Page 133 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Causes of Hyperhydration

                      GFR              Edemas
                                                       Glucose
                                                                       Salt Balance
                                   Hypovolemia

                                  ADH
                                  Aldosterone
                  H 2 O  Na +                                          and
                                 Excretion falls
                                                            NaCl
                 H 2 O  NaCl

             Hypotonic   Isotonic   Hypertonic                         Disorders of Water
                  hyperhydration
        B.  Causes of Dehydration
                                                                       Plate 5.16
                                                        Losses
                                                        to the ‘outside’:

                                ADH        Diarrhea,
                                           intestinal fistula
                               Aldosterone
                H 2 O  Na +                 Na +  H 2 O  Sweating,
                                                        burns
                             Excretion rises
               H 2 O  NaCl                              Losses
                                                        to the ‘inside’:
                                                        ileus, ascites,
           Hypertonic    Isotonic    Hypotonic  Blood loss  edemas
                 dehydration
        C.  Most Important Effects of Hyperhydration and Dehydration
                Hyperhydration                 H 2 O  NaCl
           NaCl    H 2 O
                                                      ECS

             ECS                                        Central venous
                                               ICS      pressure    ,
                   ICS                                  tachycardia,
                                                        collapse
        Blood
        pressure                                     Blood  Hypovolemia
             Edema                                 pressure
             formation
                                         CNS disorders
                Cerebral edema                      Oliguria  Urolithiasis
                                                Dehydration           123

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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