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Ch. 26 Fluid, Electrolyte, and Acid-Base Balance
Chapter 25, Problem 11

Which of the following factors will enhance ADH release? a. increase in ECF volume, b. decrease in ECF volume, c. decrease in ECF osmolality, d. increase in ECF osmolality.

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1
Understand that ADH (Antidiuretic Hormone) is released in response to changes in the body's fluid balance and osmolality.
Recognize that a decrease in ECF (Extracellular Fluid) volume signals the body to conserve water, which can enhance ADH release.
Identify that an increase in ECF osmolality indicates a higher concentration of solutes in the blood, prompting the body to release ADH to retain water and dilute the solutes.
Consider that an increase in ECF volume would typically suppress ADH release as the body does not need to conserve water.
Note that a decrease in ECF osmolality suggests a lower concentration of solutes, which would generally reduce the need for ADH release as the body does not need to retain additional water.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Antidiuretic Hormone (ADH)

Antidiuretic Hormone, also known as vasopressin, is a peptide hormone produced by the hypothalamus and released from the posterior pituitary gland. It plays a crucial role in regulating water balance in the body by promoting water reabsorption in the kidneys. An increase in ADH levels leads to concentrated urine and reduced urine output, which helps maintain blood pressure and fluid balance.
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Extracellular Fluid (ECF) Volume

Extracellular Fluid Volume refers to the amount of fluid outside the cells, which includes interstitial fluid and plasma. Changes in ECF volume can influence the release of ADH; a decrease in ECF volume typically stimulates ADH release to conserve water, while an increase can suppress its release. This balance is vital for maintaining homeostasis and proper hydration.
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Osmolality

Osmolality is a measure of the concentration of solutes in a solution, which affects the movement of water across cell membranes. In the context of ADH release, an increase in ECF osmolality (higher solute concentration) triggers the secretion of ADH to promote water retention, while a decrease in osmolality (lower solute concentration) inhibits ADH release. This mechanism helps regulate fluid balance and prevent dehydration.