Common electrolyte disorders (sodium, potassium, calcium, magnesium)

Author(s):  
John E. Arbo
1983 ◽  
Vol 17 (3) ◽  
pp. 175-185 ◽  
Author(s):  
Amin A. Nanji

A wide variety of pharmacologic agents have been implicated in a number of electrolyte disorders. The present review focuses on abnormalities of sodium, potassium, calcium, magnesium, and phosphate. Several mechanisms are involved in the pathogenesis of these disorders. These involve stimulation and modulation of other hormones (e.g., antidiuretic hormone, renin-angiotensin system, parathyroid hormone), damage to renal tubules, and, in some cases, a combination of factors. Recognition of these abnormalities is important because their presence may be life threatening or may aggravate the side effects of the drug itself.


Foods ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 1328
Author(s):  
Ewa Olechno ◽  
Anna Puścion-Jakubik ◽  
Katarzyna Socha ◽  
Małgorzata Elżbieta Zujko

Coffee brews, made by pouring water on coffee grounds or brewing in an espresso machine, are among the most popular beverages. The aim of this study was to summarize data on the content of macroelements (sodium, potassium, calcium, magnesium, and phosphorus) in coffee brews prepared with different methods, as well as to review the factors influencing the content of the elements. Studies from 2000 to 2020, published in the PubMed and Google Scholar databases, were reviewed. Taking into account the results presented by the authors, we calculated that one portion of coffee brew can cover 7.5% or 6.4% (for women and men) and 6.6% of the daily requirement for magnesium and potassium, respectively. Coffee provides slightly lower amounts of phosphorus (up to 2.2%), sodium (up to 2.2%), and calcium (up to 0.7% of the daily requirement for women and 0.6% for men). If coffee is drunk in the quantity of three to four cups, it can be an important source of magnesium, considering the risk of magnesium deficiency in modern societies.


1993 ◽  
Vol 27 (6) ◽  
pp. 455-462 ◽  
Author(s):  
Anete S. Grumach ◽  
Solange E.I. Jerônimo ◽  
Marcia Hage ◽  
Magda M.S. Carneiro-Sampaio

The composition of breast milk from brazilian mothers delivering low birthweight infants and its adequacy as a source of nutrients for this group has not yet been fully elucidated. A total of 209 milk samples from 66 women were analysed. The mothers were divided into three groups: G1, mothers delivering term babies of low birthweight (TSGA, n=16); G2, mothers delivering preterm babies of appropriate birthweight (PTAGA, n=20); G3, mothers delivering term babies of appropriate birthweight (TAGA, n=30). The following factors were analysed: osmolarity, total proteins and protein fractions, creamatocrit, sodium, potassium, calcium and magnesium. Milk samples were collected 48 h and 7, 15, 30 and 60 days after delivery. The groups did not differ significantly in terms of osmolarity, total proteins and fractions, creamatocrit, calcium, magnesium or potassium throughout the study period. Sodium levels were higher in all samples from mothers of TSGA infants and in samples from mothers of PTAGA infants on the 7th, 15th and 30th days than in milk from the TAGA group. The authors consider the needs of the low birthweight and TAGA infants and that these high sodium levels may be necessary for growth of low birthweight infants.


1996 ◽  
Vol 49 (2) ◽  
pp. 85-93
Author(s):  
Tetsuo YAMADA ◽  
Shin-ichi KURASAWA ◽  
Hisaya KASAHARA ◽  
Junzo HAYASHI

1988 ◽  
Vol 136 (1) ◽  
pp. 13-22 ◽  
Author(s):  
S. Morisawa ◽  
M. Morisawa

Spermatozoa of rainbow trout and chum salmon, which have no potential for motility in the testis, acquire that potential in the sperm duct. This paper demonstrates that there is little difference between the levels of sodium, potassium, calcium, magnesium, chloride and osmolality of the seminal plasma in the testis and in the sperm duct. However, the bicarbonate concentration of the seminal plasma and the pH value of semen were higher in the sperm duct than in the testis. When immotile spermatozoa obtained from the testis were incubated in artificial seminal plasma with a high pH and containing HCO3-, spermatozoa became motile within 1 h. These results suggest that spermatozoa of salmonid fish acquire the potential for motility as a result of the increase in seminal bicarbonate concentration and pH that occurs as spermatozoa pass from the testis to the sperm duct.


1970 ◽  
Vol 52 (2) ◽  
pp. 481-494
Author(s):  
J. F. SKIDMORE

1. Damage to the gill epithelium occurs when hatched fish are killed rapidly by solutions of zinc sulphate. 2. The rate of routine oxygen uptake by lightly sedated, quiet, rainbow trout did not alter on exposure to a rapidly toxic solution of zinc sulphate. However, oxygen utilization decreased seven-fold, gill ventilation volume increased six-fold, heart rate was halved, coughing rate increased 18-fold and the Po2 of dorsal aortic blood declined. 3. Unsedated trout usually struggled on exposure to zinc. The survival time of struggling fish was reduced and oxygen uptake increased, but other physiological changes were similar to those in quiet fish. 4. The respiratory changes in poisoned trout were generally similar to changes observed earlier in the same fish under hypoxia. 5. The osmotic concentration and the concentrations of sodium, potassium, calcium, magnesium and zinc in blood were largely unaffected by immobilization in zinc sulphate solution. Trout survived a four-fold increase in zinc concentration in the blood by injection. 6. The results suggest that epithelial damage decreased the permeability of the gills to oxygen, and did not increase their permeability to cations. Zinc was not a rapid internal poison. Death was probably caused by tissue hypoxia, when maximum gill ventilation was no longer sufficient to supply the oxygen needs of the fish.


2012 ◽  
Author(s):  
Matthew R Rosengart

Cell function and thus life depend on the preservation of several electrochemical gradients. Evolutionary pressures have developed several regulatory mechanisms, the penultimate goal of which is to maintain total body and distribution of each electrolyte within the intracellular and extracellular compartments at concentrations compatible with life. Ultimately, patient survival depends on this balance despite the continual changes imposed by both internal physiologic processes and external stressors. During periods of critical illness, however, these mechanisms can be overwhelmed, necessitating additional support. Indeed, disorders of electrolyte homeostasis are highly prevalent among intensive care unit patients, and severe disturbances are associated with elevated mortality. As has been previously learned, merely normalizing laboratory abnormalities without addressing the underlying pathophysiology does little to improve outcome. Thus, for those providing this care, an in-depth understanding of the biochemistry and physiology of electrolyte disorders and a systematic approach to diagnosis and therapy are complementary components essential for patient survival. This chapter discusses the major electrolytes—sodium, potassium, calcium and phosphate, and magnesium—and covers the hyper- and hypodeficiencies and disturbances for each electrolyte. This review contains 7 Figures, 6 Tables, 5 Etiologic Algorithms, and 106 References.


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