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Whereas osmolality (with an "l") is defined as the number of osmoles (Osm) of solute per kilogram of solvent (osmol/kg or Osm/kg), osmolarity (with an "r") is defined as the number of osmoles of solute per liter (L) of solution (osmol/L or Osm/L). As such, larger numbers indicate a greater concentration of solutes in the plasma.
According to IUPAC, osmolality is the quotient of the negative natural logarithm of the rational activity of water and the molar mass of water, whereas osmolarity is the product of the osmolality and the mass density of water (also known as osmotic concentration). [1]
Normal serum osmolality ranges from 280 to 290 mOsm/kg and serum osmolality to cause water removal from brain without much side effects ranges from 300 to 320 mOsm/kg. Usually, 90 mL of space is created in the intracranial vault by 1.6% reduction in brain water content. [1] Osmotherapy has cerebral dehydrating effects. [2]
In healthy humans with restricted fluid intake, urine osmolality should be greater than 800 mOsm/kg, while a 24-hour urine osmolality should average between 500 and 800 mOsm/kg. [citation needed] Urine osmolality in humans can range from approximately 50 to 1200 mOsm/kg, depending on whether the person has recently drunk a large quantity of ...
Urine osmolality in mOsm/kg, after fluid deprivation [3] After desmopressin [3] or vasopressin; Normal > 800 > 800 (<10% increase) a defect in ADH production (central/neurogenic diabetes insipidus) < 300 > 800 (>50% increase) a defect in the kidneys' response to ADH production (nephrogenic diabetes insipidus) < 300 < 500 (<50% increase)
Oncotic pressure values are approximately 290 mOsm per kg of water, which slightly differs from the osmotic pressure of the blood that has values approximating 300 mOsm /L. [citation needed] These colloidal solutions are typically used to remedy low colloid concentration, such as in hypoalbuminemia, but is also suspected to assist in injuries ...
The osmolality of iohexol ranges from 322 mOsm/kg—approximately 1.1 times that of blood plasma—to 844 mOsm/kg, almost three times that of blood. [11] Despite this difference, iohexol is still considered a low-osmolality contrast agent; the osmolality of older agents, such as diatrizoate, may be more than twice as high.
[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 ...
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