body fluid compartments slide share

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BODY FLUID COMPARTMENTS Dr Anu Priya J

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Page 1: Body fluid compartments slide share

BODY FLUID COMPARTMENTS

Dr Anu Priya J

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Introduction

• Body is formed of solids & fluids

• The fluid part is more than 2/3 of the whole body.

• Water forms most of the fluid part

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40%

15%

20%

5%

Total Body water

Blood volume 7% of body weight5L in a 70 kg adult male

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ECF constitutes of:

A. Interstitial fluid including lymph

B. Plasma

C. Transcellular fluids

Transcellular fluids: CSF Intraocular fluid Gastrointestinal secretions Pleural fluid Pericardial fluid Peritoneal fluid Synovial fluid Fluid in urinary tract

More the amount of fat, lesser the ECF volumeElderly – lesser ECF volume Infants & children – greater ECF volume

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Body electrolytes

• 7% of total body weight

• Functions of electrolytes in the human body

− Maintenance of acid-base balance

− Maintenance of normal osmolality and volume of body fluids

− Ions like Na+,Ca2+,K+,Cl- , etc affects

excitability of cells

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Distribution of ions across the cell membrane at rest

Ion ICF (mmol/L of H20) ECF(mmol/L of H20)

Na+ 1.5 150

K+ 150 5.5

Cl- 9 125

Ca2+ 0.0001 1.2

Protein anion 65 <5

Mg2+ 58 3

HCO3- 10 2.8

PO43- 75 4

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Deuterium oxide/heavy water, Tritium oxide, Aminopyrine

Inulin, Mannitol, Sucrose

131I

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Applied aspect

Infants are prone to dehydration i.e., infants are more vulnerable for water loss due to:

• Absolute ECF volume is lesser

• Increased body surface area compared to mass

• Higher metabolic rate

• Physiologic inability of the infant’s kidneys to concentrate urine

see http://www.ihrdni.org/068b-022.pdf

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Thank you

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Measurement of body fluid volumes

• Total body water is measured using dilution principle.

• A marker is injected that will be evenly distributed in all the compartments of body fluids.

• Marker that diffuses freely not only in the water outside the cells, but also crosses the cell membrane to reach the intracellular fluid.

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• ECF volume is measured using substances that cannot enter the cells, but can freely cross the capillary membrane and thus distribute evenly in the ECF compartments.

• Plasma volume is measured using substances that binds specifically to plasma proteins, and will not diffuse into the interstitium.

Measurement of body fluid volumes

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http://www.ihrdni.org/068b-022.pdf

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