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20 Cards in this Set

  • Front
  • Back

Water - Basics

Makes up 45-75% of body weight


Muscle tissue = nearly 75% water by wt


Adipose tissue = 10% of water by wt


Water's chemical for H20


Hydrogen bonds between hydrogen, oxygen creates water's strong surface tension, high heat capcity, dissolving capabilities




Electrolyte/water balance


Proportions of each must stay within a narrow range


Maintained through intake, excretion of h2o


Movement of ions

Water - Functions

Carries waste out of body in urine


Resistance temp changes (heat capacity)


Cooling aka sweating


Chemical reactions


pH balance


Body fluids

Water and Electrolytes

A delicate equilibrium


Electrolyte solutions, pos charges is equal to neg ions.

Cations

Positively charged ions




Ex:


sodium




potassium

Anions

Negatively charged ions




Ex: Chloride, Phosphate

Water in the Body

2/3 of body is in intracellular fluid


Main cation in intracellular: Potassium




1/3 of body is in extracellular fluid


Main cation in extracellular fluid: Sodium


Interstitial Fluid


Plasma





Water - Adequate intake

Water, beverages, food




Men = 3.7 L


Women = 2.7 L


Pregnant = 3 L


Lactating = 3.8 L




81% come from beverages


19% comes from food




250-300 ml of water produced by body

Water - Excretion

Lungs - water evaporates via exhale




Skin - perspiration, evaporation




GI tract - feces




Kidneys - urine

Insensible water loss

Continuous evaporation of water from lungs and skin




1/4 to 1/2 of daily fluid loss




High altitude, low humid, high temp incr losses


During flight:


Low cabin humidity = insensible fluid losses of 32-48 oz of water

Water Excretion

Insensible water losses


Rise during sickness


Increase fluid intake when sick


Elimination of wastes


Urea


Breakdown product of protein metab


Major component of urine


Overconsumption of protein, salt causes kidneys to work harder


More protein, salt = more fluids you need to consume.

Water Balance

Maintained through thirst, water excretion




Fluid balanced between compartments




Total body water regulated


-Fluid excretion


-Blood volume and pressure


-Thirst


-Water reabsorption in the GI tract

Osmoreceptors

Neurons in the hypothalamus that detect changes in the fluid concentration in blood and regulate the release of antidiuretic hormone




Causes water reabsorption in kidneys

Antidiuretic Hormone ADH

Peptide hormone secreted by pituitary gland. It increases blood pressure and prevents fluid excretion by the kidneys




aka vasopressin

Renin-Angiotensin System

Response to dietary sodium


Balances extracellular fluid volume, blood pressure


Water follows sodium


Increase in sodium intake increases extracellular fluid volume, BP


Decreased retention of sodium, water


Resulting excretion returns levels to normal




Decrease in sodium intake triggers opposite effect.

Thirst

Increase in osmolarity


Reduction in blood volume and pressure


Increase in angiotensin 2


Dry mouth and esophagus

GI Tract

Requires many liters of fluid each day


Rapid dehydration if water from all bodily secretions exited through feces


Diuretics (increase fluid loss)

Alcohol

Suppresses ADH production


Excess consumption can cause dehydration= hangover

Caffeine

Effects of caffeine on hydration are inconsistent




Some say it causes chronic mild dehydration.


Others say it helps contribute to total water intke.

Dehydration

Major worldwide killer


Infants & older adults vulnerable


GI infections are responsible


Diarrhea, vomiting leads to water loss


Water losses can equal 20% of body weight


Leads to coma, death




Burns can cause deadly dehydration


Diminished physical, mental performance:


Fluid deficit of 1-2% of body wt can cause:


-Decline in alertness


-Decline in concentration capability


-Increases feeling tired


-Headaches


Impaired decision-making, reaction times

Overhydration

Acute water toxicity


Caused by rapid consumption of large amounts of h2o


Can exceed kidney max excretion rate


(0.7-1L per hour)




Untreated glandular disorders


Causes excessive water retention




Symptoms: headaches, then seizures, and then possibly death