This note covers dehydration, electrolyte imbalances, their causes, effects, and related information.
Common electrolytes involved in imbalances:
Calcium (Ca)
Magnesium (Mg)
Potassium (K)
Sodium (Na)
Dehydration is the loss of body fluids due to various factors:
Sweating
Vomiting
Diarrhea
Burns
Cancer
Organ failure
Fever
Medications and substance use disorders
Excessive bleeding
Hormonal imbalances
Dehydration (loss of body fluids) can lead to electrolyte imbalances. These imbalances involve disruptions in the levels of essential minerals like sodium, potassium, and magnesium.
Symptoms range from
(muscle cramps) to severe (heart arrhythmias).
When the body loses fluids, it also loses electrolytes.
Electrolytes are essential for organ function, including muscles and nerves.
Electrolyte concentrations increase, disrupting the body’s normal balance.
Sodium (Na+):
Controls fluid levels.
Aids in muscle and nerve function.
Potassium (K+):
Supports heart, nerve, and muscle function.
Helps move nutrients and waste in and out of cells.
Supports metabolism.
Calcium (Ca+):
Helps blood vessels to contract and expand (vasoconstriction/vasodilation) to stabilize blood pressure.
Supports communication between nerves.
Chloride (Cl-):
Maintains healthy blood volume, blood pressure, and body fluids.
Magnesium (Mg+):
Aids in nerve and muscle function.
Promotes healthy bones and teeth.
Phosphate (PO4):
Supports skeletal, muscle, and nerve function.
Bicarbonate (HCO3):
Helps maintain acid-base balance in the blood.
Moves CO_2 (a waste product) through the blood.
Maintains electrochemical gradients across cell membranes using Sodium (Na+) and Potassium (K+).
Thirst
Fatigue
Dry mouth or tongue
Dry skin
Headache
Decreased urine output or darker yellow urine
Dry skin
Poor skin turgor
Sunken eyes
Tachycardia
Hypotension
Pale skin
Cold hands and feet
Fluid needs vary based on:
Age
Activity level
Overall health
Pregnancy
Breastfeeding
Medications
Environmental temperatures
General Recommendation:
6-8 glasses (8 oz/per container) of fluid daily is adequate for most individuals, but this may vary.
Dehydration can cause some electrolytes to become more concentrated in the blood, depending on the amount of fluid loss.
Hematocrit (HCT)
Sodium (Na+)
Potassium (K+)
Creatinine (Creat.) & Blood Urea Nitrogen (BUN)
Albumin
Lipids