1 Key terms for Fluid and Electrolytes Term: Intracellular fluid: Extracellular fluid: Interstitial fluid: Intravascular fluid: Osmolality: Starling’s Law of Capillary Forces: Filtration: Reabsorption: Hydrostatic Pressure: Osmotic pressure: Oncotic pressure: Edema: Generalized edema: Localized edema: Pitting or dependent edema: Hypertonic solution: Hypotonic solution: Isotonic solution: Description: Contained within the cell. 2/3 of total body water. Fluid outside of the cells. 1/3 total body water. Two compartments; interstitial fluid and intravascular fluid. Fluid between cells, outside of the blood vessels. Blood plasma or fluid within the blood vessels. The number of particles of a solute in a unit of solution. Serum osmolality is 280-310 mOsm/kg. The movement of fluid that occurs at every capillary bed using hydrostatic pressure and osmotic pressure (which includes oncotic pressure) Movement of both water and smaller molecules through a semi-permeable membrane from an area of high pressure to an area of low pressure. Fluid shifting back into the capillary from the interstitial space. Pressure exerted by fluid within a closed system such as intravascular space. Leads to movement (filtration) of water through the capillary membranes into the interstitial space. Power of a solution to attract water due to concentration. The concentration is through solutes in the solution. In the bloodstream, the concentration is created by electrolytes, nutrients and proteins. Also called colloidal oncotic pressure. Refers to the force exerted specifically by albumin in the bloodstream. Good fact to know is that albumin is indicative of the protein nutritional status of the body so low albumin means poor nutritional status Accumulation of fluid within the interstitial space and intercellular fluid Palpable swelling produced by expansion of the interstitial fluid volume; when massive and generalized, the excess fluid accumulation is called anasarca Increased interstitial fluid at a specific sight, generally due to trauma Due to gravity pressure on tissue, generally see in the extremities of the legs More particles (solutes) than the blood, less water Fewer particles (solutes) than the blood, more water Same tonicity of the blood. We use 0.9% normal saline or 305 mOsm/kg 2 Intake: Output: The amount of fluid a person takes into their body within a day is about 2400-3200ml, generally >1500mL for normal kidneys to function and 5001000mL from food. The amount of fluid that leaves the body within a day. Obligatory output should be 300-500mL/day or around 30-40mL/hr. Insensible water loss is about 100mL/day more if you have a fever