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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

Wassergehalt und Flüssigkeitskompartimente des Körpers
Wassergehalt und Flüssigkeitskompartimente des Körpers
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 ...
Zusammensetzung von Körperflüssigkeiten
Zusammensetzung von Körperflüssigkeiten
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
Flüssige Bewegung zwischen den Kompartimenten
Flüssige Bewegung zwischen den Kompartimenten
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
Regulierung der Wasseraufnahme
Regulierung der Wasseraufnahme
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 ...
Regelung der Wasserabgabe
Regelung der Wasserabgabe
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, ...
Störung des Wasserhaushalts
Störung des Wasserhaushalts
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
Die Rolle der Elektrolyte: Natrium und Kalium
Die Rolle der Elektrolyte: Natrium und Kalium
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
Rollen von Elektrolyten: Chlorid und Bikarbonat
Rollen von Elektrolyten: Chlorid und Bikarbonat
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, ...
Die Rolle der Elektrolyte: Kalzium und Phosphat
Die Rolle der Elektrolyte: Kalzium und Phosphat
Calcium, the most abundant mineral in the body, is mainly stored in the skeleton and teeth, combining with phosphate to form mineral salts. Similarly, ...
Regulierung von Natrium und Kalium
Regulierung von Natrium und Kalium
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 ...
Säure-Basen-Haushalt
Säure-Basen-Haushalt
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
Puffersysteme im Körper
Puffersysteme im Körper
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 ...
Proteinpuffer im Blutplasma und in Zellen
Proteinpuffer im Blutplasma und in Zellen
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 ...
Phosphat-Puffer
Phosphat-Puffer
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
Bikarbonat-Kohlensäure-Puffer
Bikarbonat-Kohlensäure-Puffer
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 ...
Respiratorische Regulation des Säure-Basen-Haushalts
Respiratorische Regulation des Säure-Basen-Haushalts
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 ...
Nierenregulation des Säure-Basen-Haushalts
Nierenregulation des Säure-Basen-Haushalts
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
Störungen des Säure-Basen-Haushalts
Störungen des Säure-Basen-Haushalts
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 ...
Kompensationsmechanismen
Kompensationsmechanismen
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
Diagnose von Azidose und Alkalose
Diagnose von Azidose und Alkalose
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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