Fluid and Electrolyte Loss Associated with Various Body Secretions

Description

Increased body fluid loss following surgery, drainage or environmental factors can impact fluid and electrolyte balance.

loss for electrolyte in mmol/L =

= (volume of fluid loss in liters) * (concentration of electrolyte in mmol/L)

where:

• For bicarbonate, chloride, potassium and sodium, mEq/L = mmol/L

For the most accurate determinations, the fluid volume and composition should be accurately measured. 4 different tables of electrolyte composition were reviewed for the table below and all gave different values.

Fluid	Electrolyte	Range in mmol/L
bile	bicarbonate	35
	chloride	89 - 180
	potassium	3 - 12
	sodium	131 - 164
CSF	bicarbonate	25
	chloride	122 - 128
	potassium	2.5 – 4.5
	sodium	130 - 150
diarrheal stool	bicarbonate	30 - 50
	chloride	30 - 120
	potassium	10 - 40
	sodium	20 - 160
duodenum	bicarbonate	4 - 21
	chloride	104
	potassium	5
	sodium	140
gastric juice, with parietal cell secretion (acidic)	bicarbonate	0
	chloride	8 - 160
	potassium	5 - 15
	sodium	20 - 70
gastric juice, without parietal cell secretion (neutral to weakly alkaline)	bicarbonate	25 - 40
	chloride	80 - 120
	potassium	5 - 15
	sodium	70 - 150
ileum	bicarbonate	30
	chloride	43 - 137
	potassium	2 - 8
	sodium	80 - 150
pancreatic fluid	bicarbonate	66 - 127
	chloride	54 - 95
	potassium	3 - 7
	sodium	113 - 185
saliva	bicarbonate	2 - 13
	chloride	10 - 40
	potassium	15 - 40
	sodium	10 - 25
sweat	bicarbonate	0
	chloride	5 - 70
	potassium	5 - 15
	sodium	5 - 80
transudates	bicarbonate	24 - 29
	chloride	90 - 110
	potassium	2.5 - 5
	sodium	130 - 145

To read more or access our algorithms and calculators, please log in or register.

Fluid and Electrolyte Loss Associated with Various Body Secretions

Description

Specialty