EBK PRINCIPLES OF ANATOMY AND PHYSIOLOG
EBK PRINCIPLES OF ANATOMY AND PHYSIOLOG
16th Edition
ISBN: 9781119662686
Author: DERRICKSON
Publisher: VST
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Chapter 27, Problem 4CP
Summary Introduction

To review:

The ways in which osmolarity of the body fluid is regulated by atrial natriuretic peptide (ANP), aldosterone, and antidiuretic hormone (ADH).

Introduction:

Sweating and exhalation are the routes through which the water and solutes are lost from the body. However, the main route for solute and water loss is in urine. The loss of water results in increased osmolarity of the blood and this is regulated by the hormones aldosterone, ANP, and ADH.

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1. There is a medical condition called Syndrome of Inappropriate Anti-Diuretic Hormone (SIADH) secretion, which can occur as a result of head trauma. Patients with this condition retain water and present with a volume imbalance. A) Name the type of volume imbalance and accompanying direction of changes in ICF and ECF volumes and osmolality.  B) Calculate the changes in osmolality and volumes of extracellular and intracellular fluid compartments if 3 liters of water are retained by a patient with SIADH. You can assume that the patient’s initial volumes were ECF=14 L, ICF=28 L. And his initial body osmolality = 290 mOsM. Remember that the total solute in the ICF compartment is kept in place by the cell membrane barrier.
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