Fluid deficits

Descripción

Clinical Pathology Mapa Mental sobre Fluid deficits, creado por karahm el 30/03/2014.
karahm
Mapa Mental por karahm, actualizado hace más de 1 año
karahm
Creado por karahm hace más de 10 años
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Resumen del Recurso

Fluid deficits
  1. Isotonic dehydration
    1. Proportionally equivalent amounts of water and solute (Na, Cl) are lost from the body
      1. Plasma Na & Cl concentrations stay constant/unchanged
        1. Hemoconcentration possible (increased PCV & plasma protein)
        2. Hypertonic dehydration
          1. Free water loss > solute loss
            1. See increased Na & Cl (b/c solute free water lost from body)
              1. Hemoconcentration likely
                1. Examples
                  1. Diabetes insipidus
                    1. Lack of ADH or no response to ADH- unable to retain free water Patient can compensate with adequate water intake
                    2. Osmotic diarrhea
                      1. Nonabsorbable drugs (lactulose), sugar
                      2. Osmotic diuresis
                        1. IV mannitol administration (water follows mannitol)
                    3. Hypotonic dehydration
                      1. Solute (Na & Cl) loss > water loss
                        1. See decreased Na & Cl b/c solute-rich water is lost
                          1. Hemoconcentration likely
                            1. Predominant loss of electrolytes results in simultaneous contraction of ECF volume to restore osmotic equilibrium, many dz can result in electrolyte loss (through kidney, GI, skin/sweat, 3rd space) which induces secondary water loss (water follows electrolytes)
                              1. Examples
                                1. Secretory diarrhea
                                  1. Vomiting
                                    1. Profuse sweating in horses
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