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Water and Electrolyte
Balance
Sr. Flora Nueva M. Arcansis, OP, RN, MAN
Water
60-70% total body weight
45 liters in the normal
adult body
=30 liters intracellular
=15 liters extracellular
Functions
1. Universal solvent
2. Catalyst in biological reactions
(digestion, absorption,
circulation)
3. Vital component of tissues,
muscles, glycogen and vital for
growth.
4. Joint and visceral lubricant
5. Regulator of body temperature
Water intake
Direct water
drinking
Ingested water
bound food
Metabolic
water (food
oxidation)
Water Output
Via the:
1. skin (insensible perspiration)
2. lungs
3. GIT
4. kidneys
----
5. tears
6. drainage/discharges
Average of Daily Water Intake and Output
(FNRI-DOST RENI, 2002)
Intake Amount
(ml/day)
Output Amount
(ml/day)
Oral Fluids 1,100-1, 400 Sensible: urine 1,200-1,500
Solid Foods 800-1,000
intestinal
100-200
Metabolic Water 300 Insensible: lungs 400
skin 500-600
Total 2,200-2,700
(approx.
2,500ml/day)
2,200-2,700
(approx.
2,500ml/day)
Abnormalities of Water Balance
Over hydration or
water
intoxication
Dehydration
Normal Electrolyte Concentrations (Krause and Mahan, 1979)
Electrolytes ECF (Plasma and Interstitial)
mEq/L
ICF
mEq/L
CATIONS Na+ 135-147 10
K+ 3.5-5.5 150
Ca+ 4.5-5.5 1-2
Mg+ 1.5-3.0 40
ANIONS Cl- 98-106 4
HCO3- 26-30 10
HPO4- 2-5 140
SO4- 2-5 10
Organic Acids: Lactic, pyruvic- 3-6 40
Proteins (proteinate-) 15-19
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5.-Water-and-Electrolyte-Balance.p ptx

  • 1. Water and Electrolyte Balance Sr. Flora Nueva M. Arcansis, OP, RN, MAN
  • 2. Water 60-70% total body weight 45 liters in the normal adult body =30 liters intracellular =15 liters extracellular
  • 3. Functions 1. Universal solvent 2. Catalyst in biological reactions (digestion, absorption, circulation) 3. Vital component of tissues, muscles, glycogen and vital for growth. 4. Joint and visceral lubricant 5. Regulator of body temperature
  • 4. Water intake Direct water drinking Ingested water bound food Metabolic water (food oxidation)
  • 5. Water Output Via the: 1. skin (insensible perspiration) 2. lungs 3. GIT 4. kidneys ---- 5. tears 6. drainage/discharges
  • 6. Average of Daily Water Intake and Output (FNRI-DOST RENI, 2002) Intake Amount (ml/day) Output Amount (ml/day) Oral Fluids 1,100-1, 400 Sensible: urine 1,200-1,500 Solid Foods 800-1,000 intestinal 100-200 Metabolic Water 300 Insensible: lungs 400 skin 500-600 Total 2,200-2,700 (approx. 2,500ml/day) 2,200-2,700 (approx. 2,500ml/day)
  • 7. Abnormalities of Water Balance Over hydration or water intoxication Dehydration
  • 8. Normal Electrolyte Concentrations (Krause and Mahan, 1979) Electrolytes ECF (Plasma and Interstitial) mEq/L ICF mEq/L CATIONS Na+ 135-147 10 K+ 3.5-5.5 150 Ca+ 4.5-5.5 1-2 Mg+ 1.5-3.0 40 ANIONS Cl- 98-106 4 HCO3- 26-30 10 HPO4- 2-5 140 SO4- 2-5 10 Organic Acids: Lactic, pyruvic- 3-6 40 Proteins (proteinate-) 15-19

Editor's Notes

  • #2: 10% water loss result to illness, 20% death
  • #3: Viscera in the abd cavity
  • #5: Lungs =vapor in the expired air; GIT (Feces); Kidneys (urine)---- Tears and drainages/discharges water losses with electrolytes losses
  • #6: Lungs output (water vapor)
  • #7: 1. Water intoxication=increased in water intake without the corresponding increase in sodium intake. s/sx: muscle cramps, weakness, hypotension. Tx: take solid foods with very small amts of Na+. (2) Water intox cue to water exceeds maximum rate of urine flow results to water logged and diluted cells and tissues. s/sx: anorexia, vom., if it occurs in the brain convulsion, coma and death.
  • #8: Chorine (Cl-), Bicarbonate (HCO3-), Phosphate (HPO4-), Sulfate (SO4-),