Key Takeaways

  • Metabolism includes all chemical reactions in the body: anabolism (building up) and catabolism (breaking down)
  • Cellular respiration (C6H12O6 + 6O2 → 6CO2 + 6H2O + ATP) produces 36-38 ATP per glucose molecule
  • Photosynthesis (6CO2 + 6H2O + light → C6H12O6 + 6O2) is the reverse of cellular respiration
  • Enzymes are biological catalysts that speed up reactions without being consumed; they are specific to their substrate (lock-and-key model)
  • The hierarchy of organization: atom → molecule → organelle → cell → tissue → organ → organ system → organism
  • Four primary tissue types: epithelial (covering), connective (support), muscle (movement), nervous (signaling)
  • Homeostasis is the body's ability to maintain a stable internal environment through negative feedback loops
  • The pH scale ranges from 0 (acidic) to 14 (basic); blood pH is normally 7.35-7.45 (slightly alkaline)
Last updated: February 2026

Metabolism & Body Systems Overview

Understanding how the body produces and uses energy, how it is organized, and how it maintains balance is fundamental to nursing science.


Metabolism

Metabolism is the sum of all chemical reactions that occur in an organism. It has two components:

ComponentDescriptionExample
AnabolismBuilding complex molecules from simple ones (requires energy)Building proteins from amino acids, building glycogen from glucose
CatabolismBreaking complex molecules into simpler ones (releases energy)Breaking glucose into CO2 and H2O (cellular respiration)

Cellular Respiration

Cellular respiration is the process by which cells break down glucose to produce ATP:

C6H12O6 + 6O2 → 6CO2 + 6H2O + ATP (36-38 molecules)

The three stages of cellular respiration:

StageLocationATP Produced
GlycolysisCytoplasm2 ATP (net)
Krebs CycleMitochondrial matrix2 ATP
Electron Transport ChainInner mitochondrial membrane32-34 ATP
  • Glycolysis does not require oxygen (anaerobic)
  • The Krebs Cycle and ETC require oxygen (aerobic)
  • Without oxygen, cells use fermentation (anaerobic respiration), producing only 2 ATP and lactic acid

Photosynthesis

Photosynthesis occurs in chloroplasts of plant cells and is essentially the reverse of cellular respiration:

6CO2 + 6H2O + Light Energy → C6H12O6 + 6O2

  • Occurs in two stages: light-dependent reactions (thylakoid) and the Calvin Cycle (stroma)
  • Produces glucose and oxygen from carbon dioxide and water
  • Chlorophyll absorbs light energy (primarily red and blue wavelengths, reflecting green)

Enzymes

Enzymes are biological catalysts — proteins that speed up chemical reactions without being consumed:

  • Each enzyme is specific to its substrate (the molecule it acts on)
  • The lock-and-key model describes how the enzyme's active site fits a specific substrate
  • The induced-fit model (more accurate) says the enzyme slightly changes shape to fit the substrate

Factors that affect enzyme activity:

  • Temperature: Optimal at body temperature (~37°C); denatured at high temperatures
  • pH: Each enzyme has an optimal pH range
  • Substrate concentration: Increases rate until all active sites are occupied (saturation)
  • Inhibitors: Competitive (blocks active site) or non-competitive (changes enzyme shape)

Levels of Body Organization

LevelDescriptionExample
AtomSmallest unit of an elementCarbon, oxygen, hydrogen
MoleculeTwo or more atoms bonded togetherWater (H2O), glucose (C6H12O6)
OrganelleSpecialized structure within a cellMitochondria, nucleus
CellBasic unit of lifeRed blood cell, neuron
TissueGroup of similar cellsMuscle tissue, nervous tissue
OrganTwo or more tissue types working togetherHeart, lungs, liver
Organ SystemGroup of organs working togetherCardiovascular, respiratory
OrganismA complete living beingHuman

Four Primary Tissue Types

Tissue TypeFunctionExamples
EpithelialCovers surfaces, lines cavities, forms glandsSkin, lining of GI tract, glands
ConnectiveSupports, connects, and protectsBone, blood, cartilage, fat, tendons
MuscleProduces movementSkeletal, cardiac, smooth muscle
NervousTransmits electrical signalsNeurons, glial cells

Homeostasis

Homeostasis is the body's ability to maintain a stable internal environment despite external changes.

Most homeostatic mechanisms use negative feedback loops:

  1. A receptor detects a change (stimulus)
  2. A control center (usually the brain) processes the information
  3. An effector produces a response that reverses the change

Example — Body Temperature:

  • If body temperature rises → hypothalamus detects the change → signals sweat glands to produce sweat → evaporation cools the body → temperature returns to normal

Positive feedback amplifies the change (rare): Examples include blood clotting, labor contractions, and lactation.


pH Scale

pHDescriptionExamples
0-6AcidicStomach acid (1-2), lemon juice (2), coffee (5)
7NeutralPure water
8-14Basic (Alkaline)Blood (7.35-7.45), bleach (13)

Blood pH must stay between 7.35 and 7.45. Values outside this range can be life-threatening.


Photosynthesis vs. Cellular Respiration — Comparison

FeaturePhotosynthesisCellular Respiration
Equation6CO2 + 6H2O + light → C6H12O6 + 6O2C6H12O6 + 6O2 → 6CO2 + 6H2O + ATP
EnergyAbsorbs light energyReleases chemical energy
OrganismsPlants, algae, cyanobacteriaAll living organisms
LocationChloroplastsMitochondria (and cytoplasm)
ReactantsCO2 and H2OGlucose and O2
ProductsGlucose and O2CO2, H2O, and ATP
Gas exchangeTakes in CO2, releases O2Takes in O2, releases CO2
TimeLight requiredOccurs continuously

These two processes are essentially reverse reactions — the products of one are the reactants of the other. Together, they cycle carbon and oxygen through the biosphere.


Water Properties and Their Biological Importance

Water's unique properties are due to its polar nature and hydrogen bonding:

PropertyDescriptionBiological Importance
CohesionWater molecules stick to each otherSurface tension; water column in plants
AdhesionWater sticks to other surfacesCapillary action in blood vessels; meniscus
High specific heatResists temperature changesBody temperature regulation
Universal solventDissolves more substances than any other liquidTransports nutrients, electrolytes, waste
Ice floatsSolid water is less dense than liquid waterInsulates aquatic ecosystems in winter
High heat of vaporizationRequires a lot of energy to evaporateCooling effect of sweating

Aerobic vs. Anaerobic Respiration

FeatureAerobicAnaerobic
OxygenRequiredNot required
ATP yield36-38 per glucose2 per glucose
StagesGlycolysis + Krebs + ETCGlycolysis + fermentation
End productsCO2 + H2OLactic acid (animals) or ethanol + CO2 (yeast)
EfficiencyHighLow
When usedNormal conditionsDuring intense exercise (when O2 is insufficient)

Lactic acid fermentation in muscle cells causes the burning sensation during intense exercise when oxygen demand exceeds supply.


Macronutrients and Micronutrients

Understanding nutrition connects biology to patient care:

Macronutrients (needed in large amounts)

NutrientCalories/gramFunctionSources
Carbohydrates4 kcal/gPrimary energy sourceBread, pasta, fruits, vegetables
Proteins4 kcal/gGrowth, repair, enzymes, antibodiesMeat, fish, beans, dairy
Fats9 kcal/gEnergy storage, insulation, cell membranesOils, butter, nuts, avocado

Key Vitamins

VitaminFunctionDeficiency
Vitamin AVision, immune functionNight blindness
Vitamin CCollagen synthesis, antioxidantScurvy (bleeding gums, poor healing)
Vitamin DCalcium absorption, bone healthRickets (children), osteomalacia (adults)
Vitamin KBlood clottingBleeding disorders
B12RBC formation, nerve functionPernicious anemia
Folic acid (B9)DNA synthesis, cell divisionNeural tube defects in pregnancy

Key Minerals

MineralFunctionDeficiency
IronHemoglobin (O2 transport)Iron-deficiency anemia
CalciumBones, teeth, muscle contractionOsteoporosis
PotassiumHeart rhythm, muscle functionCardiac arrhythmias
IodineThyroid hormonesGoiter
ZincImmune function, wound healingImpaired immunity, slow healing
MagnesiumMuscle/nerve function, energyMuscle cramps, cardiac arrhythmias

Water-Soluble vs. Fat-Soluble Vitamins

CategoryVitaminsStorageToxicity Risk
Water-solubleB-complex, CNot stored; excess excreted in urineLow (rare toxicity)
Fat-solubleA, D, E, KStored in liver and adipose tissueHigher (can accumulate)

Memory aid: Fat-soluble vitamins spell ADEK — and they need fat for absorption.

Nursing relevance: Patients with fat malabsorption (celiac disease, cystic fibrosis, liver disease) are at risk for fat-soluble vitamin deficiencies.


ATP: The Energy Currency of the Cell

Adenosine triphosphate (ATP) is the primary energy carrier in all living cells:

  • ATP consists of adenine + ribose sugar + 3 phosphate groups
  • Energy is released when the terminal phosphate bond is broken: ATP → ADP + Pi + Energy
  • ATP is constantly recycled — the body produces and uses approximately its own body weight in ATP every day
  • ATP is produced primarily through cellular respiration in the mitochondria

Uses of ATP in the body:

  • Muscle contraction (actin-myosin interaction)
  • Active transport (sodium-potassium pump)
  • Nerve impulse transmission
  • Protein synthesis
  • Cell division
ATP Production by Stage of Cellular Respiration (Approximate)
Test Your Knowledge

Which of the following is the correct equation for cellular respiration?

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D
Test Your Knowledge

Which stage of cellular respiration produces the most ATP?

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D
Test Your Knowledge

Enzymes function by:

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D
Test Your KnowledgeOrdering

Arrange the levels of body organization from simplest to most complex.

Arrange the items in the correct order

1
Organ
2
Cell
3
Tissue
4
Organ system
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Molecule
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Organism
Test Your Knowledge

The normal pH range for blood is:

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D
Test Your Knowledge

Which tissue type forms the outer layer of the skin and lines the digestive tract?

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D
Test Your KnowledgeFill in the Blank

The process by which the body maintains a stable internal environment is called _____.

Type your answer below