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submitted by โˆ—aladar50(41)
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Iโ€™m not the best at the calculations of ICF/ECF, but basically you are infusing a hypertonic solution into the animal. Initially, this is all going to go into the extracellular space, as any IV infusion will do. Since it is higher than isotonic solution, water is going to go from the intracellular space to the extracellular space to try to balance it out, so the intracellular space will have decreased volume and increased osmolality (since only water is leaving, making it more concentrated).

So you know for sure ICF volume is decreased and osmolality increased, and the extracellular volume will be increased. I think the osmolality of the extracellular space is the tricky part and the part where maybe someone else can help with the calculations but basically itโ€™s hypertonic enough that the osmolality will still be increased.

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btl_nyc  Since hypertonic solution was added, osmolality has to go up. The degree of the hypertonicity doesn't really matter. The fluid flowing out of the ICF will increase ICF osmolality. Since water follows salt, the water's gonna flow only until the ECF and ICF have the same tonicity. So if the ICF osmolality went up, the ECF osmolality also had to go up, because they both need to be equal after the water is done equilibrating. +21
krewfoo99  ECF fluid is hypertonic because we infused an hypertonic solution. ECF volume is going to go up because A) we added more volume via injection B) Sodium attracts water, and since hypertonic solution was given water goes from ICF to ECF ICF volume decreases because the water is going to ECF. This causes an increase in Intracellular osmolarity, since you have more solutes compared to water (Less water to dilute it) +1
cbrazell92  Dumb question, but how were we supposed to 5% saline was HYPERTONIC? What if it was 1%? +
btl_nyc  0.9% saline is isotonic. When "normal saline" is given to a patient in a hospital, it's 0.9%. I think that's something you're expected to know. The good news is that now you do. +2
an1  Isotonic: 0.9% saline, Ringer lactate, albumin Hypotonic: D/S 5%, 0.45% saline, D/S 5% in 0.45% saline (initially hypertonic but becomes hypo due to glucose metabolism) Hypertonic: 3% saline This example had 5% saline. As a rule, the higher the %age is, the more tonic the solution is and will pull fluid from the tissues in the vasculature (watch out for pulmonary oedema and fluid overload) This info is from a UW table +



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submitted by โˆ—chaosawaits(92)
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To answer this question, it may be easier to think of it as adding two different things: first, an isotonic saline solution up to the total volume added then later adding salt (thereby making a hypertonic solution). This will effectively demonstrate that the only real important addition is adding the salt.

Adding the isotonic solution will by definition not change the osmolality of ECF. Therefore, the only change is increased ECF volume.

Next, adding the salt obviously increases ECF osmolality, which increases ICF osmolality and decreases ICF volume as water moves into the ECF from the ICF. Since this change only further increases ECF volume, no further investigation is necessary.

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