Electrolyte Imbalances and Edema: Causes, Symptoms,
and Treatments
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NUR211 PathoPharmacology
Alterations in Fluid and Electrolytes
Fluid: Water balance accounts for 55-60% of body weight
ICF=45% of body weight
ECF=15% of body weight
Interstitial fluid: outside of cells; main component of ECF
Intravascular fluid: within vascular system plus within various body
spaces like synovial fluid, CSF, peritoneal, pleural
Remaining 40% of body weight consists of solids (lipids proteins, carbs, minerals)
Elderly <young Women< men obese<lean
Functions of water:
• Contributes to body structure, such as skin,
• Transport nutrient and waste
• Other—heat control, shock absorber (CSF), mucousal lubricant
1. Input and Output: average is
2. Input main source food and h20
Output main source is
3. Regulation of water volume: largely by hypothalamus
a. Thirst
Causes:
Sense receptors in hypothalamus sense hypertonic ECF when as little as
2% ECF is lost. So thirst is important sign of
Thirst occurs in severe hypokalemia since kidneys lose ability to
concentrate urine so much fluid is lost in urine
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