Nomenclature of Solutions
The system of international units (SI) has still not gained universal
acceptance in clinical prac-tice, and many older expressions of concentration
remain in common use. Thus, for example, the quantity of a solute in a solution
may be expressed in grams, moles, or equivalents. To complicate matters
further, the concentration of a solution may be expressed either as quantity of
solute per volume of solution or quantity of solute per weight of solvent.
One mole of a substance represents 6.02 × 1023 molecules. The weight of this quantity in grams is commonly referred to
as gram-molecular weight. Molarity is the standard SI unit of concentration
that expresses the number of moles of solute per liter of solution. Molality is an alternative term thatexpresses
moles of solute per kilogram of
solvent. Equivalency is also commonly used for substances that ionize: the
number of equivalents of an ion in solution is the number of moles multiplied
by its charge (valence). Thus, a 1 M solution of MgCl 2 yields 2
equivalents of magnesium per liter and 2 equivalents of chloride per liter.
Osmosis is the net
movement of water across a semi-permeable membrane as a result of a difference
in nondiffusible solute concentrations between the two sides. Osmotic pressure is the pressure that
must be applied to the side with more solute to prevent a net movement of water
across the membrane to dilute the solute.Osmotic
pressure is generally dependent only on the number of nondiffusible solute
particles. This is because the average kinetic energy of particles in solution
is similar regardless of their mass. One osmole equals 1 mol of nondissociable
substances. For substances that ionize, however, each mole results in n Osm,
where n is the number of ionic species produced. Thus, 1 mol of a highly
ionized substance such as NaCl dissolved in solu-tion should produce 2 Osm; in
reality ionic inter-action between the cation and anion reduces the effective
activity of each such that NaCl behaves as if it is only 75% ionized. A
difference of 1 mOsm/L between two solutions results in an osmotic pres-sure of
19.3 mm Hg. The osmolarity of a solution is equal to the number of osmoles per
liter of solution, whereas its osmolality equals the number of osmoles per
kilogram of solvent. Tonicity, a term that is often used interchangeably with
osmolarity and osmolal-ity, refers to the effect a solution has on cell volume.
An isotonic solution has no effect on cell volume, whereas hypotonic and
hypertonic solutions increase and decrease cell volume, respectively.
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