2. CONTENTS
INTRODUCTION to compartment function
Daily loss of body water
Body fluid compartment
Body fluid percentage
Constituents of extracellular ana intracellular fluids
Osmolar substances in extracellular and intracellular fluids
Distribution of total body water(TBW)
Measurement of body fluids volumes
Ionic composition of body fluids
Units for measuring concentration of solutes
A. Moles B. Equivalents
C. Osmoles D. Concept of pH and
E. H concentration F. Concept of buffer system
3. INTRODUCTION
In an average young adult male
7% of body weight is mineral
15% is fat
18% is protein and related substances and
60% is water, called total body water(TBW)
2. TBW is about 10% lower in young females due to greater amount of adipose tissue
In infants TBW is 65- 75% of body weight
By the age of 60 years, total body water (TBW) has decreased to only 45-50% of the total
body weight.
Regulation of body fluid volume
Constituents of the extracellular fluid
Acid base balance
Control of fluid exchange between extracellular and intracellular compartments
Daily intake of water :major sources (2300mlday)
6. DAILY LOSS OF BODY WATER
WHYBURNPATIENTSAREGIVENMOREFLUIDS??
DRYFEELINGINTHERESPIRATORYPASSAGES INCOLD
WEATHER
7. Water and Its Functions
Learning Outcomes
1. Compare intracellular and extracellular fluids.
2. List four types of extracellular fluids.
3. Name the systems that are involved in water balance.
4. Explain how thirst is regulated.
8. The Importance of Water
Body fluid maintenance
Thirst mechanism maintains volume
Kidney activity regulates volume and composition.
Hormones regulate fluid volume and electrolytes.
Buffers, respiration, and kidney function regulate pH.
9. Fluid Compartments
Intracellular fluid (ICF)
Two-thirds to three-fourths of all body fluids
Extracellular fluid (ECF)
Interstitial fluid
Blood plasma
Lymph
Fluid in special compartments
11. Water Balance
Water gain from
- Beverages
- Food Cellular
- respiration
Water loss from
- Kidneys
- Skin
- Lungs
- Intestinal tract
12. Sense of Thirst
Control center for thirst Located in hypothalamus
Regulates total fluid volume
Excessive thirstpolydipsia
14. Disorders of Body Fluids
Edema
Water intoxication
Effusion
Ascites
Dehydration
45. Solved question
1. transcellular fluid includes the water and electrolytes within the
a) Cell b)blood vessel c) lymphatics vessel d) joint cavity
2. The movement of water and electrolytes between fluid compartments
is regulated primarily
a) Diffusion and osmosis b)hydrostatic pressure and osmotic pressure
3. The thirst centers located in the
a) Thalamus b) hypothalamus c) mid brain d) medulla oblangata
4. Of the compartments of the extracellular water ,which is the target ?
a) Lymph b)plasma c) interstitial fluid d) transcellular fluid
5.
53. EXTRACELLULAR FLUID (ECF) COMPARTMENT
This fluid is contained in the spaces outside the cell ECF compartments
includes :
1. Plasma (blood plasma)
2. Interstitial fluid and
3. TRANSCELLULAR FLUID (1-2L)
i. CSF
ii. Intraocular
iii. Pleural
iv. Peritoneal
v. Synovial
vi. Digestive secretion
54. PLASMA
Is the fluid portion of the blood
It represents 25% of the ECF
Its volume can be calculated from blood volume and PVC
55. INTERSTITIAL FLUID
It is that part of ECF that is outside the vascular system
It surrounds all cells except blood cells and includes lymph
It is in constant motion throughout the body and is transported rapidly in the
circulating blood
Lymph constitutes 2-3% of the total body weight
Ionic composition of plasma and interstitial fluid is similar
56. TRANSCELLULAR FLUID
Fluid in the lumen of structures lined by epithelium
It includes; digestive secretions ;sweat; cerebrospinal
fluid(CSF);pleural ,peritoneal, synovial, intraocular and pericardial
fluids ,bile and luminal fluids of the gut ,thyroid and cochlea
Transcellular fluid volume is small,i.e 15mLKG of body weight
58. MEASUREMENT OF BODY FLUIDS
VOLUMES
The volume of water in each fluid compartment is measured by the indicator
dilution principle
It is based on the relationship between
i. The amount of a substance injected intravenously (A)
ii. The volume in which that substances is distributed (V) and
iii. The final concentration attained 息
The equation for the relationship is
C=
i.e. V =
59. CHARACTERISTICS OF THE INDICATOR (MARKER)
USED
1. It should be relatively easy to measure
2. It must remain in the compartment being measured
3. It must not alter water distribution in the compartment being
measured
4. It must be non toxic
5. It must mix evenly throughout the compartment being measured
6. It must be unchanged by the body
60. EXTACELLULAR FLUID VOLUME
(ECFV) VOLUME
The ECFV is difficult to measure ,because ;
i. Limits of this space are ill- defined
ii. Few substances mix rapidly in all parts of the space while
remaining exclusively extracellular
METHODS
1. INULIN (polysaccharide ,MW 5200)
2. Mannitol
61. INTRACELLULAR FLUID VOLUME (ICFV)
ICFV cannot be measured directly by dilution, because no substance is
confined to this compartment after I .V administration
It is determined indirectly as
ICFV= TBW - ECFV
62. IONIC COMPOSITION OF BODY FLUIDS
Characteristic features
Ions constitute approx. 95% of the solutes in the body fluids
The sum of the concentrations of the cations equals the sum of the concentrations of the anions in each
respective compartment, making the fluid in each compartment electrically neutral
Na+, Ca2+,Cl- and HCO3- are largely extracellular ,whereas ,K+,Mg2+, organic phosphate (PO43-)and
proteins (prot-) are predominantly present n the ICF
K+ is in the exchangeable pool in all of the body, and only 65-70% of the body Na+ is exchangeable. Only
the exchangeable solutes are osmotically active
All of the body Ca2+ (in bone )and most of the body Mg2+ (in bone and cells ) are non-exchangeable
63. UNITS FOR MEASURING CONCENTRATION OF
SOLUTES
The number of molecules ,electrical charges , or particles of a substances
per unit volume of a particular body fluid are expressed in
A. MOLES
B. EQUIVALENTS OR
C. OSMOLES
D. CONCEPT OF Ph AND H+ CONCENTRATION
E. CONCEPT OF BUFFER SYSTEM
64. A. MOLES
Is the standard unit for expressing the amount of substance in the SI unit
system
A mole is the gram molecular weight of a substance i.e. the molecular
weight of the substance in grams
Each mole (mole)consists of approx.6x 10 23 molecules
65. B. EQUIVALENTS
Is the standard unit for expressing the solutes in the body which are in
the form of charged particles
66. C . OSMOLES
It is the amount of concentration of osmotically active particles
68. CONCEPT OF BUFFER SYSTEM
Is a substance that has the ability to bind or release H+ in solution
A buffer in a solution consists of a weak a acid and its conjugate base
Buffering is the primary means by which large changes in [H+] are
minimized within faction of seconds
69. DYNAMICS OF BUFFERING :THE HENDERSON-
HASSELBALCH EQUATION
The general equation for a buffer system is
HA + +
Where A- represents any anions and HA the undissociated acid
Editor's Notes
#4: Adipose tissue (subcutaneous fat)connective tissue consisting mainly of fats cells commomly known as body fat ,it is all over the body can be found under the skin