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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

Contenuto di acqua corporea e compartimenti liquidi
Contenuto di acqua corporea e compartimenti liquidi
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 ...
Composizione dei fluidi corporei
Composizione dei fluidi corporei
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
Movimento fluido tra i compartimenti
Movimento fluido tra i compartimenti
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
Regolazione dell'assunzione di acqua
Regolazione dell'assunzione di acqua
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 ...
Regolazione della produzione d'acqua
Regolazione della produzione d'acqua
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, ...
Disordine dell'equilibrio idrico
Disordine dell'equilibrio idrico
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
Ruoli degli elettroliti: sodio e potassio
Ruoli degli elettroliti: sodio e potassio
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
Ruoli degli elettroliti: cloruro e bicarbonato
Ruoli degli elettroliti: cloruro e bicarbonato
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, ...
Ruoli degli elettroliti: calcio e fosfato
Ruoli degli elettroliti: calcio e fosfato
Calcium, the most abundant mineral in the body, is mainly stored in the skeleton and teeth, combining with phosphate to form mineral salts. Similarly, ...
Regolazione del sodio e del potassio
Regolazione del sodio e del potassio
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 ...
Equilibrio acido-base
Equilibrio acido-base
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
Sistemi tampone nel corpo
Sistemi tampone nel corpo
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 ...
Tamponi proteici nel plasma sanguigno e nelle cellule
Tamponi proteici nel plasma sanguigno e nelle cellule
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 ...
Tampone fosfato
Tampone fosfato
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
Tampone acido bicarbonato-carbonico
Tampone acido bicarbonato-carbonico
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 ...
Regolazione respiratoria dell'equilibrio acido-base
Regolazione respiratoria dell'equilibrio acido-base
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 ...
Regolazione renale dell'equilibrio acido-base
Regolazione renale dell'equilibrio acido-base
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
Disturbi dell'equilibrio acido-base
Disturbi dell'equilibrio acido-base
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 ...
Meccanismi di compensazione
Meccanismi di compensazione
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
Diagnosi di acidosi e alcalosi
Diagnosi di acidosi e alcalosi
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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