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define dehydration
dehydration is an extracellular fluid volume deficit, resulting from inadequate water intake, excessive water loss or both. the body loses more water than it takes in
describe isotonic
equal loss of water and electrolytes
symptoms = dry skin, increased HB, decreased BP, fatigue
due to = diarrhoea, vomiting, bleeding, excessive sweating
treatment = oral rehydration salts or isotonic IV fluids
complications = hypovolemic shock
describe hypotonic
more electrolytes lost than water
symptoms = muscle cramps, headache, confusion
due to = excessive sweating, lack of salt intake
treatment = sports drinks, IV saline intake
complications = cellular swelling in brain → brain edema
describe hypertonic
more water lost than electrolytes
symptoms = thirst, dry mouth, irritability, seizures, muscle twitching
due to = high fever, not enough water intake, medications (e.g diuretics), excessive sweating
treatment = rehydration with hypotonic solution
complications = cell shrinkage
define hyperhydration
excess water in body leading to dilution of electrolytes
describe isotonic for hyper hydration
excess water and electrolytes
symptoms = swelling, bloating, increased BP
due to = fluid retention, excessive IV fluids
treatment = diuretics
complications = stress of heart or kidneys
describe hypotonic for hyper hydration
water is more in excess than electrolytes
symptoms = nausea, headache, confusion, seizures
due to = drinking excessive amounts of water without electrolytes (common in athletes)
treatment = Restrict water intake
complications = brain swelling → coma or death
describe hypertonic for hyper hydration
electrolytes are more in excess than water
symptoms = intense thirst, dry mouth, confusion, dizziness
due to = ingesting large amounts of salt water (Rare)
treatment = rehydration with hypotonic solutions
complications = cell dehydration and kidney damage