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Fluid balance and electrolyte distribution in human body.

Fluid balance and electrolyte distribution in human body.

Fluid balance and electrolyte distribution in human body.

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Water <strong>balance</strong><br />

– Sources for 2500 ml<br />

- average daily<br />

<strong>in</strong>take<br />

• Metabolic Water<br />

• Preformed Water<br />

– Ingested Foods<br />

– Ingested Liquids<br />

– Balance achieved if<br />

daily output also =<br />

2500 ml<br />

• GI tract<br />

• Lungs<br />

• Sk<strong>in</strong><br />

– evaporation<br />

– perspiration<br />

• Kidneys<br />

Water Movement Between the ICF <strong>and</strong> ECF<br />

Osmolality – the concentrations of solutes <strong>in</strong> water<br />

– solutes will <strong>in</strong>fluence the movement of water across membranes<br />

H 2<br />

O<br />

π = iRTc<br />

Aquapor<strong>in</strong>s- water channel prote<strong>in</strong>s <strong>in</strong> membranes<br />

Net filtration (Starl<strong>in</strong>g hypothesis)<br />

= forces favor<strong>in</strong>g filtration – forces oppos<strong>in</strong>g filtration<br />

As fluid flows through capillary it looses water <strong>and</strong> create greater osmotic<br />

return of water as it flows toward ve<strong>in</strong>ule end of capillary<br />

Forces favor<strong>in</strong>g filtration<br />

- Capillary hydrostatic pressure (blood pressure)<br />

- Interstitial oncotic pressure (water-pull<strong>in</strong>g)<br />

Forces favor<strong>in</strong>g reabsorption<br />

- Plasma oncotic pressure (water-pull<strong>in</strong>g)<br />

- Interstitial hydrostatic pressure<br />

H 2<br />

O<br />

filtration<br />

H 2<br />

O<br />

reabsorption

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