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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

Teneur en eau corporelle et compartiments liquidiens
Teneur en eau corporelle et compartiments liquidiens
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 ...
Composition des fluides corporels
Composition des fluides corporels
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
Mouvement fluide entre les compartiments
Mouvement fluide entre les compartiments
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
Régulation de la prise d’eau
Régulation de la prise d’eau
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 ...
Régulation du débit d’eau
Régulation du débit d’eau
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, ...
Trouble de l’équilibre hydrique
Trouble de l’équilibre hydrique
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
Rôles des électrolytes : sodium et potassium
Rôles des électrolytes : sodium et potassium
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
Rôles des électrolytes : chlorure et bicarbonate
Rôles des électrolytes : chlorure et bicarbonate
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, ...
Rôles des électrolytes : calcium et phosphate
Rôles des électrolytes : calcium et phosphate
Calcium, the most abundant mineral in the body, is mainly stored in the skeleton and teeth, combining with phosphate to form mineral salts. Similarly, ...
Régulation du sodium et du potassium
Régulation du sodium et du potassium
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 ...
Équilibre acido-basique
Équilibre acido-basique
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
Systèmes tampons dans le corps
Systèmes tampons dans le corps
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 ...
Tampons protéiques dans le plasma sanguin et les cellules
Tampons protéiques dans le plasma sanguin et les cellules
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 ...
Tampon phosphate
Tampon phosphate
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
Tampon bicarbonate-acide carbonique
Tampon bicarbonate-acide carbonique
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 ...
Régulation respiratoire de l’équilibre acido-basique
Régulation respiratoire de l’équilibre acido-basique
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 ...
Régulation rénale de l’équilibre acido-basique
Régulation rénale de l’équilibre acido-basique
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
Troubles de l’équilibre acido-basique
Troubles de l’équilibre acido-basique
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 ...
Mécanismes de compensation
Mécanismes de compensation
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
Diagnostic de l’acidose et de l’alcalose
Diagnostic de l’acidose et de l’alcalose
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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