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22 Water and Electrolyte Balance: Kidney Function
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M H Dominiczak
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M Szczepanska-Konkel
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LEARNING OBJECTIVES
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After reading this chapter you should be able to:
  • Describe the body water compartments in the adult and the composition of the main body fluids.
  • Explain the role of albumin in movement of water between plasma and interstitial space, including the consequences of proteinuria.
  • Describe how sodium influences the movement of water between the extracellular and intracellular space.
  • Explain why sodium-potassium pump is essential for normal cell hydration, and comment on the consequences of its inhibition.
  • Describe factors affecting plasma potassium concentration.
  • Outline the process of urine formation and the mechanism of renal reabsorption of sodium and water.
  • Discuss relations between sodium and water homeostasis.
  • Describe the basics of the clinical assessment of water and electrolyte status.
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