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Acid–base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values. [6] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these. [44]
The anion gap is the quantity difference between cations (positively charged ions) and anions (negatively charged ions) in serum, plasma, or urine. The magnitude of this difference (i.e., "gap") in the serum is calculated to identify metabolic acidosis. If the gap is greater than normal, then high anion gap metabolic acidosis is diagnosed.
Calculated osmolarity = 2 Na + Glucose + Urea (all in mmol/L) As Na+ is the major extracellular cation, the sum of osmolarity of all other anions can be assumed to be equal to natremia, hence [Na+]x2 ≈ [Na+] + [anions] To calculate plasma osmolality use the following equation (typical in the US): = 2[Na +
The average daily excretion of sodium is between 40 and 220 mEq. [13] Normal serum sodium levels are between approximately 135 and 145 mEq/L (135 to 145 mmol/L). A serum sodium level of less than 135 mEq/L qualifies as hyponatremia, which is considered severe when the serum sodium level is below 125 mEq/L. [14] [15]
There is a significant difference between the concentrations of sodium and potassium ions inside and outside the cell. The concentration of sodium ions is considerably higher in the extracellular fluid than in the intracellular fluid. [23] The converse is true of the potassium ion concentrations inside and outside the cell.
[2] 290 mOsm/kg is the presumed stool osmolality, and the measured concentration of sodium and potassium cations is doubled to account for the corresponding anions which must be present. [citation needed] A normal gap is between 50 and 100 mOsm/kg, [3] corresponding to the concentration of other solutes such as magnesium salts and sugars ...
The net effect is an extracellular concentration of sodium ions which is 5 times the intracellular concentration, and an intracellular concentration of potassium ions which is 30 times the extracellular concentration. [1] The sodium–potassium pump was discovered in 1957 by the Danish scientist Jens Christian Skou, who was awarded a Nobel ...
When the concentration of sodium increases, the production of renin decreases, and the sodium concentration returns to normal. [103] The sodium ion (Na +) is an important electrolyte in neuron function, and in osmoregulation between cells and the extracellular fluid. This is accomplished in all animals by Na + /K +-ATPase, an active transporter ...