Difference between revisions of "Sodium and Water Deficiency"

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* Renal involvement may become significant.
 
* Renal involvement may become significant.
  
===Water Excess===
 
  
* Known as "water intoxication".
 
 
====Causes====
 
 
* Results from induced hypo-osmolality, e.g.
 
** Excessive administration of water to previously deprived animals.
 
** Administration of large volumes of water to animals with acute renal failure.
 
 
====Effects====
 
 
* The ECF osmolality is reduced. 
 
* Water is transferred to the cells and they become "water-logged". 
 
** Intracellular oedema in the CNS results in convulsions and death.
 
  
 
[[Category:Vascular Fluid]]
 
[[Category:Vascular Fluid]]
 
[[Category:Cardiology Section]]
 
[[Category:Cardiology Section]]

Latest revision as of 17:17, 17 October 2013

Deficiency of Both Sodium and Water

  • Known as "salt depletion".
  • The effects of the sodium (and therefore chloride) loss predominate.
    • There is clinically detectable dehydration.

Causes

  • Gastro-intestinal disorders.
  • Gut crises.
  • Excessive and prolonged sweating.
    • Heat exhaustion.
  • Renal disease.
    • Nephritis.
    • May also be associated with diabetes mellitus toxicity.
  • Severe haemorrhage or burns.
    • Result in severe plasma losses.

Effects

  • Loss of sodium and chloride reduces the osmolality of extracellular fluid.
    • There is a simultaneous loss of water.
  • Water is transferred from the ECF to cells.
    • Cells over-hydrate and may rupture.
  • ECF volume falls.
    • Resultis in haemoconcentration and peripheral circulatory failure.
  • Renal involvement may become significant.