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Fluid and Electrolyte Balance

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Care of the Critically Ill Patient

Abstract

The major function of the cardiorenal system is to maintain the fluid bathing the cells at a constant composition, for it is through this pericellular fluid that O2 and nutrients are delivered and waste products of metabolism removed. The early marine vertebrates had an extracellular fluid similar to that of their saltwater environment, but with evolution to fresh water and land there were various modifications, which included the development of an integument impermeable to water and modifications in renal function to allow the excretion or conservation of water and sodium according to the prevailing conditions.

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References

  1. Alfrey AC (1976) Disorders of magnesium metabolism. In: Schrier RW (ed) Renal and electrolyte disorders. Little Brown, Boston, pp 223–242

    Google Scholar 

  2. Belcher KH, Vetter H (1971) Radioisotopes in medical diagnosis. Butterworths, London

    Google Scholar 

  3. Bennett HS, Luft JH, Hampton JC (1959) Morphological characteristics of vertebrate blood capillaries. Am J Physiol 196: 381–390

    PubMed  CAS  Google Scholar 

  4. Bia M], De Fronzo RA (1981) Extrarenal potassium homeostasis. Am J Physiol 240: F257–268

    PubMed  CAS  Google Scholar 

  5. Borle AB (1974) Calcium and phosphate metabolism. Annu Rev Physiol 36: 361–390

    Article  PubMed  CAS  Google Scholar 

  6. Brenner BM, Stein JH (1978) Sodium and water homeostasis. Churchill Livingstone, Edinburgh

    Google Scholar 

  7. Christensen HN (1975) Biological transport, 2nd edn. Benjamin, London

    Google Scholar 

  8. De Fronzo RA, Sherwin RS, Dillingham M, Hendler R, Tamborlane WV, Felig P (1978) Influence of basal insulin and glucogen secretion on potassium and sodium metabolism. 1. Studies with somatostatin in normal dogs and diabetic human beings. J Clin Invest 61: 472–479

    Google Scholar 

  9. Edelman IS, Liebman J (1959) Anatomy of body water and electrolytes. Am J Med 27: 256–277

    Article  PubMed  CAS  Google Scholar 

  10. Gamble JL (1958) Clinical anatomy, physiology and pathology of extracellular fluid, 7th edn. Harvard University Press, Cambridge

    Google Scholar 

  11. Gennari FJ, Cohen JL (1975) Potassium homeostasis and acid base balance. Kidney Int 8: 1

    Article  PubMed  CAS  Google Scholar 

  12. Glynn IM (1968) Membrane ATP-ase and cation transport. Br Med Bull 24: 165–169

    PubMed  CAS  Google Scholar 

  13. Jamison RL, Maffly RH (1976) Osmotic concentration and dilution of urine. N Engl J Med 295: 1059

    Article  PubMed  CAS  Google Scholar 

  14. Jorgensen PL (1982) Mechanism of the Na+, K+ pump protein structure and conformations of the pure (Na+ + K+)-ATPase. Biochim Biophys Acta 694: 27–68

    PubMed  CAS  Google Scholar 

  15. Ruszynak I, Foldi M, Szabo G (1960) Lymphatics and lymph circulation. Elmsford, Pergamon, New York

    Google Scholar 

  16. Skelkurt EE (1976) Body water and electrolyte composition, Physiology, 4th edn. Little Brown, Boston

    Google Scholar 

  17. Stein WD (1967) The movement of molecules across cell membranes. Academic Press, New York

    Google Scholar 

  18. Strauss MB (1957) Body water in man. Little Brown, Boston

    Google Scholar 

  19. Verney EB (1947) Antidiuretic hormone and the factors which determine its release. Proc R Soc Lond (Biol) 135: 25–106

    Article  CAS  Google Scholar 

  20. Wiederhielm CA (1968) Dynamics of transcapillary fluid exchange. J Gen Physiol 52: 29–63

    Article  PubMed  CAS  Google Scholar 

  21. Wilbrandt T, Rosenberg T (1961) The concept of carrier transport. Pharmacol Rev 13: 109–183

    PubMed  CAS  Google Scholar 

  22. Wright EM (1983) Mechanisms of sodium transport across brush border and basolateral membranes. In: Gillest-Baillian M, Gilles R (eds) Intestinal transport. Springer-Verlag, Berlin

    Google Scholar 

  23. Wright FS (1974) Potassium transport by the renal tubule, vol 6. University Park Press, Baltimore (Physiology series one: kidney and urinary tract physiology) pp 79–105

    Google Scholar 

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© 1992 Springer-Verlag London Limited

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Thompson, F.D. (1992). Fluid and Electrolyte Balance. In: Tinker, J., Zapol, W.M. (eds) Care of the Critically Ill Patient. Springer, London. https://doi.org/10.1007/978-1-4471-3400-8_7

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  • DOI: https://doi.org/10.1007/978-1-4471-3400-8_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3402-2

  • Online ISBN: 978-1-4471-3400-8

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