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Water and Electrolyte Balance

Aug 19, 2025

Overview

This lecture covers the distribution, balance, and regulation of water and electrolytes in the human body, and explains their roles in cellular function and health.

Body Water Composition

  • The human body is made up mostly of water, with adults having about 37-42 liters.
  • Newborns are about 70% water; adult males are about 60% and adult females 55%.
  • Body water percentage decreases with increased body fat and with age, reaching around 45% in the elderly.
  • Proper hydration can reduce headaches, muscle aches, kidney stones, and may lower colon cancer risk.

Fluid Compartments and Electrolyte Basics

  • Body water is divided into intracellular (inside cells) and extracellular (outside cells) compartments.
  • Extracellular fluids include interstitial fluid, blood plasma, and cerebrospinal fluid.
  • Water in the body contains solutes (dissolved substances) such as proteins, glucose, and electrolytes.
  • Electrolytes dissociate into ions in water; cations have a positive charge, anions have a negative charge.
  • Composition of solutes varies between compartments; e.g., more proteins inside cells, more chloride anions outside.

Osmoregulation and Water Movement

  • Osmoregulation controls fluid balance and solute composition in the body.
  • Fluid compartments are separated by selectively permeable membranes allowing water movement by osmosis.
  • Osmosis is the passive movement of water from areas of high to low concentration.
  • Cells control electrolyte movement to indirectly regulate water distribution and keep osmolality equal inside and outside.
  • Sodium is much more concentrated in extracellular fluid than inside cells.

Effects of Solution Concentrations on Cells

  • Hypertonic solutions cause cells to shrink as water leaves the cell.
  • Hypotonic solutions cause cells to swell as water enters the cell.
  • Isotonic solutions have equal concentrations of dissolved particles inside and outside, so cell volume remains constant.
  • Cells actively pump electrolytes to maintain water volume and prevent cell damage.

Key Terms & Definitions

  • Electrolyte β€” substances that dissociate into charged ions when dissolved in water (e.g., sodium, potassium, chloride).
  • Cation β€” a positively charged ion.
  • Anion β€” a negatively charged ion.
  • Solute β€” dissolved substances in a solution.
  • Osmosis β€” the movement of water across a semi-permeable membrane toward higher solute concentration.
  • Extracellular Fluid β€” fluid outside cells, including interstitial and intravascular fluid.
  • Hypertonic β€” having higher osmotic pressure than another fluid, causing water to move out of cells.
  • Isotonic β€” having equal osmotic pressure inside and outside, resulting in no net water movement.
  • Hypotonic β€” having lower osmotic pressure than another fluid, causing water to move into cells.

Action Items / Next Steps

  • Review the next section: Water’s Importance to Vitality.
  • Complete any assigned interactive activities related to fluid and electrolyte balance.