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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

Conteúdo de água corporal e compartimentos de fluidos
Conteúdo de água corporal e compartimentos de fluidos
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 ...
Composição dos fluidos corporais
Composição dos fluidos corporais
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
Movimento fluido entre compartimentos
Movimento fluido entre compartimentos
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
Regulação da Captação de Água
Regulação da Captação de Água
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 ...
Regulação da Saída de Água
Regulação da Saída de Água
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, ...
Distúrbio do Equilíbrio Hídrico
Distúrbio do Equilíbrio Hídrico
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
Funções dos eletrólitos: sódio e potássio
Funções dos eletrólitos: sódio e potássio
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
Funções dos eletrólitos: cloreto e bicarbonato
Funções dos eletrólitos: cloreto 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, ...
Funções dos eletrólitos: cálcio e fosfato
Funções dos eletrólitos: cálcio 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, ...
Regulação do Sódio e Potássio
Regulação do Sódio e Potássio
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 ...
Equilíbrio ácido-base
Equilíbrio ácido-base
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
Sistemas de buffer no corpo
Sistemas de buffer no 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 ...
Tampões de proteína no plasma sanguíneo e nas células
Tampões de proteína no plasma sanguíneo e nas células
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 ...
Tampão de fosfato
Tampão de fosfato
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
Tampão de ácido bicarbonato-carbônico
Tampão de ácido bicarbonato-carbônico
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 ...
Regulação respiratória do equilíbrio ácido-base
Regulação respiratória do equilíbrio ácido-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 ...
Regulação renal do equilíbrio ácido-base
Regulação renal do equilíbrio ácido-base
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
Distúrbios do equilíbrio ácido-base
Distúrbios do equilíbrio ácido-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 ...
Mecanismos de compensação
Mecanismos de compensação
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
Diagnosticando acidose e alcalose
Diagnosticando acidose e 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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