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IN STATE OF DIARRHEA
-there should be electrolyte ion balance
-more H2O is secreted than reabsorbed
For Glucose:
-Na is also lost (stored in the insterstitialfluids and blood
20 g C6H12O6 do not dissociate. No need to compute for
plasma (extracellular fluids)
mmol/L
-chronic loss of K (repeated attacks of diarrhea) (K held
in the intracellular fluids), results in muscular weakness,
APPROXIMATE CONCENTRATIONS OF THE PRINCIPAL
lethargy & anorexia
IONS (Na+, K+, Ca+2, Mg+2Cl-, HCO3-, HPO4-in the
plasma, interstitial & intracelljularfluids in an average
CONC. OF Na+
man:
-in the extracellular fluid
135-150 mmol/L for proper functioning of the body Body Fuids Mg+2 Cl- HCO3- HPO4-
-controlled by the renal function
Plasma 1 102 27 1
IN CASE OF DEHYDRATION
Mmol/L Mmol/L Mmol/L Mmol/L
-H2O is conserved by anuria(nonpassageof urine,in
practice is defined as passage of less than 50 Interstitial 1 114 30 1
millilitersof urine in a day.Anuriais often caused by Fluids
failure in the function of kidneys) Intracellular 15 5 10 50
-Na is not regulated fluids
CONTINUED DIARRHEA
-cause rapid depletion of H2O & Na APPROXIMATE CONCENTRATIONS OF THE PRINCIPAL
-More than 10% loss of body fluids, death occurs IONS (Na+, K+, Ca+2, Mg+2Cl-, HCO3-, HPO4-in the
plasma, interstitial & intracelljularfluids in an average
ORS man:
-Best method to combat dehydration caused by Body Fuids Na+ K+ Ca+2
diarrhea Plasma 140Mmol/ 4 2.5
-50 mL/kg body wt (for mild dehydration) L Mmol/L Mmol/L
-100 mL/Kg given over 4 hours (moderate dehydration) Interstitial 144 4 2
Fluids
Amount for 1 L Amount for 100 mL
NaCl 3.5 g Intracellular 10 155 1
NaHCO3 2.5 g fluids
KCl 1.5 g
C6H12O6 20 g Concentration & function of glucose in the ORS
-Glucose –absorbed through the intestinal wall
COMPUTATION: -Na+ -carried by a co-transport mechanism
For Na+ from NaCl and NaHCO3: -1molecule glucose co-transports 1 molecule Na+
(1:1 ratio)
-Glucose –does not co-transport water
-increased conc. of Na+ across the intestinal wall that
pulls water through it
Or
Facts:
- Fehling’s A = CuSO4 + H2O – test for reducing sugars
(tartrate) Cu+2 → Cu+
- Fehlibng’s B – KnaC4H4O6 + NaOH
- RS is a double salt (2 metals + 1 non-metal)
- Definition of terms:
Deliquescent –absorbs moisture and liquefy (ex. KAc,
NaOH pellets, Ca(NO3)2 crystals)
Efflorescence – give up water of hydration or
crystallization (ex. RS, epsom salt-MgSO47H2O,
glaubers salt-Na2SO410 H2O
Hygroscopic – absorbs moisture without liquefaction or
melting (ex. Blue vitriol-CuSO45 H2O)
Use: component of Seidlitz powder (cathartic)