Page 1061 - Fundamentals of anatomy physiology
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1048  Unit 5  Environmental Exchange                              Table 27–1   Water Balance                            Daily Input (mL)
                                                                                                                                    1000
     &T i p s T r i c k s                                              Source                                                       1200
       Water movement between compartments, driven by osmotic          Water content of food                                          300
       pressure, is like water movements between compartments          Water consumed as liquid
       in a waterbed mattress: The total amount of fluid doesn’t       Metabolic water produced during catabolism                  2500
       change. Fluid merely moves from one compartment to an-                                                               Daily Output (mL)
       other, driven by pressure differences.                          Total
                                                                       Method of Elimination                                        1200
     Fluid Gains and Losses                                            Urination                                                      750
                                                                       Evaporation at skin                                            400
     Figure 27–3 and Table 27–1 indicate the major factors involved    Evaporation at lungs                                           150
     in fluid balance and highlight the routes of fluid exchange with  Loss in feces
     the environment:                                                                                                              2500
                                                                       Total
      	 Water Losses. You lose about 2500 mL of water each day
                                                                       in mitochondria. (In Chapter 25 we described the synthesis of
        through urine, feces, and insensible perspiration—the gradual  water at the end of the electron transport system. p. 969)
        movement of water across the epithelia of the skin and         When cells break down 1 g of lipid, 1.7 mL of water is gener-
        lungs. The losses due to sensible perspiration—the secretory   ated. Breaking down proteins or carbohydrates yields much
        activities of the sweat glands—vary with physical activity.    lower amounts (0.41 mL/g and 0.55 mL/g, respectively).
        Sensible perspiration can cause significant water deficits,
        with maximum perspiration rates reaching 4 liters per               A typical diet in the United States contains 46 percent
        hour. p. 990 Fever can also increase water losses. For         carbohydrates, 40 percent lipids, and 14 percent protein. Such
        each degree that body temperature rises above normal,          a diet produces approximately 300 mL of water per day, about
        daily insensible water losses increase by 200 mL. The ad-      12 percent of your average daily requirement.
        vice “Drink plenty of fluids” for anyone who is sick has a
        definite physiological basis.                                  Fluid Shifts

      	 Water Gains. A water gain of about 2500 mL/day is re-          A rapid water movement between the ECF and the ICF in re-
                                                                       sponse to an osmotic gradient is called a fluid shift. Fluid shifts
        quired to balance your average water losses. This value        occur quickly in response to changes in the osmotic concentra-
        amounts to about 40 mL/kg of body weight per day. You          tion of the ECF and reach equilibrium within minutes to hours
        obtain water through eating (1000 mL), drinking (1200 mL),     (Figure 27–4).
        and metabolic generation (300 mL).

     Metabolic generation of water is the production of water
     within cells, primarily as a result of oxidative phosphorylation

     Figure 27–3  Fluid Gains and Losses.  Fluid movements that maintain fluid balance in a normal person. The volumes are

     drawn to scale; the ICF is about twice as large as the ECF.

	27                                                                    Water absorbed across
                                                                         digestive epithelium
                                                                                (2200 mL)

                                                                                               Water vapor lost
                                                                                               at skin and lungs
                                                                                               (1150 mL)

     ICF  Metabolic                                                    ECF                     Water lost in
            water                                                                              feces (150 mL)
                                                                                               Water secreted
          (300 mL)                                                                             by sweat glands
                                                                                               (variable)

     Plasma membranes                                                  Water lost in urine
                                                                            (1200 mL)
   1056   1057   1058   1059   1060   1061   1062   1063   1064   1065   1066