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Water present in body is body water. Water of the
body together with its dissolved solute is called body
fluid.
The distribution of total body water is as follows:
Muscle (50%)
Skin (20%)
Blood (10%)
Other organ (20%)
Total body water depends upon:
Age
Sex
Degree of obesity
ROLE OF BODY WATER
Essential constituent of all cells
 Serves as transport medium of nutrient &
excretory products
 Acts as medium of cellular reaction
 Valuable solvent for vitamins, enzymes,
electrolytes, non-electrolytes, hormones, even fat
soluble compounds
 Maintain body heat
 Maintain form, & texture of tissue

WATER BALANCE
Daily Intake of Water
Fluids Ingested (liquids/water in diet) – 2100 ml
From metabolism –
200 ml
Net Intake =
2300 ml
Daily output of Water
Insensible (skin) –
350 ml
Insensible (lungs) –
350 ml
Sweat –
100 ml
Feces –
100 ml
Urine –
1400 ml
Net Output =
2300 ml
FACTORS AFFECTING WATER BALANCE
Thirst mechanism
 Condition of kidney
 Temperature & humidity
 Endocrine glands
 Hypothalamus
 Electrolytes & water balance
 Diet

WATER BALANCE (2 TYPES)
POSITIVE WATER BALANCE: NEGATIVE WATER BALANCE:

Occurs during:
 Growing period
 Pregnancy
 Recovery from disease
 Liver damage
 Hypothyroidism
 Using drugs(like
narcotics)
 Changes of dietary habit

Occurs during:
 Vomitting, diarrhoea &
haemorrhage
 Burns
 Excessive salivation
 When intake of fluid is
restricted
 Unconscious state
 Hypofunction of adrenal
gland
 Because of many diseases
NORMAL COMPOSITION OF BODY FLUID COMPARTMENTS
APPROXIMATELY (MMOL/L)
Constituent Plasma

Interstitial Intracellular
fluid
fluid

Na+

142

145

12

K+

4

4.1

150

Ca2+

1-2

1-2

<10-6
mol/l*

Mg2+

0.75-1.5

2

2

Cl-

103

113

4

HCO3-

25

27

12

Protein

60

1

25

Sulphate

1

1

20
TYPES OF BODY FLUID
INTRACELLULAR
FLUID:


Fluids occupied inside the
cells. Intracellular fluid is
found inside the bilayered plasma
membrane in which
cellular organs are
suspended & chemical
reaction takes place.

EXTRACELLULAR
FLUID:


Fluid in the spaces
outside the cells Including
interstitial fluid, plasma &
transcellular fluid. of the
body.
TRANSCELLULAR FLUID
Specialized ECF or another
small compartment of fluid.
It is the fluid separated
from plasma by epithelium.
This compartment includes:
 Synovial fluid
 Peritonial fluid
 Pericardial fluid
 Intraocular fluid
 Cerebrospinal fluid
DISTRIBUTION OF FLUID COMPARTMENTS
COMPOSITION & FUNCTION OF ICF
Composition:
Electrolytes, protein, cholesterol, phospholipid,
neutral fat.
Function of ICF:
 Provides fluid media within the cells for
chemical reaction
 Buffering action
COMPOSITION & FUNCTIONS ECF
Composition :
Electrolyte, Glucose, fatty acid, amino acids,
Chemical messangers, oxygen & other nutrients, urea.

Functions:






Establishes the milieu interior
Provides nutrients to the cells
Removes metabolic waste materials from immediate
cellular environment
It brings to the cells hormones that co-ordinate the
functions of widely separated cells
Buffering action
MEASURING BODY FLUID
Volume of any fluid
compartment can be
measured by placing a
substance in the compartment by allowing it to
disperse evenly & then measuring the extent to
which the substance become diluted. Then a
sample of the dispersed fluid is removed & the
concentration of the substance is analyzed.
The formula of measuring total body fluid=
volume×concentration of the test substance injected
concentration per ml of dispersed fluid
INDICATOR USED FOR MEASURMENT
Manitol
 Thiosulfate
 Sucrose
 Inulin
 Radioactive sodium
 Radioactive chloride
 Radioactive iothalamate
 Thiocyanide
 Evans blue eye (T-1824)
 Radioactive iodine



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Body fluid

  • 2.        Water present in body is body water. Water of the body together with its dissolved solute is called body fluid. The distribution of total body water is as follows: Muscle (50%) Skin (20%) Blood (10%) Other organ (20%) Total body water depends upon: Age Sex Degree of obesity
  • 3. ROLE OF BODY WATER Essential constituent of all cells  Serves as transport medium of nutrient & excretory products  Acts as medium of cellular reaction  Valuable solvent for vitamins, enzymes, electrolytes, non-electrolytes, hormones, even fat soluble compounds  Maintain body heat  Maintain form, & texture of tissue 
  • 4. WATER BALANCE Daily Intake of Water Fluids Ingested (liquids/water in diet) – 2100 ml From metabolism – 200 ml Net Intake = 2300 ml Daily output of Water Insensible (skin) – 350 ml Insensible (lungs) – 350 ml Sweat – 100 ml Feces – 100 ml Urine – 1400 ml Net Output = 2300 ml
  • 5. FACTORS AFFECTING WATER BALANCE Thirst mechanism  Condition of kidney  Temperature & humidity  Endocrine glands  Hypothalamus  Electrolytes & water balance  Diet 
  • 6. WATER BALANCE (2 TYPES) POSITIVE WATER BALANCE: NEGATIVE WATER BALANCE: Occurs during:  Growing period  Pregnancy  Recovery from disease  Liver damage  Hypothyroidism  Using drugs(like narcotics)  Changes of dietary habit Occurs during:  Vomitting, diarrhoea & haemorrhage  Burns  Excessive salivation  When intake of fluid is restricted  Unconscious state  Hypofunction of adrenal gland  Because of many diseases
  • 7. NORMAL COMPOSITION OF BODY FLUID COMPARTMENTS APPROXIMATELY (MMOL/L) Constituent Plasma Interstitial Intracellular fluid fluid Na+ 142 145 12 K+ 4 4.1 150 Ca2+ 1-2 1-2 <10-6 mol/l* Mg2+ 0.75-1.5 2 2 Cl- 103 113 4 HCO3- 25 27 12 Protein 60 1 25 Sulphate 1 1 20
  • 8. TYPES OF BODY FLUID INTRACELLULAR FLUID:  Fluids occupied inside the cells. Intracellular fluid is found inside the bilayered plasma membrane in which cellular organs are suspended & chemical reaction takes place. EXTRACELLULAR FLUID:  Fluid in the spaces outside the cells Including interstitial fluid, plasma & transcellular fluid. of the body.
  • 9. TRANSCELLULAR FLUID Specialized ECF or another small compartment of fluid. It is the fluid separated from plasma by epithelium. This compartment includes:  Synovial fluid  Peritonial fluid  Pericardial fluid  Intraocular fluid  Cerebrospinal fluid
  • 10. DISTRIBUTION OF FLUID COMPARTMENTS
  • 11. COMPOSITION & FUNCTION OF ICF Composition: Electrolytes, protein, cholesterol, phospholipid, neutral fat. Function of ICF:  Provides fluid media within the cells for chemical reaction  Buffering action
  • 12. COMPOSITION & FUNCTIONS ECF Composition : Electrolyte, Glucose, fatty acid, amino acids, Chemical messangers, oxygen & other nutrients, urea. Functions:      Establishes the milieu interior Provides nutrients to the cells Removes metabolic waste materials from immediate cellular environment It brings to the cells hormones that co-ordinate the functions of widely separated cells Buffering action
  • 13. MEASURING BODY FLUID Volume of any fluid compartment can be measured by placing a substance in the compartment by allowing it to disperse evenly & then measuring the extent to which the substance become diluted. Then a sample of the dispersed fluid is removed & the concentration of the substance is analyzed. The formula of measuring total body fluid= volume×concentration of the test substance injected concentration per ml of dispersed fluid
  • 14. INDICATOR USED FOR MEASURMENT Manitol  Thiosulfate  Sucrose  Inulin  Radioactive sodium  Radioactive chloride  Radioactive iothalamate  Thiocyanide  Evans blue eye (T-1824)  Radioactive iodine 
  • 15.