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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

体内含水量和液体隔室
体内含水量和液体隔室
Water is the main component of body fluids necessary for homeostasis. It is distributed as the intracellular fluid or ICF and the extracellular fluid or ...
体液的成分
体液的成分
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
隔间之间的流体移动
隔间之间的流体移动
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
饮水量的调节
饮水量的调节
Body hydration is a balance between water intake and output. An adult typically gains 2.5 L of water per day primarily through food and drink and ...
出水量的调节
出水量的调节
The human kidneys usually excrete approximately 500 mL of water daily along with about 600 mmol of urinary solutes. Due to this obligatory water loss, ...
水平衡紊乱
水平衡紊乱
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
电解质的作用:钠和钾
电解质的作用:钠和钾
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
电解质的作用:氯化物和碳酸氢盐
电解质的作用:氯化物和碳酸氢盐
Chloride and bicarbonate ions are important anions in the human body. Whereas chloride ion concentration in blood plasma is around 95 to 105 mEq/L, ...
电解质的作用:钙和磷酸盐
电解质的作用:钙和磷酸盐
Calcium, the most abundant mineral in the body, is mainly stored in the skeleton and teeth, combining with phosphate to form mineral salts. Similarly, ...
钠和钾的调节
钠和钾的调节
Sodium ion levels in the blood are regulated by four key hormones. The adrenal cortex releases aldosterone in response to low blood volume, low blood ...
酸碱平衡
酸碱平衡
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
体内的缓冲系统
体内的缓冲系统
Chemical buffers maintain stable fluid pH by absorbing hydrogen ions when pH drops and releasing them when pH rises. A typical buffer system in body ...
血浆和细胞中的蛋白质缓冲液
血浆和细胞中的蛋白质缓冲液
Protein buffer systems rely on the ability of amino acids to respond to pH alterations. If the pH increases, the carboxyl group in an amino acid can ...
磷酸盐缓冲液
磷酸盐缓冲液
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
碳酸氢盐-碳酸缓冲液
碳酸氢盐-碳酸缓冲液
The carbonic acid–bicarbonate buffer system works on the principle of bicarbonate ions acting as a weak base and carbonic acid functioning as a weak ...
酸碱平衡的呼吸调节
酸碱平衡的呼吸调节
The respiratory regulation of acid-base balance is a physiological process wherein the body adjusts its breathing rate in response to changes in the pH of ...
酸碱平衡的肾脏调节
酸碱平衡的肾脏调节
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
酸碱平衡紊乱
酸碱平衡紊乱
The normal pH range of systemic arterial blood is between 7.35 and 7.45. An arterial blood pH and bicarbonate concentration below 7.35 and 20 mEq/L ...
补偿机制
补偿机制
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
诊断酸中毒和碱中毒
诊断酸中毒和碱中毒
Assessing the pH, bicarbonate ion, and PCO2 levels in systemic arterial blood can identify acid-base imbalances. A change in PCO2 suggests, the problem is ...
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