SlideShare a Scribd company logo
1 of 24
WATER
&
ELECTROLYTE BALANCE
By
Santhosh Kumar .N
Asst.Prof
SIMS & RH
Water is a universal solvent & the most essential
component of life
Imp nutrient &It’s prime role is in maintaining life.
About 60 – 70% of the adult human body is constituted
by water
Since fat is water insoluble, water content of the body
alters. In obese people water content is low
Females have a low water content because of a relatively
high % of fat
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
It is a medium in which body solutes are dissolved &
metabolic reactions take place
Involved in regulation of body temperature
(because of its highest latent heat of evaporation)
Acts as a vehicle for transport of
solutes
Acts as a lubricant in the body so as to prevent friction in joints,
pleura, peritoneum & conjunctiva
Functions Of Water
Water itself participates as
a substrate, Involve in
many chemical reactions
(e.g. in glycolysis, TCA
cycle & respiratory chain)
The stability of sub
cellular structures
&activities of numerous
enzymes are dependant
on adequate cell
hydration
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Distribution Of Water
In
A Body Fluid Compartment
Intra Cellular Fluid (ICF) -
40%
Extra cellular fluid (ECF) -
20%
Intravascular fluid,
i.e. blood plasma
(within blood vessels)- 4%
Constitutes the medium in
which chemical reactions of
cell metabolism occurs
Fluid found outside the cells
Extravascular fluid,
i.e. interstitial fluid
(speces b/w cells)- 16%
Total body Water (60%)
Fluid found within the cell
Constitutes the medium through,
which all metabolic exchange
occurs
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Colloidal osmotic pressure
Two factors influence the distribution of water between
intra cellular & extracellular compartments
Osmolality
no. of moles per kg of solvent, irrespective of the size, or
nature of the particles
Water diffuses from a compartment of low to high
Osmolality unit
Units of Osmolality are mmol/ kg of water. conc. is
expressed as osmoles per liter of solution – osmolarity
This affects the movement of water across the
cell membranes
Osmolality
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Colloidal Osmotic Pressure (COP)
• COP that determines the distribution of water among body water
compartments.
• Osmotic pressure of a solution is proportional to it’s osmolality.
• A solution with an osmotic pressure greater than plasma called
hypertonic or hyper osmotic.
• COP exerted by the plasma proteins- oncotic pressure
• Hydrostatic pressure & oncotic pressure affects the movement of
water &low mol mass solutes between IV & EV compartments
Normal Water Balance
Electrolytes
• Substances which readily dissociate in the solutions and
exist as ions - Electrolytes.
NaCl Na+ + Cl-
• Conc. of individual electrolytes is expressed as mEq/L
not mg/L
• mEq/L is the ion conc. in millimoles, multiplied by the
number of electrical charges on the ion
• These are distributed among body fluids, which maintain
osmotic equilibrium and water balance.
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Maintain membrane
potential
Participate in muscle
contractions Involved in blood clotting
process, enzyme action
Involve gas transport
mechanism
Nerve impulse conduction
Electrolytes Functions
exert the greatest influence on
water balance & acid base
balance.
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Regulation
of
Water & Electrolyte Balance
Renin angiotensin- Aldosterone system
(RAAS)
Antidiuretic hormone or vasopressin (ADH)
Hypothalamic mechanism controlling Thirst
Atrial natriuretic factor (ANF)
Kidneys
Occurs together which
depends on
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
When water & Na+ output exceed intake
↓
ECF volume contracts
↓
Associated decrease in plasma volume
↓
Decrease in cardiac output
Stimulation
of water
intake area of
the
hypothalamus
& thirst
center
Stimulation
of H2O
output area of
the
hypothalamus
& ADH
secretion
Inhibition
of release of
ANF
Retention
of
Na+ &
H2O
by
kidneys
Stimulation
of
RAAS
Hypothalamus Mechanism
• Regulation areas of water intake & output are located in separate
areas of hypothalamus in brain.
• Both water & electrolyte balance are regulated together through
» ADH (Vasopressin)
» RAAS (Renin angiotensin- Aldosterone system )
» ANF (Atrial natriuretic factor )
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
Antidiuretic Hormones
Water intake is
controlled by the
sensation of thirst & its
output by the action of
hormone ADH
+
Hypothalamic
thirst center
Hypothalamic
posterior pituitary
Increase in plasma osmolality
+
↑Thirst
↑water intake
↑Secretion of ADH
↑Water reabsorption
by kidney
Restored plasma osmolality
Deficiency of water
+
+
Large intake of water
causes fall in osmolality
suppresses thirst & reduces
ADH secretion, leads to
diuresis, producing large
volume of dilute urine .
Renin –angiotensin system:
• Secretion of aldosterone is regulated by the RAS, when there is
a fall in ECF volume renal plasma flows decrease.
• This would be sensed by the juxtra glomerular apparatus of the
nephrons, which secret renin.
Stimulating the release of
renin
Inhibits the release of
renin
- Decreased blood volume
- Salt depletion
- Prostaglandins stimulators
- Increased blood pressure
- High salt intake
- Prostaglandin inhibitors
- Angiotensin-II
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
↓Na+
+
Stimulates Na+
reabsorption in the
renal tubules in the
exchange of K + & H +
ions → Na+ & water
is retained by the body
1
2
3
4
5
6
Atrial Natriuretic factor (ANF)
• It is a polypeptide hormone secreted by the right atrium of
the heart
• They inhibit renin & aldosterone secretion & eliminate Na+
• Involve in the control of Na+ & water balance.
• Net results of all these effects water & Na+ balance become
+Ve & ECW is restored to normal
Next class
W&EB-02: Disorders of Water & Electrolyte
Balance
Thank Q
Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH

More Related Content

What's hot

Fluid & Electrolytes Balance
Fluid & Electrolytes  BalanceFluid & Electrolytes  Balance
Fluid & Electrolytes Balance
mohammed indanan
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyte
axix
 
Lect 4 electrolytes & balance
Lect 4   electrolytes & balanceLect 4   electrolytes & balance
Lect 4 electrolytes & balance
Bruno Mmassy
 
Physiology of body fluids
Physiology of body fluidsPhysiology of body fluids
Physiology of body fluids
Dr Medical
 

What's hot (20)

Introduction to Body fluids Analysis
Introduction to Body fluids AnalysisIntroduction to Body fluids Analysis
Introduction to Body fluids Analysis
 
Fluid & Electrolytes Balance
Fluid & Electrolytes  BalanceFluid & Electrolytes  Balance
Fluid & Electrolytes Balance
 
Metabolism of water and its clinical significance
Metabolism of water and its clinical significanceMetabolism of water and its clinical significance
Metabolism of water and its clinical significance
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyte
 
Fluids And Electrolytes
Fluids And  ElectrolytesFluids And  Electrolytes
Fluids And Electrolytes
 
constipation treatment
constipation treatmentconstipation treatment
constipation treatment
 
Erythropoiesis
ErythropoiesisErythropoiesis
Erythropoiesis
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
Principles of fluid therapy
Principles of fluid therapyPrinciples of fluid therapy
Principles of fluid therapy
 
Renal function test
Renal function testRenal function test
Renal function test
 
SODIUM HOMEOSTASIS
SODIUM HOMEOSTASISSODIUM HOMEOSTASIS
SODIUM HOMEOSTASIS
 
FLUIDS AND ELECTROLYTE IMBALANCE
FLUIDS AND ELECTROLYTE IMBALANCEFLUIDS AND ELECTROLYTE IMBALANCE
FLUIDS AND ELECTROLYTE IMBALANCE
 
Lect 4 electrolytes & balance
Lect 4   electrolytes & balanceLect 4   electrolytes & balance
Lect 4 electrolytes & balance
 
Fluid and electrolyte in surgical patients
Fluid and electrolyte in surgical patientsFluid and electrolyte in surgical patients
Fluid and electrolyte in surgical patients
 
Electrolytes Disorders
Electrolytes DisordersElectrolytes Disorders
Electrolytes Disorders
 
Physiology of body fluids
Physiology of body fluidsPhysiology of body fluids
Physiology of body fluids
 
Sodium homeostasis
Sodium homeostasisSodium homeostasis
Sodium homeostasis
 
Water electrolyte and ph balance
Water electrolyte and ph balanceWater electrolyte and ph balance
Water electrolyte and ph balance
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
 
Fluid And Electrolytes1
Fluid And Electrolytes1Fluid And Electrolytes1
Fluid And Electrolytes1
 

Similar to W&EB-01: Water & Electrolyte Balance

framee-1208278844638702-8.pptx
framee-1208278844638702-8.pptxframee-1208278844638702-8.pptx
framee-1208278844638702-8.pptx
sjamsulbahri3
 
Seminar report body fluids
Seminar report   body fluidsSeminar report   body fluids
Seminar report body fluids
moonglades
 

Similar to W&EB-01: Water & Electrolyte Balance (20)

Fluid and electrolyte balance
Fluid and electrolyte balanceFluid and electrolyte balance
Fluid and electrolyte balance
 
A p fluidandeletrolytebalance.bcc share
A p fluidandeletrolytebalance.bcc shareA p fluidandeletrolytebalance.bcc share
A p fluidandeletrolytebalance.bcc share
 
A p fluidandeletrolytebalance.bcc share
A p fluidandeletrolytebalance.bcc shareA p fluidandeletrolytebalance.bcc share
A p fluidandeletrolytebalance.bcc share
 
fluid electrolyte.pdf
fluid electrolyte.pdffluid electrolyte.pdf
fluid electrolyte.pdf
 
Fluid and electrolytes
Fluid and electrolytesFluid and electrolytes
Fluid and electrolytes
 
Fluid Electrolyte Imbalance - Acid Base Balance
Fluid Electrolyte Imbalance - Acid Base BalanceFluid Electrolyte Imbalance - Acid Base Balance
Fluid Electrolyte Imbalance - Acid Base Balance
 
Fluid and electrolyt balance
Fluid and electrolyt balance Fluid and electrolyt balance
Fluid and electrolyt balance
 
Fluids and electrolytes balance
Fluids and electrolytes balanceFluids and electrolytes balance
Fluids and electrolytes balance
 
Body Fluid And Electrolyte Balance
Body Fluid And Electrolyte BalanceBody Fluid And Electrolyte Balance
Body Fluid And Electrolyte Balance
 
3. Renal Block-Water and Electrolyte Balance-MBBS-2024.pptx
3. Renal Block-Water and Electrolyte Balance-MBBS-2024.pptx3. Renal Block-Water and Electrolyte Balance-MBBS-2024.pptx
3. Renal Block-Water and Electrolyte Balance-MBBS-2024.pptx
 
WATER AND ELECTROLYTE BALANCE in normal and abnorm'
WATER AND ELECTROLYTE  BALANCE in normal and abnorm'WATER AND ELECTROLYTE  BALANCE in normal and abnorm'
WATER AND ELECTROLYTE BALANCE in normal and abnorm'
 
Physiology of water balance and Hypernatremia
Physiology of water balance and HypernatremiaPhysiology of water balance and Hypernatremia
Physiology of water balance and Hypernatremia
 
framee-1208278844638702-8.pptx
framee-1208278844638702-8.pptxframee-1208278844638702-8.pptx
framee-1208278844638702-8.pptx
 
Fluid & electrolytes cld part 1
Fluid & electrolytes cld part 1Fluid & electrolytes cld part 1
Fluid & electrolytes cld part 1
 
RENAL-ELECTROLYTE BALANCE, ACID BASE BALANCE-converted.pptx
RENAL-ELECTROLYTE BALANCE, ACID BASE BALANCE-converted.pptxRENAL-ELECTROLYTE BALANCE, ACID BASE BALANCE-converted.pptx
RENAL-ELECTROLYTE BALANCE, ACID BASE BALANCE-converted.pptx
 
Water and electrolyte balance 2022 .pptx
Water and electrolyte balance 2022 .pptxWater and electrolyte balance 2022 .pptx
Water and electrolyte balance 2022 .pptx
 
Fluid and electrolytes
Fluid and electrolytesFluid and electrolytes
Fluid and electrolytes
 
Fluid and electrolyte imbalance
Fluid and electrolyte imbalanceFluid and electrolyte imbalance
Fluid and electrolyte imbalance
 
Seminar report body fluids
Seminar report   body fluidsSeminar report   body fluids
Seminar report body fluids
 
MECHANISM OF CONCENTRATION OF URINE
MECHANISM OF CONCENTRATION OF URINEMECHANISM OF CONCENTRATION OF URINE
MECHANISM OF CONCENTRATION OF URINE
 

More from Dr. Santhosh Kumar. N

More from Dr. Santhosh Kumar. N (20)

Alcohol metabolism and alcoholism & Fatty liver.pptx
Alcohol metabolism and alcoholism & Fatty liver.pptxAlcohol metabolism and alcoholism & Fatty liver.pptx
Alcohol metabolism and alcoholism & Fatty liver.pptx
 
M-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxM-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptx
 
Metabolism of lipoproteins & its disorders(Chylomicron & VLDL & LDL).pptx
Metabolism of  lipoproteins & its disorders(Chylomicron & VLDL & LDL).pptxMetabolism of  lipoproteins & its disorders(Chylomicron & VLDL & LDL).pptx
Metabolism of lipoproteins & its disorders(Chylomicron & VLDL & LDL).pptx
 
Metabolism , Metabolic Fate& disorders of cholesterol.pptx
Metabolism , Metabolic Fate& disorders of cholesterol.pptxMetabolism , Metabolic Fate& disorders of cholesterol.pptx
Metabolism , Metabolic Fate& disorders of cholesterol.pptx
 
Metabolism of Galactose & fructose .pptx
Metabolism of Galactose & fructose .pptxMetabolism of Galactose & fructose .pptx
Metabolism of Galactose & fructose .pptx
 
HM-02 Heme catabolism & Genetic defects.pptx
HM-02 Heme catabolism & Genetic defects.pptxHM-02 Heme catabolism & Genetic defects.pptx
HM-02 Heme catabolism & Genetic defects.pptx
 
HM-01 HEME BIOSYNTHESIS & Porphyrias.pptx
HM-01 HEME BIOSYNTHESIS & Porphyrias.pptxHM-01 HEME BIOSYNTHESIS & Porphyrias.pptx
HM-01 HEME BIOSYNTHESIS & Porphyrias.pptx
 
class -2 Simple & Compound lipids.pptx
class -2  Simple & Compound lipids.pptxclass -2  Simple & Compound lipids.pptx
class -2 Simple & Compound lipids.pptx
 
class-3 Derived lipids (steorids).pptx
class-3   Derived lipids (steorids).pptxclass-3   Derived lipids (steorids).pptx
class-3 Derived lipids (steorids).pptx
 
OFT 04- AFTs.pptx
OFT 04- AFTs.pptxOFT 04- AFTs.pptx
OFT 04- AFTs.pptx
 
0FT 02. RFT.pptx
0FT 02. RFT.pptx0FT 02. RFT.pptx
0FT 02. RFT.pptx
 
OFT 03. TFT.pptx
OFT 03. TFT.pptxOFT 03. TFT.pptx
OFT 03. TFT.pptx
 
DIGESTION, ABSORPTION AND METABOLISM OF LIPIDS.docx
DIGESTION, ABSORPTION AND METABOLISM OF LIPIDS.docxDIGESTION, ABSORPTION AND METABOLISM OF LIPIDS.docx
DIGESTION, ABSORPTION AND METABOLISM OF LIPIDS.docx
 
Basic notes of Metabolism of Carbohydrates-1.docx
Basic notes of Metabolism of Carbohydrates-1.docxBasic notes of Metabolism of Carbohydrates-1.docx
Basic notes of Metabolism of Carbohydrates-1.docx
 
CH-03. Glycogen metabolism.pptx
CH-03. Glycogen metabolism.pptxCH-03. Glycogen metabolism.pptx
CH-03. Glycogen metabolism.pptx
 
Estimation of serum total Proteins & Albumin .pptx
Estimation  of serum total Proteins & Albumin .pptxEstimation  of serum total Proteins & Albumin .pptx
Estimation of serum total Proteins & Albumin .pptx
 
2. TCA cycle and fate of pyruvate & acetyl CoA.pptx
2. TCA cycle and fate of pyruvate & acetyl CoA.pptx2. TCA cycle and fate of pyruvate & acetyl CoA.pptx
2. TCA cycle and fate of pyruvate & acetyl CoA.pptx
 
1.Digestion & absorption of carbohydrate.pptx
1.Digestion & absorption of carbohydrate.pptx1.Digestion & absorption of carbohydrate.pptx
1.Digestion & absorption of carbohydrate.pptx
 
Thiamine & Riboflavin.pptx
Thiamine & Riboflavin.pptxThiamine & Riboflavin.pptx
Thiamine & Riboflavin.pptx
 
Vitamin - B3 and B6.pptx
Vitamin - B3 and B6.pptxVitamin - B3 and B6.pptx
Vitamin - B3 and B6.pptx
 

Recently uploaded

Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
kauryashika82
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
SanaAli374401
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
heathfieldcps1
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
PECB
 
Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.
MateoGardella
 

Recently uploaded (20)

Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptxINDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
 
fourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingfourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writing
 
Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17
 
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdf
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 

W&EB-01: Water & Electrolyte Balance

  • 2. Water is a universal solvent & the most essential component of life Imp nutrient &It’s prime role is in maintaining life. About 60 – 70% of the adult human body is constituted by water Since fat is water insoluble, water content of the body alters. In obese people water content is low Females have a low water content because of a relatively high % of fat Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 3. It is a medium in which body solutes are dissolved & metabolic reactions take place Involved in regulation of body temperature (because of its highest latent heat of evaporation) Acts as a vehicle for transport of solutes Acts as a lubricant in the body so as to prevent friction in joints, pleura, peritoneum & conjunctiva Functions Of Water
  • 4. Water itself participates as a substrate, Involve in many chemical reactions (e.g. in glycolysis, TCA cycle & respiratory chain) The stability of sub cellular structures &activities of numerous enzymes are dependant on adequate cell hydration Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 5. Distribution Of Water In A Body Fluid Compartment
  • 6. Intra Cellular Fluid (ICF) - 40% Extra cellular fluid (ECF) - 20% Intravascular fluid, i.e. blood plasma (within blood vessels)- 4% Constitutes the medium in which chemical reactions of cell metabolism occurs Fluid found outside the cells Extravascular fluid, i.e. interstitial fluid (speces b/w cells)- 16% Total body Water (60%) Fluid found within the cell Constitutes the medium through, which all metabolic exchange occurs Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 7. Colloidal osmotic pressure Two factors influence the distribution of water between intra cellular & extracellular compartments Osmolality
  • 8. no. of moles per kg of solvent, irrespective of the size, or nature of the particles Water diffuses from a compartment of low to high Osmolality unit Units of Osmolality are mmol/ kg of water. conc. is expressed as osmoles per liter of solution – osmolarity This affects the movement of water across the cell membranes Osmolality Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 9. Colloidal Osmotic Pressure (COP) • COP that determines the distribution of water among body water compartments. • Osmotic pressure of a solution is proportional to it’s osmolality. • A solution with an osmotic pressure greater than plasma called hypertonic or hyper osmotic. • COP exerted by the plasma proteins- oncotic pressure • Hydrostatic pressure & oncotic pressure affects the movement of water &low mol mass solutes between IV & EV compartments
  • 12. • Substances which readily dissociate in the solutions and exist as ions - Electrolytes. NaCl Na+ + Cl- • Conc. of individual electrolytes is expressed as mEq/L not mg/L • mEq/L is the ion conc. in millimoles, multiplied by the number of electrical charges on the ion • These are distributed among body fluids, which maintain osmotic equilibrium and water balance. Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 13. Maintain membrane potential Participate in muscle contractions Involved in blood clotting process, enzyme action Involve gas transport mechanism Nerve impulse conduction Electrolytes Functions exert the greatest influence on water balance & acid base balance. Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 14.
  • 16. Renin angiotensin- Aldosterone system (RAAS) Antidiuretic hormone or vasopressin (ADH) Hypothalamic mechanism controlling Thirst Atrial natriuretic factor (ANF) Kidneys Occurs together which depends on Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 17. When water & Na+ output exceed intake ↓ ECF volume contracts ↓ Associated decrease in plasma volume ↓ Decrease in cardiac output Stimulation of water intake area of the hypothalamus & thirst center Stimulation of H2O output area of the hypothalamus & ADH secretion Inhibition of release of ANF Retention of Na+ & H2O by kidneys Stimulation of RAAS
  • 18. Hypothalamus Mechanism • Regulation areas of water intake & output are located in separate areas of hypothalamus in brain. • Both water & electrolyte balance are regulated together through » ADH (Vasopressin) » RAAS (Renin angiotensin- Aldosterone system ) » ANF (Atrial natriuretic factor ) Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 19. Antidiuretic Hormones Water intake is controlled by the sensation of thirst & its output by the action of hormone ADH + Hypothalamic thirst center Hypothalamic posterior pituitary Increase in plasma osmolality + ↑Thirst ↑water intake ↑Secretion of ADH ↑Water reabsorption by kidney Restored plasma osmolality Deficiency of water + + Large intake of water causes fall in osmolality suppresses thirst & reduces ADH secretion, leads to diuresis, producing large volume of dilute urine .
  • 20. Renin –angiotensin system: • Secretion of aldosterone is regulated by the RAS, when there is a fall in ECF volume renal plasma flows decrease. • This would be sensed by the juxtra glomerular apparatus of the nephrons, which secret renin. Stimulating the release of renin Inhibits the release of renin - Decreased blood volume - Salt depletion - Prostaglandins stimulators - Increased blood pressure - High salt intake - Prostaglandin inhibitors - Angiotensin-II Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH
  • 21. ↓Na+ + Stimulates Na+ reabsorption in the renal tubules in the exchange of K + & H + ions → Na+ & water is retained by the body 1 2 3 4 5 6
  • 22. Atrial Natriuretic factor (ANF) • It is a polypeptide hormone secreted by the right atrium of the heart • They inhibit renin & aldosterone secretion & eliminate Na+ • Involve in the control of Na+ & water balance. • Net results of all these effects water & Na+ balance become +Ve & ECW is restored to normal
  • 23. Next class W&EB-02: Disorders of Water & Electrolyte Balance
  • 24. Thank Q Santhosh Kumar .N/ Dept.of Biochem/ SIMS&RH