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Intensive Care Medicine

Tutorial 184

Body Fluids – Part 1

Dr Matthew Gwinnutt

Heart of England NHS Foundation Trust

Dr Jennifer Thorburn

Sandwell and West Birmingham Hospitals NHS Trust

Correspondence: mgwinnutt@doctors.org.uk

21st JUNE 2010

Abstract

It is vital to maintain the optimal function of every individual cell and organ, as well as the body as a whole, that the right volume of fluid with the right composition is contained within the right compartment. It is important to have a good knowledge and understanding of the composition and volume of fluid in the various compartments, and the body’s regulatory mechanisms, in order to appreciate patients’ fluid shifts, losses, and replacement requirements in acute illness and the peri-operative period.