70. Water-electrolyte balance of the organism. Body fluids and electrolytes. Dynamics of body fluids volume and osmolality. Control of Water-Salts homeostasis. Thirst – physiologic mechanisms.
Topic 70 of 80 in the MU Plovdiv syllabus for Human Physiology (Medicine, Year 2). The free AceMed note covers it in 16 sections, about 1,093 words (9 min of reading), with 32 flashcards.
In this note
Volume and composition of body fluids. Water and electrolyte balance in the body.
Body Fluid Compartments
Composition of Body Fluid Compartments
Units for Measuring Solute Concentrations
Water and Electrolyte Balance
Water Intake
Water Losses
Regulation of Water and Electrolyte Balance
Body Fluid Volume and Osmolality Dynamics. Regulation of Fluid and Electrolyte Balance
Osmolality vs. Osmolarity
Normal Osmolality Values (Clinical Reference)
Electrolytes and Osmolality
Water Balance – Intake and Loss
Regulation of Fluid and Electrolyte Balance
Fluid Output Regulation (Urinary)
Recap Questions
Body Fluid Compartments
Water is a major component of the body, distributed among two major compartments: intracellular fluid (ICF) and extracellular fluid (ECF).
ICF is contained within cells and comprises two-thirds of total body water.
ECF is outside the cells and comprises one-third of total body water.
ECF is further divided into two subcompartments: plasma and interstitial fluid.
Plasma is the fluid circulating in blood vessels.
Interstitial fluid bathes the cells.
Total body water correlates inversely with body fat.
Individuals with lower body fat have a higher percentage of total body water.
Females, having a higher percentage of adipose tissue, tend to have less body water than males.
The transcellular compartment,minor compartment, includes cerebrospinal, pleural, peritoneal, and digestive fluids.
Composition of Body Fluid Compartments
ICF and ECF have vastly different concentrations of various solutes.
The major cation in ECF is sodium (Na+), with chloride (Cl-) and bicarbonate (HCO3-) as the balancing anions.
The major cations in ICF are potassium (K+) and magnesium (Mg2+), balanced by proteins and organic phosphates as anions.
Plasma and interstitial fluid also differ in solute concentrations due to the exclusion of proteins from interstitial fluid.
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