Body Fluids Flashcards
what is the milieu interieur comprised of?
its comprised of the various body fluids.
what are some important aspects of body fluids?
- volume
- distribution
- characteristics
- functions
what is the most abundant body fluid in the body.
what % of the body does it occupy?
H20
it occupies between 45-75% of the body volume
what occurs in body water?
- solutes are dissolved
- metabolic reactions take place
what are some other functions of body water?
- mositen tissues
- protects organs and tissues
- carries nutrients and o2 to cells
- helps in flushingwaste products
- lubricates joints
what is the most significant factor that accounts for variations in body water % in individuals?
fat content will cause for body water % to vary between individuals
a person with a higher BF% will tend to have a lower H20%
how can we adjust and calculate to see that in reality, the % of H20 difference isn’t so significant?
if we compute it relative to LBM we see that the variations are in reality extremely small.
what % of the skin is H20?
70%
what % of the muscles is H20?
75%
what % of the heart, liver, kidney and brain is H20?
70-80%
what % of the bones is H20?
25%
what % of the skin is H20?
10%
when using a physiological Reference Individual what must adjustments be done for?
- age
- gender
- weight
- ethnic origin
how the body water vary with age
body water constant decreases with age
newborn: 75%
adult: 50-60%
elderly: 45-50%
how does body water vary between gender?
male tend to have a higher % than females. however, as newborns gender is not a factor
is % Body Water significant when administering medication that is water soluble?
yes, day you administer a 100mg medication to a male and to a female, the overall volume of water they have in the body differs greatly (around 12L) hence the overall concentration of the medication in the system of the female will be much greater than that of the male. hence why dosage must be controlled between individuals
what state is body water found in the body.
body water is in a constant dynamic state, hence meaning exchanges and movement can constantly be done.
when talking about water balance, generally speaking, how much fluids do we generally intake?
- oral fluids: 1.2L
- Oral intake as food: 1.1L
- Oxidative H20 from metabolism: 0.4L
what are insensible losses?
they are losses of fluid, that occur without you noticing it and they occur constantly, such as loss of H20 from lungs and skin
what composes the obligatory loses of fluids and how much?
- lungs: 0.4L
- skin: 0.5L
- kidney’s (stools): 0.5L
what are the facultative loses and what determines their amount?
the facultative loses are the loses accomplished mostly through urine loses, and they depend on the total amount of fluids intake, they ensure to reach a water balance.
what is the main difference between insensible perspiration and sweating.
insensible perspiration evaporates pure water as opposed to the electrolyte solution lost through sweating
insensible perspiration is a passive process of evaporation and is relative to ambient temperature and humidity where as sweating is an active secretion.
moreover insensible perspiration occurs across the entire skin surface and even in people lacking sweat glands (location where sweating occurs)
lastly insensible perspiration is continuous where as sweating is activated by high heat of heavy work
what is the general H20 turnover in adults?
3-4% bodyweigth in 24H
what is the general H20 turnover in infants?
10% bodyweight in 24H
what does the constancy of by water volume help maintain?
-normal solute concentrations
-normal blood volume and pressure
these two combined allow for adequate supply of 02 to tissues
what factors may lead to a negative water balance?
- reduced intake
- excessive loss from gut (diarrhea)
- excessive sweating (long workouts, marathon’s etc)
- excessive loss of expired air (occurs in dy air at high altitudes)
- excessive urine loss (diabetes)
what is water intoxication
the consumption or presence of too much water in the body
what factors may lead to water intoxication?
- excessive intake
- renal system failure
what are body water compartments?
- Intracellular fluids
- extracellular fluids
how do the body water compartments vary?
they vary in size, composition and function
are compartments and sub compartments rigidly isolated chambers?
no, they interact in a dynamic fashion, with constant water exchanges