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The ICF is primarily a solution of potassium and organic anions, proteins Extracellular Fluid (ECF) is the remaining 1/3 of your body's water.
Interstitial Fluid (ISF) surrounds the cells, but does not circulate. Plasma circulates as the extracellular component of blood.
Transcellular fluid CSF, Digestive Juices, Mucus
Hyponatremia Hyponatremia is an electrolyte disturbance in which the sodium concentration in the serum is lower than normal. Normal serum sodium levels are between 135 and 145 mEq/L.
cirrhosis ,
congestive heart failure, nephrotic syndrome
Euvolemic hyponatremia
trauma or other damage to the brain ,
Hypovolemic hyponatremia
prolonged vomiting, decreased oral intake, severe diarrhea , diuretic use
diagnosis
plasma osmolality, urine osmolality, urine Na
treatment
hypovolemia intravenous administration of normal saline Euvolemic fluid restriction
Hypervolemic hyponatremia Hypervolemic hyponatremia should be treated by treating the underlying cause (e.g. heart failure, cirrhosis) Vaptan drugs
Hypernatremia Hypernatremia is an electrolyte disturbance that is defined by an elevated sodium level in the blood. 145 mEq/L
seizures,
coma
cause Hypovolemic
Euvolemic
diabetes insipidus, inadequate production of the hormone( vasopressin)
hypertonic fluid
Conn's syndrome , Cushing's disease
refers to the condition in which the concentration of potassium (K+) in the blood is low.
Normal serum potassium is 3.5 to 5.5 mEq/L
excessive perspiration,
surgical procedures
myalgia,
muscle cramps , Constipation, flaccid paralysis
acid-base equilibrium
Hydrogen ion 40 nmol / L extracellular buffer system , respiratory compensation , Intracellular buffer system , renal compensation
Treatment
metabolic acidosis: Alkalotherapy
hematuria
hematuria is the presence of red blood cells (erythrocytes) in the urine
cause
Kidney and bladder stones Trauma (urinary tract or the prostate)
diagnosis Microscopic examination: high-power field more than 2-5 Dipstick test
Proteinuria
The excess protein in the urine 150 mg a day of protein may be excreted by a normal person, 30 mg a day of Albumin may be excreted by a normal person
Causes
Renal disease , Diabetes , Dehydration, low reabsorption at proximal tubule (Fanconi syndrome)
urinary stone A kidney stone, also known as a renal calculus is a solid concretion or crystal aggregation formed in the kidneys from dietary minerals in the urine. Urinary stones are typically classified by their location in the kidney (nephrolithiasis), ureter (ureterolithiasis), or bladder (cystolithiasis)
hematuria
lower ureteral calculi urinary frequency
urine tests,
intravenous pyelogram (IVP), spiral computed tomography
Treatment
Buscopan , Demerol, extracorporeal shock wave lithotripsy (ESWL), Percutaneous Nephrolithotomy
without ARF Cr Cr Release from the increase in muscle, Decrease in proximal tubular secretion
Bleeding,
gastrointestinal damage,
skin damage,
third-space,
cardiac diseases,
drug : antihypertensives , NSAIDs , Sepsis
Invasive disease:
lymphoma, leukemia, sarcoma
3) Postrenal ARF
Ureteral Obstruction, Ureter in diseases: stones, blood clots Ureter edema
hypocalcemia,
Neuropathy, band keratopathy,
renal osteodystrophy,
small scared kidney
tachycardia,
jugular venous pressure reduction, reduced skin elasticity,
edema,
Nausea, vomiting,
flank pain,
abdominal pain
Corticosteroid
dialysis
ARF complications
a) excessive intravascular fluid b) Hyperkalemia c) metabolic acidosis d) hyperphosphatemia
E) Hypermagnesemia
F) Hypomagnesemia G)Hypocalcemia H) Anemia
Hypertensive nephrosclerosis,
Glomerulonephritis, ischemic kidney,
Clinical 1) Water and sodium metabolism disorders 2) Potassium Metabolic Disorders 3) metabolic acidosis 4) Hypertension 5) Neuromuscular disorders
exacerbation of chronic renal failure (Factors) 1)dehydration 2) congestive heart failure 3) Infection 4) urinary tract obstruction
Treatment Water and sodium restriction, control of blood pressure, protein intake restriction, potassium limitation, Calcium phosphorus intake , limitation
bicarbonate intake,
Limitation of nephrotoxicity Drugs, treatment of anemia (supply iron folic acid)