Sunday, 19 June 2011

Fluid and Electrolyte Balance

The main fluid in the body is water. Total body water is 60% of body weight. The water is distributed in three main compartments separated from each other by cell membranes. The intracellular compartment is the area within the cell. The extracellular compartment consists of the interstitial area (between and around cells) and the inside of the blood vessels (plasma).


Compartments of Body and Distribution of Water by Weight

Plasma 5%

Interstitial 15%

Intracellular 40%

Total 60 % Water

Solids - 40%  fat, protein, carbohydrates,
minerals















Electrolytes are the chemicals dissolved in the body fluid. The distribution has important consequences for the ultimate balance of fluids.


                               ELECTROLYTE DISTRIBUTION
 Electrolyte

 Extracellular
meq/liter

 Intracellular
meq/liter

Function

 Sodium   
         142
          10  
fluid balance, osmotic
pressure
Potassium
           5
         100  
Neuromuscular excitability
acid-base balance
 Calcium
           5
            -
bones, blood clotting
Magnesium
   
           2
        123
enzymes
Total Positive ions  
        154
        205  


Sodium chloride is found mostly in extracellular fluid, while potassium and phosphate are the main ions in the intracellular fluid.


                               ELECTROLYTE DISTRIBUTION
 Electrolyte

 Extracellular
meq/liter

 Intracellular
meq/liter

Function

  Chloride
        105  
            2
fluid balance, osmotic pressure
  Bicarbonate
         24
            8
acid-base balance
   Proteins
          16
           55
osmotic pressure
  Phosphate
           2
          149
energy storage
 Sulfate
           1
            -
protein metabolism
 Total Negative ions 
          154
        205

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