Fluid compartments

Thursday, July 2, 2009

Fluids and Electrolytes:

Fluid compartments:

1. ICF – Intracellular Fluid

About 2/3 by volume. This is the fluid within the cells. It provides nutrients for metabolism because it is high in Potassium, Phosphate, and protein; and moderate levels of Magnesium and Sulfate. It also assists in cellular metabolism.

2. ECF – Extracellular fluid

ECF is comprised by three major components:

a. Intravascular – Plasma (the fluid portion of blood)

b. Interstitial – Fluid in and around the tissues

c. Transcellular – Over and across the cells found in cerebrospinal fluid, eye humors, synovial fluid, serous fluid, and gastrointestinal secretions.

Regulations of Fluid in Compartments:

1. Osmosis – Movement of water through a selectively permeable membrane from an area of low solute concentration to a higher concentration until equilibrium occurs.

2. Diffusion – Movement of solutes from an area of a higher concentration to an area of lower concentration in a solution and/or across a permeable membrane.

3. Active Transport – Allows molecules to move against concentration and osmotic pressure to areas of higher concentration

Osmolality – the concentration of body fluids which reflects hydration status. It is measured by urine and serum.

Normal serum value: 280- 300 mOsm/kg *<240>320 is critically abnormal

Serum Osml/L =(serum Na x 2) + BUN/3 + Glucose/18


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