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2/23/2021
Electrolyte 2
Definition
Electrolyte are the compound which may contain electro
positive or electronegative charges.
The body fluid is divided by two components
1. Intracellular Fluid (40- 50 % of body weight)
2. Extracellular Fluid (12- 15 % of body weight)
2/23/2021 3
Electrolyte
1. Intracellular Fluid : It is present in inner cell of blood
2. Extracellular Fluid: It is present outside the cell of
blood
These two fluid is separated by semi permeable membrane.
2/23/2021 4
Electrolyte
IONS
2/23/2021 5
Electrolyte
1. Major Cations
2. Major Anions
2/23/2021 6
Electrolyte
1. Major cations : (SoPoCaM)
i. Sodium
ii. Potassium
iii. Calcium
iv. Magnesium
2/23/2021 7
Electrolyte
2. Major Anions (BCPS)
i. Bicarbonate
ii. Chloride
iii. Phosphate
iv. Sulphate
2/23/2021 8
Electrolyte
1. MAJOR CATIONS
2/23/2021 9
Electrolyte
1. Sodium :
i. Normal Value : Normally human body contains about
1.8 gm /Kg of sodium ion.
ii. Sources: Table salts , Milk, Baking powder, Meat & Some
vegetable.
iii. Daily Requirements : 3-5 gm for normal adult.
Diseases :
1. Hyponaturemia :
Condition under which there is low serum Sodium
level.
2. Hypernaturemia :
Condition under which there is high serum sodium level.
2/23/2021 10
Electrolyte
2. Potassium:
i. Normal Value: 2.6 gm /kg body wt.
ii. Daily Requirement: 1.5 to 4.5 gm
iii. Source: Milk, Vegetable, Meat & Whole grains
Disease:
1. Hyperkalemia: Condition under which there is high
serum potassium level.
2. Hypokalemia: Condition under which there is low
serum potassium level.
2/23/2021 11
Electrolyte
3. Calcium :
i. Normal Value: 2.2 gm /kg body wt.
ii. Daily Requirement: 0.8 gm
iii. Source: bones and in extracellular fluid.
Disease:
1. Hypercalcimic: Condition under which there is high
serum calcium level.
2. Hypocalcimic: Condition under which there is low
serum calcium level.
2/23/2021 12
Electrolyte
4. Magnesium:
i. Normal Value: 0.5 kg/ body wt.
ii. Daily Requirement: 350 mg
iii. Source: Nuts , Soyabean, Whole grains , Sea Foods
2/23/2021 13
Electrolyte
MAJOR ANIONS
2/23/2021 14
Electrolyte
1. Chloride:
i. Normal Value: 50mEq/kg body weight
ii. Daily Requirement: 5 to 10 gm
iii. Source: Table salts
2/23/2021 15
Electrolyte
2. Sulphate:
Sources : Animal & Plant protein having sulphur containing
amino acids like cystein & methionin
3. Bicarbonates :
It is second largest aninon present in extracellular fluid
Compartments, It maintain acid base balance.
4. Phosphate:
It is major anion of intracellular fluid compartments.
The main dietary source are milk, Milk products, whole grain
, nuts. It is present in teeth with combination of calcium.
2/23/2021 16
Electrolyte
ELECTROLYTE USED IN REPLACEMENT THERAPY
2/23/2021 17
Electrolyte
The various inorganic & organic Compounds present in the
body fluids and the concentration of these in various
compartment is balanced in such away that the body cells
and tissue always have the same environment.
Generally , in body the electrolyte concentration is
maintained , but if body can not maintain or correct the
electrolyte balance, then it is done by external
administration which is known as replacement therapy.
2/23/2021 18
Electrolyte
1. Replacement of Sodium
2. Replacement of Potassium
3. Replacement of Calcium
2/23/2021 19
Electrolyte
1. Replacement of Sodium :
Sodium Chloride :
Formula: NaCl
Mol wt: 58.54
Std: It contain NLT 99.5 % & NMT 100.5 % of NaCl calculated
to dried substances.
Properties :
1. Colour: White Crystalline powder
2. Odour : Odourless
3. Taste: Saline
2/23/2021 20
Electrolyte
Solubility : It is freely soluble in water , more in boiling
water, Soluble in glycerin
Storage: It is stored in tightly closed container keep in cool
place.
Uses:
1. It is sources of both sod & chloride ions
2. It is used as electrolyte replenisher
3. It induces vomiting in case of poisoning
4. It is a constitute of Ringers solution, Injection, Lactate
solution,
5. It is used in dehydration condition.
2/23/2021 21
Electrolyte
Official Preparations /different forms of NaCl:
1. Sodium Chloride Injection
2. Bacteriostatic NaCl injection
3. Normal NaCl Solution
4. Sodium Chloride Tablet
5. Dextrose & NaCl injection IP
6. NaCl & Dextrose tablet
7. Mannitol & NaCl Injection
8. Fructose & NaCl injection
9. Ringers Injection
10. Lactated Ringers injection
2/23/2021 22
Electrolyte
Official Preparations /different forms of NaCl
1. Sodium Chloride Injection:
0.9 % w/v of NaCl in WFI
Category : Fluid & electrolyte replenisher
Dose: 1 Lit IV
2. Bacteriostactic NaCl injection:
It contain 0.9 % W/v NaCl in SWFI
Category : Sterile Vehicle.
3. Normal NaCl Solution :
It Contain 0.9 % w/v NaCl in Distilled water /SW
Category: Isotonic vehicle.
2/23/2021 23
Electrolyte
Official Preparations /different forms of NaCl:
4. Sodium Chloride Tablet:
It contain 0.9 w/w NaCl
Category : Electrolyte Replenisher .
Available as 600 mg, 1 gm & 2.5 gm of tablet
5. Dextrose & NaCl injection IP:
Category : Fluid nutrient , electrolyte replenisher
Dose: 1 Lit IV
6. NaCl & Dextrose tablet:
Category : Electrolyte replenisher .
7. Mannitol & NaCl Injection:
Category : Diuretic Dose: 50 -200 gm IV
8. Fructose & NaCl injection :
It contains 10 % of Fructose & 0.9 w/v of NaCl
Category : Fluid nutrient , electrolyte replenisher
2/23/2021 24
Electrolyte
Official Preparations /different forms of NaCl:
9. Ringers Injection:
category : Fluid & electrolyte replenisher.
10. Lactated Ringers injection:
It contain 0.6 % w/v NaCl
Category : Systemic alkalizers , fluid electrolyte
replenisher.
2/23/2021 25
Electrolyte
II. Replacement of Potassium
Potassium Chloride:
Formula: KCl
Mol. Wt: 74.55
Std: It contains NLT 99 % of KCl calculated with reference to
dried substance.
Properties:
1. Color: Colorless crystal
2. Odor: Odorless
3. Taste: Saline
4. Solubility: Freely soluble in water
5. Aq. Solution are neutral to litmus.
2/23/2021 26
Electrolyte
Uses:
1. It is used as oral replacement of Potassium in the form of
solution.
2. It is used in the treatment of Myasthenia Gravis .
3. It is the constituent of Oral rehydration salt. Ringers
solution and Ringers Injection.
Official Preparation:
1. Potassium Chloride oral solution.
2. Potassium Chloride injection.
3. Potassium Chloride & Sodium Chloride injection.
4. Potassium Chloride tablet
5. Ringers Solution
6. Compound Sodium Chloride injection .
2/23/2021 27
Electrolyte
CALCIUM CHLORIDE
Molecular Formula: CaCl2
Properties:
1. Color: Colorless crystalline powder
2. Odor: odorless
3. Taste: Saline
4. Solubility : It is soluble in water
5. Calcium chloride can be electrolysed to give
calcium metal and chlorine gas
CaCl2→ Ca(s) + Cl2(g)
3. REPLACEMENT OF CALCIUM
2/23/2021 28
Electrolyte
 Uses:
1. It is used as electrolyte replenisher.
2. Calcium chloride is used to increase the water
hardness in swimming pools.
3. It can be used to treat magnesium toxicity.
4. Calcium chloride can be used to quickly treat
calcium channel blocker toxicity.
 Preparation:
Calcium Chloride injection.
2/23/2021 29
Electrolyte
Electrolyte CombinationTherapy
2/23/2021 30
Electrolyte
Why Given :
I. Usually , when patient is unable to take normal diet before or
after Surgery, The electrolyte combination therapy is used.
II. infusion containing Glucose & Normal saline are used
III. When heavy loss of water & Electrolyte e.g. in excessive
vomiting , Diarrhea or prolonged fever electrolyte
combination are used as replacement therapy.
Some imp Pdt used in electrolyte combination therapy are as
follow.
1. Sodium Lactate injection
2. Ringers injection
3. Compound Sodium Lactate solution.
4. Oral Rehydration salt.
2/23/2021 31
Electrolyte
1. Sodium Lactate Injection:
It is sterile solution containing 1.75 – 1.95 % w/v of sodium
lactate prepared in WFI
Preparation :
Sodium lactate can be prepared by Lactic acid & Sodium
Hydroxide . It can be sterilized by heating in autoclave.
2/23/2021 32
Electrolyte
2. Ringers Solution:
It is sterile solution prepared in water for injection
containing.
It does not contain antimicrobial agents.
It is also sterilized by heating in an autoclaving.
Name Contain
NaCl 0.9 %
KCl 0.0285 – 0.0315 % w/v
CaCl2 0.030 – 0.036 % w/v
2/23/2021 33
Electrolyte
3. Compound Sodium Lactate injection:
It is sterile solution prepared in water for injection
Containing,
LaSoDi NaK CaW
Name Contain
Lactic Acid 2.4 ml
Sodium hydroxide 1.15 gm
Dil HCl 0.5 ml
NaCl 6 gm
KCl 0.4 gm
CaCl2 0.27 gm
Water For Injection Qs. 1000 ml
2/23/2021 34
Electrolyte
Large number of Oral Rehydration preparation are
available in Market which contain anhydrous
Glucose , NaCl, KCl and either NaHCO3 or Sod. Citrate.
2/23/2021 35
Electrolyte
Formula recommended by UNICEF & WHO
Sr.
No
Ingredients Formula I
(UNICEF)
Formula II
(WHO)
Formula III
(WHO)
1 NaCl 1 gm 3.5 gm 3.5 gm
2 KCl 1.5 gm 1.5 gm 1.5 gm
3 Sod.
Bicarbonate
1.5 gm 2.5 gm -
4 Sod. Citrate - - 2.9 gm
5 Anhydrous
Glucose
36.4 gm 20 gm 20.9 gm
6 Glucose 40.0 gm 22 gm -
2/23/2021 36
Electrolyte
Direction for Use:
Dissolve the sachets in 1 Lit of Water . The water should be
previously boiled & cooled.
Dose: The dose is equivalent to patients fluid
requirement.
Storage: Store in dry place & in well closed airtight
container.
Marketed Preparation: Electrolyte, Welyte, Punarjal
2/23/2021 37
Electrolyte
All body fluid have definite composition of enzymes ,
Ions, Proteins etc.
Generally majority of metabolic reactions are
happened at pH range 7.34-7.42
pH of body fluid is maintained by following mechanism
1. Buffer systems
2. Protein buffer system
3. Respiratory Mechanism
4. Renal Mechanism
2/23/2021 38
Electrolyte
1. Buffer System
i. Carbonate buffer system and phosphate buffer system maintain
acid base balance .
ii. This system is mainly found in kidney and cells.
2. Protein buffer System:
i. Protein are composed of amino acid which is dissociate and give
H+ and thus participated into buffering of body fluids.
ii. Hemoglobin is most effective buffer system.
2/23/2021 39
Electrolyte
3. Respiratory Mechanism
i. This is important pH control is through the
control of respiratory center .
ii. When this center is stimulated , it alter the rate of
breathing.
iii. The removal of CO2 from the body fluid leads to
the change in pH of blood carbonic acid .
2/23/2021 40
Electrolyte
4. Renal Mechanism :
i. Kidney helps to maintain normal pH by
elimination of some ions through urine.
ii. Kidney has an ability to form ammonia which
react with acid formed during protein
metabolism and thus pH of urine is acidic.
2/23/2021 41
Electrolyte
1. Metabolic Acidosis
2. Metabolic Alkalosis
3. Respiratory Acidosis
4. Respiratory Alkalosis
2/23/2021 42
Electrolyte
1. Metabolic Acidosis
It means disturbed acid base balance of body and physiological
fluid becomes acidic in nature. In this case , pH is decreased
below 7.34
2. Metabolic Alkalosis
It means disturbed acid base balance of body and physiological
fluid becomes alkaline in nature. In this case , pH is increased
More than 7.45
2/23/2021 43
Electrolyte
3. Respiratory Acidosis:
It is the state in which carbon dioxide is retained in the body
due to the reduced ventilation.
4. Respiratory Alkalosis:
It is the state in which excess of concentration of CO2 is lost
from the body and it is due to hyperventilation.
2/23/2021 44
Electrolyte
2/23/2021 45
Electrolyte
1. Potassium Acetate
2. Potassium Citrate
3. Sodium Acetate
4. Sodium Citrate
5. Sodium bicarbonate injection
6. Ammonium Chloride
2/23/2021
Electrolyte 46
1. Potassium Acetate:
Formula: C2H3O2K
Std: It contain 99% % NMT 101% of C2H3O2K
Properties:
1. color: White
2. Odor: Odorless
3. Taste: saline & Slightly alkaline
4. Solubility: Soluble in water & insoluble in ether.
5. When Strongly heated it gives residue of potassium
carbonate.
2CH3COOK + O2 K2CO3 + 3 H2O + 3CO2
2/23/2021
Electrolyte 47
Uses:
1. It is used as urinary alkalizers
2. It is also diuretic action
3. it is systemic alkalizers.
2/23/2021
Electrolyte 48
2. Potassium Citrate:
Formula: C6H5K3O7
Std: It contain 99% NMT 101% of C6H5K3O7
Properties:
1. color: White
2. Odor: Odorless
3. Taste: saline & Slightly alkaline
4. Solubility: Soluble in water & insoluble in
alcohol.
2/23/2021
Electrolyte 49
Uses:
1. It is used as diuretic , expectorant.
2. It has slight laxative
3. It has anticoagulant action.
2/23/2021
Electrolyte 50
3. Sodium Acetate :
Formula: CH3COONa . 3H20
Std: It contain 99% NMT 100.5% of CH3COONa . 3H20
Properties:
1. color: Colorless
2. Odor: Odorless
3. Taste: saline
4. Solubility: Soluble in water & alcohol.
2/23/2021
Electrolyte 51
Uses:
1. It is ingredient of peritoneal dialysis fluid .
2. It acts as alkalizing agents.
3. It also acts as diuretic.
2/23/2021
Electrolyte 52
4. Sodium Citrate :
Formula: C6H5Na3O7
Std: It contain 99% NMT 101 % of C6H5Na3O7
Properties:
1. color: Colorless
2. Odor: Odorless
3. Taste: saline
4. Solubility: Soluble in water but insoluble in
alcohol.
2/23/2021
Electrolyte 53
Uses:
1. It acts as Systemic alkalizers.
2. It also acts as anticoagulants.
2/23/2021
Electrolyte 54

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10.electrolyte new

  • 1. 1
  • 3. Definition Electrolyte are the compound which may contain electro positive or electronegative charges. The body fluid is divided by two components 1. Intracellular Fluid (40- 50 % of body weight) 2. Extracellular Fluid (12- 15 % of body weight) 2/23/2021 3 Electrolyte
  • 4. 1. Intracellular Fluid : It is present in inner cell of blood 2. Extracellular Fluid: It is present outside the cell of blood These two fluid is separated by semi permeable membrane. 2/23/2021 4 Electrolyte
  • 6. 1. Major Cations 2. Major Anions 2/23/2021 6 Electrolyte
  • 7. 1. Major cations : (SoPoCaM) i. Sodium ii. Potassium iii. Calcium iv. Magnesium 2/23/2021 7 Electrolyte
  • 8. 2. Major Anions (BCPS) i. Bicarbonate ii. Chloride iii. Phosphate iv. Sulphate 2/23/2021 8 Electrolyte
  • 10. 1. Sodium : i. Normal Value : Normally human body contains about 1.8 gm /Kg of sodium ion. ii. Sources: Table salts , Milk, Baking powder, Meat & Some vegetable. iii. Daily Requirements : 3-5 gm for normal adult. Diseases : 1. Hyponaturemia : Condition under which there is low serum Sodium level. 2. Hypernaturemia : Condition under which there is high serum sodium level. 2/23/2021 10 Electrolyte
  • 11. 2. Potassium: i. Normal Value: 2.6 gm /kg body wt. ii. Daily Requirement: 1.5 to 4.5 gm iii. Source: Milk, Vegetable, Meat & Whole grains Disease: 1. Hyperkalemia: Condition under which there is high serum potassium level. 2. Hypokalemia: Condition under which there is low serum potassium level. 2/23/2021 11 Electrolyte
  • 12. 3. Calcium : i. Normal Value: 2.2 gm /kg body wt. ii. Daily Requirement: 0.8 gm iii. Source: bones and in extracellular fluid. Disease: 1. Hypercalcimic: Condition under which there is high serum calcium level. 2. Hypocalcimic: Condition under which there is low serum calcium level. 2/23/2021 12 Electrolyte
  • 13. 4. Magnesium: i. Normal Value: 0.5 kg/ body wt. ii. Daily Requirement: 350 mg iii. Source: Nuts , Soyabean, Whole grains , Sea Foods 2/23/2021 13 Electrolyte
  • 15. 1. Chloride: i. Normal Value: 50mEq/kg body weight ii. Daily Requirement: 5 to 10 gm iii. Source: Table salts 2/23/2021 15 Electrolyte
  • 16. 2. Sulphate: Sources : Animal & Plant protein having sulphur containing amino acids like cystein & methionin 3. Bicarbonates : It is second largest aninon present in extracellular fluid Compartments, It maintain acid base balance. 4. Phosphate: It is major anion of intracellular fluid compartments. The main dietary source are milk, Milk products, whole grain , nuts. It is present in teeth with combination of calcium. 2/23/2021 16 Electrolyte
  • 17. ELECTROLYTE USED IN REPLACEMENT THERAPY 2/23/2021 17 Electrolyte
  • 18. The various inorganic & organic Compounds present in the body fluids and the concentration of these in various compartment is balanced in such away that the body cells and tissue always have the same environment. Generally , in body the electrolyte concentration is maintained , but if body can not maintain or correct the electrolyte balance, then it is done by external administration which is known as replacement therapy. 2/23/2021 18 Electrolyte
  • 19. 1. Replacement of Sodium 2. Replacement of Potassium 3. Replacement of Calcium 2/23/2021 19 Electrolyte
  • 20. 1. Replacement of Sodium : Sodium Chloride : Formula: NaCl Mol wt: 58.54 Std: It contain NLT 99.5 % & NMT 100.5 % of NaCl calculated to dried substances. Properties : 1. Colour: White Crystalline powder 2. Odour : Odourless 3. Taste: Saline 2/23/2021 20 Electrolyte
  • 21. Solubility : It is freely soluble in water , more in boiling water, Soluble in glycerin Storage: It is stored in tightly closed container keep in cool place. Uses: 1. It is sources of both sod & chloride ions 2. It is used as electrolyte replenisher 3. It induces vomiting in case of poisoning 4. It is a constitute of Ringers solution, Injection, Lactate solution, 5. It is used in dehydration condition. 2/23/2021 21 Electrolyte
  • 22. Official Preparations /different forms of NaCl: 1. Sodium Chloride Injection 2. Bacteriostatic NaCl injection 3. Normal NaCl Solution 4. Sodium Chloride Tablet 5. Dextrose & NaCl injection IP 6. NaCl & Dextrose tablet 7. Mannitol & NaCl Injection 8. Fructose & NaCl injection 9. Ringers Injection 10. Lactated Ringers injection 2/23/2021 22 Electrolyte
  • 23. Official Preparations /different forms of NaCl 1. Sodium Chloride Injection: 0.9 % w/v of NaCl in WFI Category : Fluid & electrolyte replenisher Dose: 1 Lit IV 2. Bacteriostactic NaCl injection: It contain 0.9 % W/v NaCl in SWFI Category : Sterile Vehicle. 3. Normal NaCl Solution : It Contain 0.9 % w/v NaCl in Distilled water /SW Category: Isotonic vehicle. 2/23/2021 23 Electrolyte
  • 24. Official Preparations /different forms of NaCl: 4. Sodium Chloride Tablet: It contain 0.9 w/w NaCl Category : Electrolyte Replenisher . Available as 600 mg, 1 gm & 2.5 gm of tablet 5. Dextrose & NaCl injection IP: Category : Fluid nutrient , electrolyte replenisher Dose: 1 Lit IV 6. NaCl & Dextrose tablet: Category : Electrolyte replenisher . 7. Mannitol & NaCl Injection: Category : Diuretic Dose: 50 -200 gm IV 8. Fructose & NaCl injection : It contains 10 % of Fructose & 0.9 w/v of NaCl Category : Fluid nutrient , electrolyte replenisher 2/23/2021 24 Electrolyte
  • 25. Official Preparations /different forms of NaCl: 9. Ringers Injection: category : Fluid & electrolyte replenisher. 10. Lactated Ringers injection: It contain 0.6 % w/v NaCl Category : Systemic alkalizers , fluid electrolyte replenisher. 2/23/2021 25 Electrolyte
  • 26. II. Replacement of Potassium Potassium Chloride: Formula: KCl Mol. Wt: 74.55 Std: It contains NLT 99 % of KCl calculated with reference to dried substance. Properties: 1. Color: Colorless crystal 2. Odor: Odorless 3. Taste: Saline 4. Solubility: Freely soluble in water 5. Aq. Solution are neutral to litmus. 2/23/2021 26 Electrolyte
  • 27. Uses: 1. It is used as oral replacement of Potassium in the form of solution. 2. It is used in the treatment of Myasthenia Gravis . 3. It is the constituent of Oral rehydration salt. Ringers solution and Ringers Injection. Official Preparation: 1. Potassium Chloride oral solution. 2. Potassium Chloride injection. 3. Potassium Chloride & Sodium Chloride injection. 4. Potassium Chloride tablet 5. Ringers Solution 6. Compound Sodium Chloride injection . 2/23/2021 27 Electrolyte
  • 28. CALCIUM CHLORIDE Molecular Formula: CaCl2 Properties: 1. Color: Colorless crystalline powder 2. Odor: odorless 3. Taste: Saline 4. Solubility : It is soluble in water 5. Calcium chloride can be electrolysed to give calcium metal and chlorine gas CaCl2→ Ca(s) + Cl2(g) 3. REPLACEMENT OF CALCIUM 2/23/2021 28 Electrolyte
  • 29.  Uses: 1. It is used as electrolyte replenisher. 2. Calcium chloride is used to increase the water hardness in swimming pools. 3. It can be used to treat magnesium toxicity. 4. Calcium chloride can be used to quickly treat calcium channel blocker toxicity.  Preparation: Calcium Chloride injection. 2/23/2021 29 Electrolyte
  • 31. Why Given : I. Usually , when patient is unable to take normal diet before or after Surgery, The electrolyte combination therapy is used. II. infusion containing Glucose & Normal saline are used III. When heavy loss of water & Electrolyte e.g. in excessive vomiting , Diarrhea or prolonged fever electrolyte combination are used as replacement therapy. Some imp Pdt used in electrolyte combination therapy are as follow. 1. Sodium Lactate injection 2. Ringers injection 3. Compound Sodium Lactate solution. 4. Oral Rehydration salt. 2/23/2021 31 Electrolyte
  • 32. 1. Sodium Lactate Injection: It is sterile solution containing 1.75 – 1.95 % w/v of sodium lactate prepared in WFI Preparation : Sodium lactate can be prepared by Lactic acid & Sodium Hydroxide . It can be sterilized by heating in autoclave. 2/23/2021 32 Electrolyte
  • 33. 2. Ringers Solution: It is sterile solution prepared in water for injection containing. It does not contain antimicrobial agents. It is also sterilized by heating in an autoclaving. Name Contain NaCl 0.9 % KCl 0.0285 – 0.0315 % w/v CaCl2 0.030 – 0.036 % w/v 2/23/2021 33 Electrolyte
  • 34. 3. Compound Sodium Lactate injection: It is sterile solution prepared in water for injection Containing, LaSoDi NaK CaW Name Contain Lactic Acid 2.4 ml Sodium hydroxide 1.15 gm Dil HCl 0.5 ml NaCl 6 gm KCl 0.4 gm CaCl2 0.27 gm Water For Injection Qs. 1000 ml 2/23/2021 34 Electrolyte
  • 35. Large number of Oral Rehydration preparation are available in Market which contain anhydrous Glucose , NaCl, KCl and either NaHCO3 or Sod. Citrate. 2/23/2021 35 Electrolyte
  • 36. Formula recommended by UNICEF & WHO Sr. No Ingredients Formula I (UNICEF) Formula II (WHO) Formula III (WHO) 1 NaCl 1 gm 3.5 gm 3.5 gm 2 KCl 1.5 gm 1.5 gm 1.5 gm 3 Sod. Bicarbonate 1.5 gm 2.5 gm - 4 Sod. Citrate - - 2.9 gm 5 Anhydrous Glucose 36.4 gm 20 gm 20.9 gm 6 Glucose 40.0 gm 22 gm - 2/23/2021 36 Electrolyte
  • 37. Direction for Use: Dissolve the sachets in 1 Lit of Water . The water should be previously boiled & cooled. Dose: The dose is equivalent to patients fluid requirement. Storage: Store in dry place & in well closed airtight container. Marketed Preparation: Electrolyte, Welyte, Punarjal 2/23/2021 37 Electrolyte
  • 38. All body fluid have definite composition of enzymes , Ions, Proteins etc. Generally majority of metabolic reactions are happened at pH range 7.34-7.42 pH of body fluid is maintained by following mechanism 1. Buffer systems 2. Protein buffer system 3. Respiratory Mechanism 4. Renal Mechanism 2/23/2021 38 Electrolyte
  • 39. 1. Buffer System i. Carbonate buffer system and phosphate buffer system maintain acid base balance . ii. This system is mainly found in kidney and cells. 2. Protein buffer System: i. Protein are composed of amino acid which is dissociate and give H+ and thus participated into buffering of body fluids. ii. Hemoglobin is most effective buffer system. 2/23/2021 39 Electrolyte
  • 40. 3. Respiratory Mechanism i. This is important pH control is through the control of respiratory center . ii. When this center is stimulated , it alter the rate of breathing. iii. The removal of CO2 from the body fluid leads to the change in pH of blood carbonic acid . 2/23/2021 40 Electrolyte
  • 41. 4. Renal Mechanism : i. Kidney helps to maintain normal pH by elimination of some ions through urine. ii. Kidney has an ability to form ammonia which react with acid formed during protein metabolism and thus pH of urine is acidic. 2/23/2021 41 Electrolyte
  • 42. 1. Metabolic Acidosis 2. Metabolic Alkalosis 3. Respiratory Acidosis 4. Respiratory Alkalosis 2/23/2021 42 Electrolyte
  • 43. 1. Metabolic Acidosis It means disturbed acid base balance of body and physiological fluid becomes acidic in nature. In this case , pH is decreased below 7.34 2. Metabolic Alkalosis It means disturbed acid base balance of body and physiological fluid becomes alkaline in nature. In this case , pH is increased More than 7.45 2/23/2021 43 Electrolyte
  • 44. 3. Respiratory Acidosis: It is the state in which carbon dioxide is retained in the body due to the reduced ventilation. 4. Respiratory Alkalosis: It is the state in which excess of concentration of CO2 is lost from the body and it is due to hyperventilation. 2/23/2021 44 Electrolyte
  • 46. 1. Potassium Acetate 2. Potassium Citrate 3. Sodium Acetate 4. Sodium Citrate 5. Sodium bicarbonate injection 6. Ammonium Chloride 2/23/2021 Electrolyte 46
  • 47. 1. Potassium Acetate: Formula: C2H3O2K Std: It contain 99% % NMT 101% of C2H3O2K Properties: 1. color: White 2. Odor: Odorless 3. Taste: saline & Slightly alkaline 4. Solubility: Soluble in water & insoluble in ether. 5. When Strongly heated it gives residue of potassium carbonate. 2CH3COOK + O2 K2CO3 + 3 H2O + 3CO2 2/23/2021 Electrolyte 47
  • 48. Uses: 1. It is used as urinary alkalizers 2. It is also diuretic action 3. it is systemic alkalizers. 2/23/2021 Electrolyte 48
  • 49. 2. Potassium Citrate: Formula: C6H5K3O7 Std: It contain 99% NMT 101% of C6H5K3O7 Properties: 1. color: White 2. Odor: Odorless 3. Taste: saline & Slightly alkaline 4. Solubility: Soluble in water & insoluble in alcohol. 2/23/2021 Electrolyte 49
  • 50. Uses: 1. It is used as diuretic , expectorant. 2. It has slight laxative 3. It has anticoagulant action. 2/23/2021 Electrolyte 50
  • 51. 3. Sodium Acetate : Formula: CH3COONa . 3H20 Std: It contain 99% NMT 100.5% of CH3COONa . 3H20 Properties: 1. color: Colorless 2. Odor: Odorless 3. Taste: saline 4. Solubility: Soluble in water & alcohol. 2/23/2021 Electrolyte 51
  • 52. Uses: 1. It is ingredient of peritoneal dialysis fluid . 2. It acts as alkalizing agents. 3. It also acts as diuretic. 2/23/2021 Electrolyte 52
  • 53. 4. Sodium Citrate : Formula: C6H5Na3O7 Std: It contain 99% NMT 101 % of C6H5Na3O7 Properties: 1. color: Colorless 2. Odor: Odorless 3. Taste: saline 4. Solubility: Soluble in water but insoluble in alcohol. 2/23/2021 Electrolyte 53
  • 54. Uses: 1. It acts as Systemic alkalizers. 2. It also acts as anticoagulants. 2/23/2021 Electrolyte 54