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Introduction To Physiology & Body Fluids

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BODY FLUID

COMPARTMENTS

DR. AJAK MAKOR


MBBS, MMED SURGERY
06/05/2024
Objectives:
1. Discuss the distribution of total body water
(TBW) in the human body
2. Explain the principles of TBW
measurements.
3. Define functional units used in measuring
physiological properties
Body Composition
The average young adult male’s body is composed
of the following;
a. 18% of the body weight is protein and related
substances.
b. 7% is mineral.
c. 15% is fat.
d. The remaining 60% is water.
Total body fluid is divided into ICF and ECF
ECF is divided into three components: the circulating
plasma in blood vessels, the interstitial fluid and the
transcellular fluid.
FLUID COMPARTMENTS

EXTRA CELLUAR INTRA CELLULAR FLUID


FLUID

PLASMA INTERSTITIAL TRANSCELLULAR


FLUID FLUID

1. CSF
2. Intra ocular
3. Pleural
4. Peritoneal
5. Synovial
Factors Affecting Total Body Water
Varies depending on body fat:
1. Infant: 73-80%
2. Male adult: 60%
3. Female adult: 40-50%
4. Effects of obesity
5. Old age 45%
6. Climate Level of physical activity
Percentage of water in tissues
Regulation of Water Intake
The hypothalamic thirst center is stimulated:

1. By a decline in plasma volume of 10%–


15%.
2. By increases in plasma osmolality of 1–2%
3. Via baroreceptor input, angiotensin II, and
other stimuli.
Solutes:
Dissolved particles:
1. Electrolytes – charged particles
1. Cations – positively charged ions
Na+, K+ , Ca++, H+
2. Anions – negatively charged ions
Cl-, HCO3- , PO43-
2. Non-electrolytes - Uncharged
1. Proteins, urea, glucose, O2, CO2
Osmosis
The diffusion of solvent molecules into a
region in which there is a higher
concentration of a solute to which the
membrane is impermeable—is called
osmosis.
One osmole (Osm) equals the gram-
molecular weight of a substance divided by
the number of freely moving particles that
each molecule liberates in solution.
Osmolarity

Osmolarity is the number of osmoles per


liter of solution (e.g, plasma).
Osmolality
Osmolality is the number of osmoles
per kilogram of solvent.
Osmotic Pressure
Osmotic pressure of a solution is the
pressure needed to keep it in equilibrium
with pure water.
The higher the concentration of solutes in a
solution, the higher its osmotic pressure.
Cont.
In a semipermeable membrane;
1. Movement of some solute is obstructed
2. H2O (solvent) crosses freely
3. End point:
1. H2O moves until solute concentration on
both sides of the membrane is equal
2. Or, an opposing force prevents further
movement
Units for Measuring Concentration
of Solutes
Moles: A mole is the molecular weight of a
substance in grams.
Each mole (mol) consists of 6 ×10 23 molecules.
The millimole (mmol) is 1/1000 of a mole.
The micromole (μmol) is 1/1,000,000 of a mole.
Thus; 1 mol of NaCl = 23 g + 35.5 g = 58.5 g, and 1
mmol = 58.5 mg.
Oncotic Pressure
This is the pressure needed to push back
protein that have leaked into the
interstituim back to the blood vessels.
Tonicity
Tonicity is the ability of a solution to cause a
cell to gain or lose water – based on the
concentration of solutes.

Solutions that have the same osmolality as


plasma are said to be isotonic.
Solutions with greater osmolality are
hypertonic.
Solutions with lesser osmolality are
hypotonic.
Cont.
If 2 solutions have equal [solutes], they are
called isotonic.
If one has a higher [solute], and lower
[solvent], it is said to be hypertonic.
The one with a lower [solute], and higher
[solvent], it is said to be hypotonic.
Hypotonic solution Isotonic solution Hypertonic solution

H2O H2O H2O H2O

Lysed Normal Shriveled


Equivalents
The concept of electrical equivalence is important
in physiology because many of the solutes in the
body are in the form of charged particles.
One equivalent (eq) is 1 mol of an ionized
substance divided by its valence.
One mole of NaCl dissociates into 1 eq of Na+ and
1 eq of Cl–
One equivalent of Na+= 23 g, but 1 eq of Ca2+ =
40 g/2 = 20 g.
The milliequivalent (meq) is 1/1000 of 1 eq.
Measurement of TBW
TBW is measured by application of the
indicator dilution principle as follows;
A known amount of an indicator substance
that can penetrate cell membrane to be
diluted in both ECF and ICF such as
(aminopyrine, deuterium or tritium oxide)) is
intravenously injected into the subject.
Its concentration in the plasma is then
determined after a few minutes and the TWB
volume is calculated by dividing amount of the
injected indicator by its plasma concentration.
.
Criteria for a suitable Dye

1. Must mix evenly throughout the compartment


2. Non toxic, no physiological activity
3. Even mixing
4. Must have no effect of its own on the
distribution of H2O or other substances in the
body
5. Either it must be unchanged during the
experiment or if it changes , the amount
changed must be known.
6. The material should be relatively easy to
measure.
ECF Measurement
ECF is measured by application of the
indicator dilution principle as in measurement
of TBW but the indicator substance used in
this case should not penetrate cell
membranes, it must be diluted in the ECF
only such as sucrose, mannitol and inulin.
ICF Measurement
ICF is measured indirectly by subtracting
the ECF volume from the TBW.
Interstitial fluid can not be measured
directly too but the ECF / plasma volume is
determined first, then the difference
between them equals the tissue/interstitial
fluid volume
1012 Tera T
109 Giga G
Units of Measure in 106 Mega M
Physiology 103 Kilo k
• International Metric System 10 Hecto h
in Science; 10 Deka da
– Liquid- Liter, L 10-1 Deci D
– Solid- Grams, g 10-2 Centi c
– Length- Meters, m 10-3 Milli m
– Molecule concentration- 10-6 Micro µ
moles 10-9 Nano n
10-12 Pico p

10-15 Femto f

10-18 atto a
Converting Units
• Conversion of units is very important in any field

1 cc = 1mL
5 mL = 1 tsp
1 kg = 2.2 lb = 35.3 oz
1 m = 39.37 in = 3.28 ft
1m2 = 10.76 ft2
2.24cm = 1in
3.28 ft = 1m
???
Thank
You

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