Transcription of Management of Ileostomy and other GI Fluid Losses
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Management of Ileostomy and other GI Fluid Losses
Management of Ileostomy and other GI Fluid LossesMorbidity and Mortality ConferenceApril 29, 2005 Kings County HospitalSajani Shah MDManagement of Ileostomy and other GI Fluid LossesAnatomy of Body FluidszMales: water constitutes 60% of body weightzFemales: water constitutes 50% of body weightzFunctional compartments of body fluids: Intracellular space 40% of body weight Extracellular space 20% of body weightzInterstital 15%zPlasma 5%Body CompartmentsDryIntracellularInterstitial Plasma40%40%15%5% Fluid CompartmentsAnatomy of Body FluidszChanges with age: Newborns 75-80% of body weight is water One year 65 % of body weight is water Adult males 60%, females 50%Gamble JL: Lane Medical Lectures. Companion of water and electrolytes in the organization of body fluids. Stanford University Publication, vol V, Number 1, 1951 Intracellular Fluid Spacez40% of body weightzLargest proportion is in skeletal musclezLarger percentage of water is Intracellular in males (large muscle mass)zCations = Potassium & MagnesiumzAnions = Phosphates and ProteinsExtracellular Fluid Spacez20% of body weight Interstitial 15%, Plasma 5% Cations = Sodium Anions = Chloride and Bicarbonate Has a small nonfunctioning componentzConnective tissue waterzTranscellular (CSF, Joint Fluid , etc)Water BalanceNormal Exchange of Fluid & ElectrolyteszWater exchange: Average adul
Management of Ileostomy and other GI Fluid Losses Morbidity and Mortality Conference April 29, 2005 Kings County Hospital Sajani Shah MD
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