Part A: Day 1 Initially, Mr. K.B. lost water, sodium in the mucus content, and h
ID: 90425 • Letter: P
Question
Part A: Day 1 Initially, Mr. K.B. lost water, sodium in the mucus content, and hydrogen and chloride ions in the hydrochloric acid portion of the gastric secretions. Alkalosis develops for two reasons, the first being the direct loss of hydrogen ions and the second being the effects of chlo- ride ion loss. When chloride ion is lost in the gastric secretions, it is replaced by chloride from the serum (see Fig. 2-9). To maintain equal numbers of cations and anions in the serum, chloride ion and bicarbonate ion can exchange places when needed. Therefore more bicarbonate ions shift into the serum from storage sites in the erythrocytes to replace the lost chlo- ride ions. More bicarbonate ions in the serum raise serum pH, and the result is "hypochloremic alkalosis." 1. Which compartments are likely to be affected in this case by early fluid loss? 2. Explain how a loss of sodium ions contributes to dehydration. 3. Describe the early signs of dehydration in Mr. K.B.Explanation / Answer
Answer 1. Loss of water or dehydration leads to the damge of KEDNEY .For the effecient functoning of kedney proper amount of water must be present in the body And it may leads to the severe problems like Kedney stone , Constipation etc.
Answer 2. Na+ play role in ion equilibria. When Na+ is released out then water it self relesed to balance the ion concentrtion in the blood and body fluid. This situation results in dehydration.
Answer 3 . Early symptoms of dehydration in mr.K.B. :-
Answer 4. the pH of the serum in his body will be less than 7.2 after vomiting .This condition of decrease in pH due to loss of H+ result in ALKALOSIS.
Answer 5. After the loss of ions and water from the body he will need external electrolytes to balance the ion concentraton in his body. Many time pateint is given Normal Saline, which cope both ion and water loss from the body.
Answer 6. No one will able to compensate it by him self either he is Mr.K.B. or any younger person . It will take more time or otherwise you would have to take diet which balance the ion scarcity in the body.At very first our body tries it self to cope the ion defeciency.