From a physiologic perspective and based on multiple studies using various indicators, the most accurate estimate of the ECF in adult small animals is 27% of lean body weight. Dense connective tissue, cartilage, and bone also contain a small amount of ECF. The wide range in estimates of ECF volume likely results from the variety of techniques used to measure this space and the heterogeneity of ECFs, which include interstitial fluid (ISF), plasma, and transcellular fluids. ECF volumes reported for adult, healthy dogs and cats vary between 15% and 30% of body weight. Estimates of ECF vary dramatically with the indicator used. Unfortunately, data from dye dilution studies of ECF volume are difficult to interpret because no indicator is truly confined to the ECF space. Therefore, it is important to be able to estimate the volume of the ECF compartment and the volume of fluid lost to initiate appropriate fluid replacement and monitor fluid therapy. Fluid losses often are treated using parenteral fluids, which initially enter the ECF. For example, in diarrhea, a large volume of gastrointestinal fluid is lost in renal failure, a large volume of ECF may be excreted. Fluid shifts that occur during changes in hydration can have a marked effect on the ECF, and in most disease states, loss of fluids occurs initially from the ECF. Note the marked concentration differences for many electrolytes.Īny fluid not contained inside a cell is in the extracellular fluid compartment (approximately one third of total body water). Intracellular homeostasis is maintained by shifts in water, solutes, and numerous other substances across the cell membrane.įigure 1-2 Average values for electrolyte concentrations in extracellular and intracellular fluid. The composition of ICF is very different from extracellular fluid (ECF) ( Fig. The intracellular fluid (ICF) compartment comprises approximately 40% of body weight (approximately two thirds of total body water). The second edition of this book contains a more detailed discussion of the techniques involved in determination of total body water and the amount of fluid in the various compartments.Īs shown in Figure 1-1, the largest volume of fluid in the body is inside cells. Data from these kinds of studies vary with the protocol used and thus provide only approximations of fluid compartment sizes in healthy awake animals. Studies of body fluid compartments often are performed in experimental animals that have been anesthetized, splenectomized, or nephrectomized. Results are expressed either as a percentage of body weight, which is easy to measure when calculating fluid therapy needs, or as a percentage of total body water, which is a useful conceptualization of body fluid compartments. The volume of fluid in each of these compartments has been estimated using various isotope or dye dilution techniques and calculating their volumes of distribution. Body fluids in each compartment equilibrate with fluids in other compartments by multiple mechanisms across a wide variety of membranes to maintain homeostasis. Water is the major component of all body fluids, which are distributed into several physically distinct compartments. Formulas for estimating lean body mass are based on the assumptions that (1) in normal small animal patients, approximately 20% of body weight is due to fat, (2) morbid obesity increases body fat to approximately 30% of body weight, and (3) body weight is a reasonable estimate of lean body mass in thin patients: 21 Because fat has a lower water content than lean tissue, fluid needs should be estimated on the basis of lean body mass to avoid overhydration, especially in patients with cardiac or renal insufficiency or in those with hypoproteinemia. 35 Total body water was approximately 70% of total body weight in racing Greyhounds, likely due to low body fat content. 13 Neonatal dogs and cats have higher total body water content (80% of body weight) than adults (60% of body weight), 30 and an age-related decrease in total body water has been described in puppies and kittens during the first 6 months of life. In humans, total body water decreases with age and is lower in women than in men. 56 There are some species and individual variations in total body water, likely related to age, sex, and body composition. 26, 59 Total body water of adult cats also was determined to be approximately 60%. Estimates of total body water in adult dogs that are neither very thin nor obese are 534 to 660 mL/kg. In health, approximately 60% of an adult animal’s body weight is water.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |