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    Virginia S. Claudio

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    Next to oxygen, water is absolutely

    essential to stay alive. A person cannot

    stay alive after a few days without water.

    If about 20% of body water is lost, death

    results. Water is often taken for granted

    by the body; it is the number one nutrient. It is a combination of 2 atoms of

    hydrogen and oxygen(H.O.O) or usually

    written as water.

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    Water accounts for about 60% to 65% of

    body weight for a normal adult. For a

    150lb man, 90 lbs is water, 30 lbs is fat,30 lbs for the rest; protein, carbohydrate,

    vitamins and minerals.

    A typical normal adult has about 45%liters of water, of which two thirds is

    found inside the cells called intracellular

    fluids(ICF) , and one thirds is foundoutside of the cells called

    extracellular(ECF).

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    The latter is composed of the blood or

    intravascular fluid(about 3 liters) andthe intestinal fluids(about 12liters).

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    A universal solvent.It serves as the transport and

    medium for many biological

    reactions especially digestion,absorption and circulation.

    All of the chemical reactions requirewater.

    Vital component of every cell, organ

    and tissue of the body.

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    Lubricant of the joints and the viscera in

    the abdominal cavity.It also regulates body temperature.

    Water acts as a shock absorber inside the

    spinal cords and amniotic sac.

    Source of three minerals such as flourine,

    calcium, magnesium and copper.Source of toxic elements such as a lead,

    cadmium etc.

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    Amount of water taken in must be equal

    to the amount of water output, for a

    person to be a metabolic equilibrium.

    Fluid intake is controlled by thirst.

    Water is available through more efficient

    conservation of water from the kidneysand intestines.

    Fluid intake is approximately equal to the

    urine output.

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    Amount of the water needed by the body

    may be met by a direct intake of water

    coming from water ingested as such, and

    for water bound with foods.

    Water is produced inside the body, calledmetabolic water.

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    Water produced as an end-product of

    metabolism, amounts to approximately 10

    to 14gm per 100 cal.

    Water is immediately absorbed from the

    digestive tract into the blood and lymph.

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    Intake Output

    Drinks 950-1200 ml Kidney(urine) 950-1400 ml

    Water in food 700-1000 ml Stool(water in

    feces)

    100 ml

    Water of

    oxidation

    200-1000 ml Perspiration 500-700 ml

    Lungs(expired

    air)

    300 ml

    Totas 1850-2500 ml 1850-2500 ml

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    Food % Water

    Cucumber, kondol 96.0

    Melons, squash, papaya, tomatoes 94.0

    Leafy vegetables 92.0

    Kalamansi 90.0

    Avocado 85.5

    Carrot 85.1

    Starapple 82.6Egg 74.0

    Mackerel 74.0

    Milk 72.8

    Orange 72.0

    Carabeef 72.0

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    Food % Water

    Pork loin 63.4

    Pork belly 37.3

    Butter 18.0

    Rice noodles 12.9

    Rice, dried 10.7

    Milk, dried 5.5

    Sugar, granulated 0.3

    Pork crackling 0.0(traces)

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    Hormone vasopressin (anti-diuretichormone or ADH) pituitary gland.

    Decreases water excretion by the kidney

    by increasing the rate of water

    reabsorption from the tubules

    Water leaves the body:the skin, lungs,gastrointestinal tract and kidneys.

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    Water may also be lost together with

    the electrolytes through tears,

    stomach, suction, breathing,

    vomiting, diarrhea, bleeding,

    perspiration, drainage from burns,

    discharge from ulcer, skin diseases

    and injured or burned areas.

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    1 ml per calorie for adults and 1.5

    ml/calorie for infants.

    1.5-2.5 liters or 6-10 glasses of water a

    day.

    During hot weather, fever, hemorrhage,

    excessive sweating, vomiting, diarrhea,

    and high protein intake, the allowance

    for water in increased.

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    For infants, 110 ml/kg; and for 10

    year-old children, 40 ml/kg depending

    on the environmental temperature.Concentrated urine indicates a need

    for more water.

    Beverages and prepared foods.

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    Body loses large amount of water due to

    high environmental temperature, sodium

    is lost as well.Causes the brain to signal a needs for

    increased water.

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    If water intake is increased without the

    corresponding increase in sodium,intoxication results.

    Muscle cramps, weakness, and/or drop in

    blood pressure results.Too much fluid is given intravenously.

    Exceeeds the maximum rate of urine

    flow; cells and tissues become diluted.

    Causes anorexia, vomiting, and at some

    times, convulsions, coma, ang even eath.

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    If the loss is about 10% of total body

    water;fatalif the loss is 20-22%.

    Skin becomes loose and inelasticSevere thirst and nausea occurs.

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    Electrolytes (also known as ions) charged

    particles that conduct electric current. e.g.

    salts, acids, and bases.

    Non electrolytesmolecules that do not

    ionize.

    Positive ions (cations) include sodium (Na+),

    potassium (K+), ang magnesium (Mg++).

    Negative ions (anions) include chloride (Cl),

    bicarbonate (HCO3), biphospate (HPO4), and

    many protein derivatives.

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    Important aspects of electrolytes in waterbalance;

    Measurement of electrolytes in body

    fluids.

    Electrolyte composition of body fluid.

    Lectrolyte balance within fluid

    compartments.

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