Energy cost, fluid and electrolyte balance in subarctic survival situations

1964 ◽  
Vol 19 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Terence A. Rogers ◽  
James A. Setliff ◽  
John C. Klopping
Keyword(s):  
Body Weight ◽  
Cold Exposure ◽  
Technical Assistance ◽  
Urine Volume ◽  
Extracellular Fluid ◽  
Electrolyte Balance ◽  
Acid Base Balance ◽  
Ambient Temperatures ◽  
Base Balance ◽  
The Cost

In two experiments a total of 12 men were subjected to 5 days of starvation under survival conditions in the winter subarctic. They wore flying clothing rated at 3.5 clo. The caloric cost, as calculated from oxygen consumption, was 2,300 kcal/m2 for the first day and 2,000 kcal/m2 for subsequent days at ambient temperatures of -30 C. At -10 C the cost of subsequent days fell to 1,500 kcal/m2. The subjects lost 8% of body weight but regained 5% body weight after 5 days refeeding on a barely maintenance diet. One-third of the original (8%) weight loss was due to an isotonic contraction of extracellular fluid. Changes in heart rate, pulse pressure, and hematocrit consistent with this fluid contraction were observed. Although the water intake did not exceed the 5-day urine volume (5 liters), the subjects did not experience thirst until after return to the warm. Note:(With the Technical Assistance of William P. Esser and Kermitt R. Skrettingland) caloric cost; cold exposure; electrolyte balance in starvation; fasting; fluid balance in starvation; IMP, integrating motor pneumotachograph; fat carbohydrate and protein catabolism in cold exposure and starvation; cold diuresis; sodium, potassium and acid-base balance in acute starvation Submitted on June 3, 1963

scholarly journals Extracellular Acid-Base Balance and Ion Transport Between Body Fluid Compartments

Physiology ◽  
2017 ◽  
Vol 32 (5) ◽  
pp. 367-379 ◽  
Author(s):  
Julian L. Seifter ◽  
Hsin-Yun Chang
Keyword(s):  
Ion Transport ◽  
Ph Regulation ◽  
Extracellular Fluid ◽  
Transport Processes ◽  
Electrolyte Balance ◽  
Ph Homeostasis ◽  
Acid Base Balance ◽  
Acid Base ◽  
Base Balance ◽  
Fluid Compartments

Clinical assessment of acid-base disorders depends on measurements made in the blood, part of the extracellular compartment. Yet much of the metabolic importance of these disorders concerns intracellular events. Intracellular and interstitial compartment acid-base balance is complex and heterogeneous. This review considers the determinants of the extracellular fluid pH related to the ion transport processes at the interface of cells and the interstitial fluid, and between epithelial cells lining the transcellular contents of the gastrointestinal and urinary tracts that open to the external environment. The generation of acid-base disorders and the associated disruption of electrolyte balance are considered in the context of these membrane transporters. This review suggests a process of internal and external balance for pH regulation, similar to that of potassium. The role of secretory gastrointestinal epithelia and renal epithelia with respect to normal pH homeostasis and clinical disorders are considered. Electroneutrality of electrolytes in the ECF is discussed in the context of reciprocal changes in Cl−or non Cl−anions and [Formula: see text].

Body fluids and electrolytes after prolonged cardiopulmonary bypass

1964 ◽  
Vol 19 (4) ◽  
pp. 566-570 ◽  
Author(s):  
Dorothy Brinsfield ◽  
M. A. Hopf ◽  
S. E. Mayer ◽  
P. M. Galletti
Keyword(s):  
Hormonal Regulation ◽  
Extracellular Fluid ◽  
Cellular Level ◽  
Assisted Circulation ◽  
Electrolyte Balance ◽  
Acid Base Balance ◽  
Water Excretion ◽  
Electrolyte Retention ◽  
Base Balance ◽  
Total Body

Fluid and electrolyte balance was studied in 21 dogs after partial heart-lung bypass of 10 hr duration. Water retention was demonstrated by an increase in body weight and total body water, primarily due to an increase in extracellular fluid. Electrolyte retention was suggested by an increase in total extracellular sodium, potassium, and chloride. Urinary output was relatively normal but a progressive drop in urinary specific gravity was observed during bypass. Blood pH remained essentially unchanged. However, an increase in plasma lactate and a decrease in plasma bicarbonate suggested some degree of hypoxia and metabolic acidosis at the cellular level. Altered hormonal regulation of sodium and water excretion, hemolysis secondary to blood trauma, and the exchange of intracellular potassium for extracellular hydrogen ions were considered possible explanation for the fluid and electrolyte changes observed. assisted circulation; heart-lung bypass; acid-base balance; fluid balance; extracorporeal circulation; electrolyte changes with partial bypass; membrane oxygenator; disc oxygenator; bubble oxygenator Submitted on June 20, 1963

scholarly journals Status Asthmaticus

2017 ◽  
Vol 15 (9-10) ◽  
pp. 269
Author(s):  
J.S Partana
Keyword(s):  
Body Weight ◽  
Status Asthmaticus ◽  
Fluid Administration ◽  
Acid Base Balance ◽  
Acid Base ◽  
Extreme Caution ◽  
Electrolyte Disturbances ◽  
Oxygen Administration ◽  
Base Balance ◽  
Normal Acid

The therapy of status asthmaticus must be rational. Thus it is important to evaluate: 1. the severity and duration of an asthmatic attack. 2. the degree of dehydration. 3. whether infection plays a role. 4. all medication previously administered. 5. any possible complication.Treatment is as follows :Fluid and electrolyte therapy is important not only for the correction of dehydration and electrolyte disturbances but also for preventing inspissation of mucus in the bronchi. The best route of fluid administration is intravenous.Potassium iodide orally administered may be helpful as an expectorant.After hydration and normal acid-base balance have been established, epinephrine may be of benefit.Aminophylline is effective when administered intravenously. It should be used with extreme caution: the dose should not exceed 3 mg per kg of body weight, it should be given slowly and should not be given more frequently than every 8 hours.Corticosteroids should be administered, especially in cases who have received suppressive doses previously.Humidified oxygen administration is of the utmost importance.Antibiotics are recommended when infection is suspected.Management of complications.

Acid-base balance and plasma composition in the aestivating lungfish (Protopterus)

1977 ◽  
Vol 232 (1) ◽  
pp. R10-R17 ◽  
Author(s):  
R. G. DeLaney ◽  
S. Lahiri ◽  
R. Hamilton ◽  
P. Fishman
Keyword(s):  
Plasma Osmolality ◽  
Respiratory Acidosis ◽  
Electrolyte Balance ◽  
Plasma Composition ◽  
Total Plasma ◽  
Acid Base Balance ◽  
Acid Base ◽  
Plasma Bicarbonate ◽  
Arterial Ph ◽  
Base Balance

Upon entering into aestivation, Protopterus aethiopicus develops a respiratory acidosis. A slow compensatory increase in plasma bicarbonate suffices only to partially restore arterial pH toward normal. The cessation of water intake from the start of aestivation results in hemoconcentration and marked oliguria. The concentrations of most plasma constituents continue to increase progressively, and the electrolyte ratios change. The increase in urea concentration is disproportionately high for the degree of dehydration and constitutes an increasing fraction of total plasma osmolality. Acid-base and electrolyte balance do not reach a new equilibrium within 1 yr in the cocoon.

scholarly journals Effect of Simulated Matches on Post-Exercise Biochemical Parameters in Women’s Indoor and Beach Handball

2020 ◽  
Vol 17 (14) ◽  
pp. 5046
Author(s):  
Joanna Kamińska ◽  
Tomasz Podgórski ◽  
Jakub Kryściak ◽  
Maciej Pawlak
Keyword(s):  
Blood Parameters ◽  
Ion Concentration ◽  
Electrolyte Balance ◽  
Acid Base Balance ◽  
Acid Base ◽  
Urine Ph ◽  
Physically Active ◽  
Post Exercise ◽  
Before And After ◽  
Base Balance

This study assesses the status of hydration and the acid-base balance in female handball players in the Polish Second League before and after simulated matches in both indoor (hall) and beach (outdoor) conditions. The values of biochemical indicators useful for describing water-electrolyte management, such as osmolality, hematocrit, aldosterone, sodium, potassium, calcium, chloride and magnesium, were determined in the players’ fingertip capillary blood. Furthermore, the blood parameters of the acid-base balance were analysed, including pH, standard base excess, lactate and bicarbonate ion concentration. Additionally, the pH and specific gravity of the players’ urine were determined. The level of significance was set at p < 0.05. It was found that both indoor and beach simulated matches caused post-exercise changes in the biochemical profiles of the players’ blood and urine in terms of water-electrolyte and acid-base balance. Interestingly, the location of a simulated match (indoors vs. beach) had a statistically significant effect on only two of the parameters measured post-exercise: concentration of calcium ions (lower indoors) and urine pH (lower on the beach). A single simulated game, regardless of its location, directly affected the acid-base balance and, to a smaller extent, the water-electrolyte balance, depending mostly on the time spent physically active during the match.

Endocrine and metabolic emergencies

2016 ◽  
Keyword(s):  
Adrenal Gland ◽  
Glucose Control ◽  
Metabolic Disorders ◽  
Electrolyte Balance ◽  
Acid Base Balance ◽  
Acid Base ◽  
Nursing Assessment ◽  
Base Balance

This chapter covers common metabolic disorders, principally disorders of glucose control, acid–base balance, and electrolyte balance. The nursing assessment and management of thyroid and adrenal gland emergencies are also covered.

THERMAL PANTING AND THE INITIATION OF RESPIRATORY ALKALOSIS

1967 ◽  
Vol 45 (1) ◽  
pp. 1-12 ◽  
Author(s):  
E. Arnold Higgins ◽  
P. F. Iampietro
Keyword(s):  
Rectal Temperature ◽  
Control Period ◽  
Respiratory Alkalosis ◽  
Rate Of Change ◽  
Acid Base Balance ◽  
Experimental Conditions ◽  
Ambient Temperatures ◽  
Blood Ph ◽  
Temperature And Humidity ◽  
Base Balance

Forty-five dogs were exposed to nine different environmental conditions (five dogs per condition) consisting of three ambient temperatures (100 °F, 110 °F, and 120 °F) and relative humidities (30%, 60%, and 90%). After an initial control period of 30 minutes (ambient 21–24 °C) the animals were exposed to one of the experimental conditions for [Formula: see text] hours or until rectal temperature reached 42.0 °C. Under combined conditions of high temperature and humidity the non-biothermally involved consequences of panting became evidenced by an increase in blood pH, a decrease in blood CO2 (as a result of the thermally forced hyperventilation), and an increase in blood O2. The more severe the heat load (combined temperature and humidity) the greater was the rate of elevation of rectal temperature over control levels. It was evident that both relative humidity and ambient temperature were drives for increasing respiratory rate. It was also evident that increased humidity as well as increased temperature facilitated the rate of change of rectal temperature, blood pH, and blood CO2 and O2 concentrations. It appears possible that only under heat loads in which rectal temperature can be maintained at control levels by panting can the shift in acid–base balance be avoided.

Role of renal arterial pressure in the regulation of extracellular volume in conscious dogs

1992 ◽  
Vol 82 (3) ◽  
pp. 247-254 ◽  
Author(s):  
Gabriele Kaczmarczyk ◽  
Klaus Schröder ◽  
Dirk Lampe ◽  
Rainer Mohnhaupt
Keyword(s):  
Body Weight ◽  
Arterial Pressure ◽  
Sodium Excretion ◽  
Urine Volume ◽  
Extracellular Fluid ◽  
Fluid Volume ◽  
Extracellular Fluid Volume ◽  
Conscious Dogs ◽  
Central Venous ◽  
Infusion Period

1. This study in conscious dogs examined the quantitative effects of a reduction in the renal arterial pressure on the renal homoeostatic responses to an acute extracellular fluid volume expansion. 2. Seven female beagle dogs were chronically instrumented with two aortic catheters, one central venous catheter and a suprarenal aortic cuff, and were kept under standardized conditions on a constant high dietary sodium intake (14.5 mmol of Na+ day−1 kg−1 body weight). 3. After a 60 min control period, 0.9% (w/v) NaCl was infused at a rate of 1 ml min−1 kg−1 body weight for 60 min (infusion period). Two different protocols were applied during the infusion period: renal arterial pressure was maintained at 102 ± 1 mmHg by means of a servo-feedback control circuit (RAP-sc, 14 experiments) or was left free (RAP-f, 14 experiments). 4. During the infusion period, in the RAP-sc protocol as well as in the RAP-f protocol, the mean arterial pressure increased by 10 mmHg, the heart rate increased by 20 beats/min, the central venous pressure increased by 4 cmH2O and the glomerular filtration rate (control 5.1 ± 0.3 ml min−1 kg−1 body weight, mean ± sem) increased by 1 ml min−1 kg−1. 5. Plasma renin activity [control 0.85 ± 0.15 (RAP-f) and 1.08 ± 0.23 (RAP-sc) pmol of angiotensin I h−1 ml−1] decreased similarly in both protocols. 6. Renal sodium excretion, fractional sodium excretion and urine volume increased more in the RAP-f experiments than in the RAP-sc experiments (P<0.05), renal sodium excretion from 8.2 to 70.1 (RAP-f) and from 7.7 to 47.4 (RAP-sc) μmol min−1 kg−1 body weight, fractional sodium excretion from 1.1 to 8.0 (RAP-f) and from 1.0 to 5.4 (RAP-sc)% and urine volume from 39 to 586 (RAP-f) and from 38 to 471 (RAP-sc) μl min−1 kg−1 body weight. 7. In the RAP-f experiments as well as in the RAP-sc experiments, urinary sodium excretion increased with expansion of the extracellular fluid volume, which increased by a maximum of 21% (fasting extracellular fluid volume: 206 ± 4 ml/kg body weight, six dogs, 28 days). 8. The increase in renal arterial pressure contributed significantly to the renal homoeostatic response, as 21% less urine and 31% less sodium were excreted when the extracellular fluid volume was expanded and the renal arterial pressure was kept constant below control pressure rather than being allowed to rise. The differences in sodium and water excretion were mainly due to the effect of renal arterial pressure on tubular reabsorption. However, the striking increase in sodium and urine excretion which occurred despite the reduction in renal arterial pressure emphasizes the importance of other homoeostatic factors involved in body fluid regulation.

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