Water and Electrolytes
WATER METABOLISM
Distribution of body water : Water content of the body is about 60 to 70% of body weight. Water present in the body may be classified as -
Intracellular water - about 50% of body weight
Extracellular water - about 20% of body weight
Extracellular water is further classified as -
Plasma - 7.5% of body weight
Interstitial fluid - 20% of body weight
Connective tissue (bones and cartilage) - 15% of body weight
Transcellular fluids (CSF, endolymph etc.) - 5% of body weight
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Functions of body water :
It acts as a solvent for cellular components
It acts as a carrier for nutrition and waste products
It is a regulator of body temperature
It regulates electrolyte balance and osmotic pressure
It lubricates joints and membranes (like pleura and peritoneum)
Water balance : In health, a balance is maintained between intake and output of water. This regulatory mechanism prevents -
Accumulation of water leading to edema
Loss of water leading to dehydration. This regulatory mechanism is further influenced by hormones like ADH and aldeosterone
Water gain : Body gains water through the following sources -
Drinking of water and beverages
Water present in foods
Water formed by oxidation of foods
Water loss : Body loses water through the following routes -
Through lungs by respiration
Through skin by respiration
Excretion through urine and faeces
Body is said to maintain water balance when water gain is equal to water loss.
Water intake ml per day
drinking - 1200
water in food - 1000
oxidation of food - 300
________________________
total amount - 2500
Water lost ml per day
lungs - 300
skin - 600
urine - 1400
faeces - 200
_______________________
total amount - 2500
WATER INTOXICATION
It is the opposite of dehydration. It is caused by excessive retention of water in the body. It is caused by -
Renal failure
Excessive administration of IV fluids
Hyper secretion of ADH or aldosterone
The symptoms of water intoxication are headache, nausea, incoordination of movements and muscle weakness.
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