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Chapter 30

Fluid, Electrolyte, and Acid-Base Balance

体内の水分含有量と液体コンパートメント
体内の水分含有量と液体コンパートメント
Water is the main component of body fluids necessary for homeostasis. It is distributed as the intracellular fluid or ICF and the extracellular fluid or ...
体液の組成
体液の組成
Body fluid is mainly composed of water with dissolved electrolytes and non-electrolytes. Electrolytes, such as inorganic salts, acids, and bases are ...
コンパートメント間の流動的な動き
コンパートメント間の流動的な動き
The fluid exchange between intracellular and extracellular compartments occurs due to hydrostatic and osmotic pressure exerted by fluids against ...
水分摂取量の規制
水分摂取量の規制
Body hydration is a balance between water intake and output. An adult typically gains 2.5 L of water per day primarily through food and drink and ...
水出力の規制
水出力の規制
The human kidneys usually excrete approximately 500 mL of water daily along with about 600 mmol of urinary solutes. Due to this obligatory water loss, ...
水収支の乱れ
水収支の乱れ
Water is essential for normal body functions, but its excessive loss or gain may cause life-threatening conditions. Dehydration — the loss of water ...
電解質の役割:ナトリウムとカリウム
電解質の役割:ナトリウムとカリウム
Sodium is the primary cation of extracellular fluid, making up to 90% of extracellular cations. Its concentration in blood plasma ranges from 135 - 145 ...
電解質の役割:塩化物と重炭酸塩
電解質の役割:塩化物と重炭酸塩
Chloride and bicarbonate ions are important anions in the human body. Whereas chloride ion concentration in blood plasma is around 95 to 105 mEq/L, ...
電解質の役割:カルシウムとリン酸塩
電解質の役割:カルシウムとリン酸塩
Calcium, the most abundant mineral in the body, is mainly stored in the skeleton and teeth, combining with phosphate to form mineral salts. Similarly, ...
ナトリウムとカリウムの調節
ナトリウムとカリウムの調節
Sodium ion levels in the blood are regulated by four key hormones. The adrenal cortex releases aldosterone in response to low blood volume, low blood ...
酸塩基バランス
酸塩基バランス
Maintaining the pH of body fluids is crucial, as changes in hydrogen ion concentration can disrupt membrane stability, alter protein structures, and ...
体内の緩衝系
体内の緩衝系
Chemical buffers maintain stable fluid pH by absorbing hydrogen ions when pH drops and releasing them when pH rises. A typical buffer system in body ...
血漿および細胞中のタンパク質バッファー
血漿および細胞中のタンパク質バッファー
Protein buffer systems rely on the ability of amino acids to respond to pH alterations. If the pH increases, the carboxyl group in an amino acid can ...
リン酸バッファー
リン酸バッファー
The phosphate buffer system is vital in urine and intracellular fluid. It consists of sodium dihydrogen phosphate and sodium hydrogen phosphate. Since ...
重炭酸塩-炭酸バッファー
重炭酸塩-炭酸バッファー
The carbonic acid–bicarbonate buffer system works on the principle of bicarbonate ions acting as a weak base and carbonic acid functioning as a weak ...
酸塩基バランスの呼吸制御
酸塩基バランスの呼吸制御
The respiratory regulation of acid-base balance is a physiological process wherein the body adjusts its breathing rate in response to changes in the pH of ...
腎臓による酸塩基バランスの制御
腎臓による酸塩基バランスの制御
Metabolic reactions within the body generate nonvolatile acids, such as sulfuric acid. The body tackles this large acid load by regulating the renal ...
酸塩基バランスの障害
酸塩基バランスの障害
The normal pH range of systemic arterial blood is between 7.35 and 7.45. An arterial blood pH and bicarbonate concentration below 7.35 and 20 mEq/L ...
補償メカニズム
補償メカニズム
The body has compensatory mechanisms to counter the changes in blood pH that cause acidosis  or alkalosis. Respiratory compensation responds to ...
アシドーシスとアルカローシスの診断
アシドーシスとアルカローシスの診断
Assessing the pH, bicarbonate ion, and PCO2 levels in systemic arterial blood can identify acid-base imbalances. A change in PCO2 suggests, the problem is ...
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