Interstitial 15 10.5 Sendak in Principles and Practice of Anesthesiology (2 nd ed), Longnecker et al.Salivary, hepatic, biliary, pancreatic, gi intraluminal, mucosal, dermal, intraocular, intrathecal % of body weight 70 kg male (l) Age- and Gender-related Changes in Total Body Water Total body water 60 42 Transcellular fluids: active transport mechanisms – e.g. “Cavitary” fluids: transudates of plasma – e.g.Interstitial fluid and lymph – Rapid exchange (with plasma) – Slow exchange.Our body fluids may subcategorize into intracellular and extracellular fluid compartments. 36 (2):259-273.Body Fluid Compartments Total body water = 60 % of body weight (BW) 2/3 Intracellular water = 40 % of BW 1/3 Extracellular water = 20 % of BW Plasma (4 % of BW) Extracellular Extravascular Water The average adult has roughly 65 fluid mass, with this value being slightly lower in females than males. Evaluation and Management of Dehydration in Children. Comparison between oral versus intravenous rehydration to treat dehydration in pediatric gastroenteritis. Evidence-based emergency medicine/systematic review abstract. Oral Ondansetron in Management of Dehydrating Diarrhea with Vomiting in Children Aged 3 Months to 5 Years: A Randomized Controlled Trial. Vol 3: 2623-34.ĭanewa AS, Shah D, Batra P, Bhattacharya SK, Gupta P. Rosen's Emergency Medicine: Concepts and Clinical Practice. Infectious diarrheal disease and dehydration. American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Acute Gastroenteritis. Practice parameter: the management of acute gastroenteritis in young children. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. 149(5):726.Īlhashimi D, Alhashimi H, Fedorowicz Z. Oral ondansetron decreases the need for intravenous fluids in children with gastroenteritis. Effect of Dilute Apple Juice and Preferred Fluids vs Electrolyte Maintenance Solution on Treatment Failure Among Children With Mild Gastroenteritis: A Randomized Clinical Trial. įreedman SB, Willan AR, Boutis K, Schuh S. Fruit Juice in Infants, Children, and Adolescents: Current Recommendations. Heyman MB, Abrams SA, SECTION ON GASTROENTEROLOGY, HEPATOLOGY, AND NUTRITION., COMMITTEE ON NUTRITION. Oral ondansetron for gastroenteritis in a pediatric emergency department. Oral versus intravenous rehydration of moderately dehydrated children: a randomized, controlled trial. Spandorfer PR, Alessandrini EA, Joffe MD, Localio R, Shaw KN. The BUDDY (Bedside Ultrasound to Detect Dehydration in Youth) study. Jauregui J, Nelson D, Choo E, Stearns B, Levine AC, Liebmann O, et al. Jeyasekharan Medical Trust Advertisement Advertisement Recommended Lecture 6 (body fluid) Ayub Abdi 3. Jauregui J, Nelson D, Choo E, Stearns B, Levine AC, Liebmann O, et al. body fluid compartments Anu Priya Follow Observer at Dr. Clinical Procedures in Emergency Medicine. Pediatric vascular access and blood sampling techniques. Usefulness of the serum electrolyte panel in the management of pediatric dehydration treated with intravenously administered fluids. Fluid movement from the intravascular to interstitial and. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. There are three major fluid compartments intravascular, interstitial, and intracellular. Pediatric diabetic ketoacidosis, fluid therapy, and cerebral injury: the design of a factorial randomized controlled trial. The volume of total body water is 60 in male and 50 in female patients, and declines with age. Glaser NS, Ghetti S, Casper TC, Dean JM, Kuppermann N. Singhi SC, Shah R, Bansal A, Jayashree M. Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective. Sterns RH, Cappuccio JD, Silver SM, Cohen EP. Keeping this balance, called homeostasis, is the main job. Sweating depletes your tissues of water and increases the solute concentration in those tissues. For example, if you are sweating, you will lose water through your skin. Language guiding therapy: the case of dehydration versus volume depletion. Your body wants fluid, salts, and wastes to be in balance between your three fluid compartments. In the body, water moves constantly into and out of fluid compartments as conditions change in different parts of the body.
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