tonicity - comparing 2 solutions
Find out how tonicity is determined by ions that don't move across membranes and how it affects the movement of water. Rishi is a pediatric infectious disease physician and works at Khan Academy. Created by Rishi Desai.
Want to join the conversation?
- I was under the impression that only impermeable solutes determine tonicity. If that is the case, why are you counting the solutes that are permeable to the membrane? Shouldn't you only be focused on the cellular proteins (yellow) and Solute B (red), both of which were defined as essentially unable to permeate the membrane? Although it does work taking Solute A into account as well, I suppose...(7 votes)
- i have the same wuestion and i got confused by the video(3 votes)
- At 6.00 u said that exact same is on the outside and inside, but what happens if you only put in only 3 molecules of a solute. How do they spread evenly inside and outside the cell?
Thanx(4 votes)- Even if equilibrium is established, molecules always move back and forth between the two sides. So with your analogy, sort of picture 1 on each side and the remaining moving back and forth. But in reality, all molecules are moving around so you can also see them as rotating.(5 votes)
- Do you have a basic discussion of concentration gradient? This gets close to it, but it assumes that someone understands concentration gradient... Thank you!(3 votes)
- You'll probably get more out of this video:
https://www.khanacademy.org/science/mcat/cells/cell-membrane-overview/v/cell-membrane-introduction
Around 6 minutes, the passive diffusion process is explained. For a strict concentration gradient discussion, it's going to be a subset of Fick's law (in the respiration section), or molarity. The problem is that concentration gradient isn't useful outside of those contexts that are more complicated. Have fun!(0 votes)
- so higher the toncity the more is the water attracting property of a solution ?(2 votes)
- Yes! So a hypertonic solution will attract water because the water would released outside of the cell to equalize the tonicity of the encompassing solution. Solutes that have a higher property of tonicity means that they are unable to pass through a semi-permeable or permeable memberane, and thus water will be released to ultimately make the solution more dilute(0 votes)
- does the hypertonic solution lead to hyperglycemia ?(1 vote)
- I wouldn't think so! Hyperglycemia would mean high blood glucose and if a hypertonic solution was place into the blood, that would mean more water would be released into the blood solution making any of the molecules or solutes more dilute into a solution so that the two solution (cells vs solution) could remain in equilibrium. The blood may have an overall higher percentage of solutes like glucose but in relation to the solution, I believe that after establishing equibillirum, the blood glucose would just be seen as normal.(1 vote)
- At 5;27 hey sal great explanation regarding different types of solutions, but i think you are left with one i.e. Normality of the solution, hope you upload that video soon, because i am unable to understand it through the other literature sources avaiable, thank you!(1 vote)
- If you didn't sprinkle solute B into any of the three examples, would the solution be hypotonic in all three cases, since the yellow solute can't pass from the inside of the cell to the outside, making it more concentrated than the solution outside?(1 vote)
- Will intake of a hypertonic solution increase blood volume, and consequently raise blood pressure?(0 votes)
- If you were to create a hypertonic solution in your blood, your blood cells would shrivel and shrink. I would think that increasing the blood volume would trigger your body into releasing the fluid through urine. If you have ever had an IV you will know what I mean. ;-)(1 vote)
Video transcript
So I'm going to
draw a tube here. And this tube has a bit
of a curve at the bottom and comes back up. And let's say that it's
exactly the same diameter all the way across, so
same shape on both sides. And we'll label them
side A and side B. And at the bottom of my
tube I put a membrane. This is my purple membrane. And I let some stuff
through, but not everything. So I begin by putting in water. And the water goes
in on one side and fills up to, let's
say, about that level. And that's because water
passes through my membrane very easily. No difficulty passing through
my purple membrane right here. So there's no trouble crossing. And so then I decide to
take it a step further. I get a little green solute. We'll call it Solute A. It can
be anything you can think of, some solute. And I pour it in on this side. And Solute A, just
like the water, can easily cross over and
get to the other side. So Solute A now has
also very easily passed through the membrane. So Solute A passes. And this whole passes no
passes thing is important, because now Solute B comes
in, and Solute B does not pass through my membrane. Solute B, let's say, is a bigger
molecule, something like that. And it just gets
stuck on this side. Not enough-- or it doesn't
have the ability to get across, so there's going
to be very little Solute B on the other side. So Solute B cannot pass. And because it cannot pass, what
happens is that if you actually were to check this-- let's say
you come back after letting this sit on the table
for a little while-- the level of water will rise
on this side of the tube, and will fall on this
side of the tube. And there becomes a
real difference here between the two sides. And so if you were
to name these things, you would call this
side, this side A, hypertonic relative to
side B. And this side you'd call hypotonic
relative to side A. So you basically call
it hyper or hypotonic relative to something else in
that when you say relative, there has to be a difference,
and that difference is going to be the membrane. So the other side
of the membrane becomes the thing that
you compare it to. And you can also see
another interesting thing, which is that the only reason
that side A became hypertonic was because of the fact
that we have this Solute B that couldn't pass. Though it's because
of something not being able to pass the
membrane that it offered a chance for side A
to become hypertonic. So in a way, this inability to
pass is what led to tonicity. So the fact that you have
a difference in tonicity, specifically more
tonicity on side A, is a direct result of
the fact that Solute B couldn't pass
through the membrane. So just keep that in
mind, because that's a really important point. It's also important to
note that this did not contribute to the tonicity. And so if you were to calculate
osmolarity or something like that, you would
say, yeah sure, Solute A contributes
to osmolarity, and it contributes
to osmolality, but it does not
contribute to tonicity. So that is one key
difference between things that do and don't
contribute to tonicity, is how well do they
cross membranes. So let me redraw this now. So now I'm going to
draw for you a cup. Let's draw a nice large cup. And inside of this cup I'm
going to draw basically half of the volume of this cup. Half of it is going to
be taken up by this cell. So in your mind, just remember
half of the volume of this cup is inside of this cell,
and half is on the outside. So we've got, let's
say, a water level here, and it's exactly
50/50 between what's on the inside of
the cell and what's on the outside of the cell. So this is our water level. And let's do a couple scenarios. So let me actually cut and
paste this a few times, and we'll see how
you can actually have a few different things
happening if you change what is on the outside of that cell. So we have three
scenarios here, and I want to prove to you that they
start out looking the same. So that's why I wanted
to just cut and paste it, so it looks identical. Now in the first scenario
I want to remind you-- actually in all
three scenarios-- that these cells make
proteins, and they have DNA, and they have,
basically, solutes that are going to
not be able to get on the outside of that membrane. So they start out
with some solutes that really can't get
outside of the membrane. And let's say that, for the
argument-- for the moment rather-- that there are four
solutes on the inside that really can't make
their way outside. Now I'm gonna go ahead and
sprinkle in some Solute A and B. So remember we
had Solute A and B. And Solute A passes
through the membrane, and Solute B does not. And that was the key
difference, we said. So we said Solute A does not
really contribute to tonicity, but Solute B does. So Solute A-- let's sprinkle in,
let's say, six molecules here-- three, four, five, six. And actually, it gets a
total of 12 molecules, and 6 make their way
inside of the cell. And here I'll sprinkle
in just three molecules on the outside and
three on the inside. A total of six. And here, let's do 10
molecules on the outside and 10 on the inside. And again, I'm saying 10
and 10 because anything that goes on the inside,
the exact same amount will go on the
outside, because we know the two volumes
are the same. So we have 3, 6, 7, 8, 9, 10,
and on the outside we have 10. So in all three scenarios I put
different amounts of Solute A, but because it passes
through the membrane easily, it distributes evenly. Now Solute B. Let's say that we
have one, two molecules here, and here let's
put four molecules of Solute B-- one,
two, three, four. And we know that, again,
Solute B cannot pass through the membrane. And here, let's put six
molecules of B. None of them can actually get to the
membrane, of course. So if you were to add up what's
on the inside versus what's on the outside in
scenario one, you actually have a total of, let's see,
10 molecules over here. And on the outside you
only have six molecules. So here, we would call
the solution hypotonic, because there's less solute
on the outside relative to the inside. And so from the solution's
perspective, it's hypotonic. That's this part. So if this is hypotonic,
what will happen to our cell? So our cell is going to
attract water, all right? Water is going to want to
basically gush into this cell. And if it wants to
gush into the cell, it's actually going to
make the cell get bigger. So actually, let me
draw that for you. Let's draw a bigger cell. Actually, I'll just keep
half of it the same, but you'll get the
idea that this cell is going to get really big. So compared to what
it did look like, it looks much, much bigger. So the cells swell up. And so I just think
of them as fat cells, fatter than usual--
fatter cells. And in the middle scenario,
going to that one, we have, actually,
isotonic solution. Because in this case,
we have the same amount of volume, or same number
of solutes, on the inside as outside. We have a total of seven
here, and we have seven on the outside. So because it's equal-- the
number of solutes is equal, we call it isotonic. And the cells stay the same. They don't change. And on the last
example, we have what we call hypertonic solution,
because from the solution's perspective, it's
got way more solute then what was on the
inside of the cell. So here we have more on the
outside than the inside. We have-- let's see. Let's count up. We have 1, 2, 3, 4, 5, 6, 7,
8, 9, 10, 11, 12, 13, 14, 15, 16 out here, and on
the inside we have 14. So it has more solute
on the outside. And so what will
happen in this case is that the water
will want to rush out. It'll rush out, because there's
more solute on the outside. So if water rushes out, then
I'd have to redraw this cell, redraw it to reflect
what it will look like. And it'll look like this. Something like this. Actually, I didn't lose
any solute, let's do that. And maybe even to
make it more obvious I can erase this bit over here,
and show you that basically what's happening is that
this cell is shriveling down. It's becoming skinny
and shriveling down. And so these cells
become very skinny cells. So if you're in a
hypertonic solution, the cell will shrink
down or become skinny. So this is how a solute
that cannot pass-- in this case Solute
B, the red ones-- those are the ones that
are going to affect whether the cells get fat or skinny,
because they're the ones that affect tonicity.