Fluid Compartments and Osmolarity - Anatomy and Physiology

  1. A 70 kg man's body is 60 percent water. What is his total body water?
    42 L, because 0.60 x 70 kg = 42 kg of water, and 1 kg of water is about 1 L.
  2. What fraction of total body water is intracellular fluid?
    About two-thirds; the remaining one-third is extracellular fluid.
  3. A person rapidly drinks a large volume of pure water. How do ECF osmolarity and ICF volume change?
    ECF osmolarity falls, so water moves into cells by osmosis and ICF volume increases (ECF volume rises as well).
  4. A patient receives an infusion of hypertonic saline. How do ICF and ECF volumes change?
    ECF osmolarity rises, so water moves out of cells: ICF volume decreases and ECF volume increases.
  5. What are the two main subdivisions of the extracellular fluid, and which is larger?
    Interstitial fluid and plasma. Interstitial fluid is larger, about three-quarters or more of the ECF.
  6. How does tonicity differ from osmolarity?
    Osmolarity counts all solute particles; tonicity reflects only solutes that cannot cross the cell membrane, so it determines whether cells swell or shrink.
  7. About what percentage of body weight is water in an average young adult male?
    About 60 percent.
  8. What is transcellular fluid?
    A small part of the ECF found in epithelium-lined spaces, such as cerebrospinal, synovial, pleural, and intraocular fluids.
  9. A patient receives an IV infusion of isotonic (0.9 percent) saline. How do ECF volume, ICF volume, and osmolarity change?
    ECF volume increases, while ICF volume and osmolarity stay essentially unchanged, because no osmotic gradient forms across cell membranes.
  10. Why do people with a higher proportion of body fat have a lower percentage of body water?
    Adipose tissue contains little water compared with lean tissue such as muscle.
  11. A person has 42 L of total body water, two-thirds of it intracellular. What is the intracellular fluid volume?
    28 L (two-thirds of 42 L), leaving 14 L of extracellular fluid.
  12. What is the normal osmolarity of plasma?
    About 285 to 295 mOsm/L (roughly 290), essentially equal in the ICF and ECF at steady state.

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