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13 Appendix

378

Since it is normally not possible to separately determine k and A of a biological membrane or cell layer, the product of the two (k · A) is often calculated as the ultrafiltration coefficient Kf

(m3 s–1 Pa–1) (cf. p. 152).

The transport of osmotically active particles causes water flow. Inversely, flowing water drags dissolved particles along with it. This type of solvent drag (! p. 24) is a form of convective transport.

Solvent drag does not occur if the cell wall is impermeable to the substance in question (σ = 1). Instead, the water will be retained on the side where the substance is located. In the case of the aforementioned epithelia, this means that the substances that cannot be reabsorbed from the tubule or intestinal lumen lead to osmotic diuresis (! p. 172) and diarrhea respectively. The latter is the mechanism of action of saline laxatives (! p. 262).

Oncotic Pressure / Colloid Osmotic Pressure

As all other particles dissolved in plasma, macromolecular proteins also exert an osmotic pressure referred to as oncotic pressure or colloid osmotic pressure. Considering its contribution of only 3.5 kPa (25 mm Hg) relative to the total osmotic pressure of the small molecular components of plasma, the oncotic pressure on a strictly semipermeable membrane could be defined as negligible. However, within the body, oncotic pressure is so important because the endothelium that lines the blood vessels allows small molecules to pass relatively easily (σ ! 0). According to equation 13.3, their osmotic pressure difference Δπ at the endothelium is virtually zero. Consequently, only the oncotic pressure difference of proteins is effective, as the endothelium is either partly or completely impermeable to them, depending on the capillary segment in question. Because the protein reflection coefficient σ #0 and the protein content of the plasma (ca. 75 g/L) are higher than that of the interstitium, these two factors counteract filtration, i.e., the blood pressure-driven outflow of plasma water from the endothelial lumen, making the endothelium an effective volume barrier between the plasma space and the interstitium.

If the blood pressure drives water out of the blood into the interstitium (filtration), the

plasma protein concentration and thus the oncotic pressure difference π will rise (! pp. 152, 208). This rise is much higher than equation 13.3 leads one to expect (! A). The difference is attributable to specific biophysical properties of plasma proteins. If there is a pres- sure-dependent efflux or influx of water out of or into the bloodstream, these relatively high changes in oncotic pressure difference automatically exert a counterpressure that limits the flow of water.

pH, pK, Buffers

The pH indicates the hydrogen ion [H+] concentration of a solution. According to Sörensen, the pH is the negative common logarithm of the molal H+ concentration in mol/kg H2O.

Examples:

1 mol/kg H2O = 100 mol/kg H2O = pH 0, 0.1 mol/kg H2O = 10–1 mol/kg H2O = pH 1, and so on up to 10-14 mol/kg H2O = pH 14.

Since glass electrodes are normally used to measure the pH, the H+ activity of the solution is actually being determined. Thus, the following rule applies:

pH = – log (fH · [H+]),

where fH is the activity coefficient of H+. Considering its ionic concentration (see above), the fH of plasma is !0.8.

The logarithmic nature of pH must be considered when observing pH changes. For example, a rise in pH from 7.4 (40 nmol/kg H2O) to pH 7.7 decreases the H+ activity by 20 nmol/ kg H2O, whereas an equivalent decrease (e.g., from pH 7.4 to pH 7.1) increases the H+ activity by 40 nmol/kg H2O.

The pK is fundamentally similar to the pH. It is the negative common logarithm of the dissociation constant of an acid (Ka) or of a base (Kb):

pKa = $log Ka

pKb = $log Kb.

For an acid and its corresponding base, pKa + pKb = 14, so that the value of pKa can be derived from that of pKb and vice versa.

The law of mass actions applies when a weak acid (AH) dissociates:

AH A+ H+

[13.5]

It states that the product of the molal concentration (indicated by square brackets) of the dissociation products divided by the concentration of the nondissociated substance remains constant:

Despopoulos, Color Atlas of Physiology © 2003 Thieme

All rights reserved. Usage subject to terms and conditions of license.

H2O influx

Changes in oncotic

mL/100mL plasma

pressure of plasma proteins

+40 mmHg +30

+20

+10

Actual

No deviation

from

van’t Hoff ’s law

60 40 20

20 40 60 mL/100mL plasma

–10

H2O loss

–20

A. Physiological signification of deviations on oncotic pressure of plasma from van’t Hoff’s equation. A loss of water from plasma leads to a disproportionate rise in oncotic pressure, which counteracts the water loss. Conversely, the dilution of plasma due to the influx of water leads to a disproportionate drop in oncotic pressure, though less pronounced. Both of these are important mechanisms for maintaining a constant blood volume and preventing edema. (Adapted from Landis EM u. Pappenheimer JR. Handbook of Physiology. Section 2: Circulation, Vol. II. American Physiological Society: Washington D.C. 1963, S. 975.)

Dimensions and Units

Ka =

[A] · [H+] · fH

[13.6]

[AH]

 

 

Converted into logarithmic form (and inserting H+ activity for [H+]), the equation is transformed into:

log Ka = log

[A]

+ log ([H+] · fH)

[13.7]

[AH]

 

 

 

 

or

 

 

 

 

$log ([H+] · fH) = $ log Ka + log

[A]

[13.8]

[AH]

 

 

 

 

Based on the above definitions for pH and pKa, it can also be converted into

pH = pKa + log

[A]

[13.9]

[AH]

Because the concentration and not the activity of Aand AH is used here, pKa is concentration-dependent in nonideal solutions.

Equation 13.9 is the general form of the

Henderson–Hasselbalch equation (! p. 138ff.), which describes the relationship between the pH of a solution and the concentration ratio of a dissociated to an undissociated form of a solute. If [A] = [AH], then the concentration ratio is 1/1 = 1, which corresponds to pH = pKa since the log of 1 = 0.

A weak acid (AH) and its dissociated salt (A) form a buffer system for H+ and OHions:

Addition of H+ yields A+ H+ ! AH Addition of OHyields AH + OH! A+ H2O. The buffering power of a buffer system is

greatest when [AH] = [A], i.e., when the pH of the solution equals the pKa of the buffer.

Example: Both [A] and [AH] = 10 mmol/L and pKa = 7.0. After addition of 2 mmol/L of H+ ions, the [A]/ [AH] ratio changes from 10/10 to 8/12 since 2 mmol/

L of Aare consequently converted into 2 mmol/L of 379 AH. Since the log of 8/12 !-0.18, the pH decreases

Despopoulos, Color Atlas of Physiology © 2003 Thieme

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by 0.18 units to pH 6.82. If the initial [A] /[AH] ratio had been 3/17, the pH would have dropped from an initial pH 6.25 (7 plus the log of 3/17 = 6.25) to pH 5.7 (7 + log of 1/19 = 5.7), i.e., by 0.55 pH units after addition of the same quantity of H+ ions.

 

The titration of a buffer solution with H+ (or

 

OH) can be plotted to generate a buffering

 

curve (! B). The steep part of the curve repre-

 

sents the range of the best buffering power.

 

The pKa value lies at the turning point in the

 

middle of the steep portion of the curve. Sub-

 

stances that gain (or lose) more than one H+

 

per molecule have more than one pK value and

 

can therefore exert an optimal buffering action

 

in several regions. Phosphoric acid (H3PO4)

 

donates three H+ ions, thereby successively

 

forming H2PO4, HPO42–, and PO43–. The buffer

Appendix

pair HPO42–/H2PO4 with a pKa of 6.8 is impor-

tant in human physiology (! p. 174ff.).

 

 

The absolute slope, d[A]/d(pH), of a buff-

 

ering curve (plot of pH vs. [A]) is a measure of

13

buffering capacity (mol · L–1 · [ pH]–1; ! p.

138).

 

 

Powers and Logarithms

 

Powers of ten are used to more easily and con-

 

veniently write numbers that are much larger

 

or smaller than 1.

 

Examples:

 

100 = 10 · 10 = 102

 

1000 = 10 · 10 · 10 = 103

 

10 000 = 10 · 10 · 10 · 10 = 104, etc.

 

In this case, the exponent denotes the

 

amount of times ten is multiplied by itself. If

 

the number is not an exact power of ten (e.g.,

 

34 500), divide it by the next lowest decimal

 

power (10 000) and use the quotient (3.45) as a

 

multiplier to express the result as 3.45 · 104.

 

The number 10 can also be expressed ex-

 

ponentially (101). Numbers much smaller than

 

1 are annotated using negative exponents.

 

Examples:

 

1 = 10 %10 = 100

 

0.1 = 10 %10 %10 = 10–1

 

0.01 = 10 %10 %10 = 10-2, etc.

 

Similar to the large numbers above, num-

 

bers that are not exact powers of ten are ex-

 

pressed using multipliers, e.g.,

 

0.04 = 4 · 0.01 = 4 · 10-2.

380

Note: When writing numbers smaller than

 

1, the (negative) exponent corresponds to the

Concentration ratio of buffer pair [AH]:[A]

10:0 9:1

8:2 7:3 6:4 5:5 4:6

3:7 2:8 1:9

0:10

3

4

5

6

7

8

9

 

pH

(pH=pK)

B. Buffering Curve. Graphic representation of the relationship between pH and the concentration ratio of buffer acid/buffer base [AH]/[A] as a function of pH. The numerical values are roughly equivalent to those of the buffer pair acetic acid/ acetate (pKa = 4.7). The buffering power of a buffer system is greatest when [AH] = [A], i.e., when the pH of the solution equals the pKa of the buffer (broken lines).

position of the 1 after the decimal point; therefore, 0.001 = 10-3. When writing numbers greater than 10, the exponent corresponds to the number of decimal positions to the left of the decimal point minus 1; therefore, 1124.5 = 1.245 · 103.

Exponents can also be used to represent units of measure, e.g., m3. As in the case of 103, the base element (meters) is multiplied by itself three times (m · m · m; ! p. 372). Negative exponents are also used to express units of measure. As with 1/10 = 10–1, 1/s can be written as s–1, mol/L as mol · L–1, etc.

There are specific rules for performing calculations with powers of ten. Addition and subtraction are possible only if the exponents are identical, e.g.,

(2.5 · 102) + (1.5 · 102) = 4 · 102.

Unequal exponents, e.g., (2 · 103) + (3 · 102), must first be equalized:

(2 · 103) + (0.3 · 103) = 2.3 · 103.

Despopoulos, Color Atlas of Physiology © 2003 Thieme

All rights reserved. Usage subject to terms and conditions of license.

The exponents of the multiplicands are added together when multiplying powers of 10, and the denominator is subtracted from the numerator when dividing powers of ten.

Examples:

102 · 103 = 102+ 3 = 105 104 %102 = 104 - 2 = 102 102 %104 = 102 - 4 = 10-2

The usual mathematical rules apply to the multipliers of powers of ten, e.g.,

(3 · 102 · (2 · 103) = (2 · 3) · (102+ 3) = 6 · 105. Logarithms. There are two kinds of loga-

rithms: common and natural. Logarithmic calculations are performed using exponents alone. The common (decimal) logarithm (log or lg) is the power or exponent to which 10 must be raised to equal the number in question. The common logarithm of 100 (log 100) is 2, for example, because 102 = 100. Decimal logarithms are commonly used in physiology, e.g., to define pH values (see above) and to plot the pressure of sound on a decibel scale (!p. 363).

Natural logarithms (ln) have a natural base of 2.71828..., also called base e. The common logarithm (log x) equals the natural logarithm of x (ln x) divided by the natural logarithm of 10 (ln 10), where ln 10 = 2.302585. The following rules apply when converting between natural and common logarithms:

log x = (ln x)/2.3 ln x = 2.3 · log x.

When performing mathematical operations with logarithms, the type of operation is reduced by one rank—multiplication becomes addition, potentiation becomes multiplication, and so on.

Examples:

log (a · b) = log a + log b log (a/b) = log a - log b log an = n · log a

log n!"a = (log a)/n

Special cases: log 10 = ln e = 1 log 1 = ln 1 = 0 log 0 = ln 0 = & '

Graphic Representation of Data

Graphic plots of data are used to provide a

 

clear and concise representation of measure-

 

ments, e.g., body temperature over the time of

 

day (! C). The axes on which the measure-

Data

ments (e.g., temperature and time) are plotted

 

are called coordinates. The vertical axis is re-

of

ferred to as the ordinate (temperature) and the

Representation

horizontal axis is the abscissa (time). It is cus-

 

tomary to plot the first variable x (time) on the

 

abscissa and the other dependent variable y

 

(temperature) on the ordinate. The abscissa is

 

therefore called the x-axis and the ordinate the

 

y-axis. This method of graphically plotting data

Graphic

can be used to illustrate the connection be-

tween any two related dimensions imaginable,

e.g., to describe the relationship between

height and age, lung capacity and intrapulmo-

Logarithms,

other. For example, the plot of height (ordi-

nary pressure, etc. (!p. 117).

 

 

 

 

 

Plotting of data makes it easier to determine

 

whether two variables correlate with each

 

nate) over age (abscissa) shows that the height

 

increases during the growth years and reaches

 

a plateau at the age of about 17 years. This

 

means that height is related to age in the first

 

phase of life, but is largely independent of age

 

in the second phase. A correlation does not

 

necessarily indicate a causal relationship. A

 

decrease in the birth rate in Alsace-Lorraine,

 

for example, correlated with a decrease in the

 

number or nesting storks for a while.

 

 

 

 

When plotting variables of wide-ranging di-

 

mensions (e.g., 1 to 100 000) on a coordinate

 

 

 

 

 

 

 

 

 

 

37.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

°C

 

 

 

 

 

 

 

 

temperatureBody (rectal,at rest)

 

 

 

 

 

 

 

 

37.0

 

 

 

 

 

 

 

 

36.5

 

 

 

 

 

 

 

 

12

6

12

6

12

 

 

 

 

 

 

p.m. p.m.

a.m. a.m. p.m.

 

 

 

Time of day

 

 

 

 

 

C. Illustration of how to plot data on a coordinate system. The plot in this example shows the

relationship between body temperature (rectal, 381 at rest) and time of day.

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13 Appendix

2y

ln

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

y

 

 

3

 

 

 

 

 

 

 

 

 

ln

 

 

 

 

 

 

 

 

 

y=a·eb·x

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

lny=lna + b!x

 

 

 

 

 

 

y=a·xb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

lny=lna + b!lnx

 

 

 

 

Exponential function

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

x (linear)

Power

function

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ln x

y(linear)

 

 

(linear)

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

y

 

 

 

 

 

 

 

Linear function

 

 

 

 

 

 

 

 

 

 

 

 

 

y=a + b!lnx

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Logarithmic function

x (linear)

ln x

D. Types of functions. D1: Linear function (violet), exponential function (red), logarithmic function (blue), and power function (green) showing linear plotting of data on both axes. The three curves can be made into a straight line (linearized) by logarithmically plotting the data on the y-axis (D2: exponential function) or on the x-axis (D4: logarithmic function) or both (D3: power function).

system, it can be impossible to plot small values individually without having the axes become extremely long. This problem can be solved by plotting the data as powers of 10 or logarithms. For example, 1, 10, 100, and 1000

382are written as 100, 101, 102, and 103 or as logarithms 0, 1, 2, and 3. This makes it possible to

obtain a relatively accurate graphic representation of very small numbers, and all the numbers fit on an axis of reasonable length (cf. sound curves on p. 363 B).

Correlations can be either linear or nonlinear. Linear correlations (! D1, violet line) obey the linear relationship

Despopoulos, Color Atlas of Physiology © 2003 Thieme

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y = ax + b,

where a is the slope of the line and b is the point, or intercept (at x = 0), where it intersects the y-axis.

Many correlations are nonlinear. For simpler functions, graphic linearization can be achieved via a nonlinear (logarithmic) plot of the x and/or y values. This allows for the extrapolation of values beyond the range of measurement (see below) or for the generation of calibration curves from only two points. In addition, this method also permits the calculation of the “mean” correlation of scattered x-y pairs using regression lines.

An exponential function (! D1, red curve), such as

y = a · eb · x,

can be linearized by plotting ln y on the y-axis (!D2):

ln y = ln a + b · x,

where b is the slope and ln a is the intercept. A logarithmic function (! D1, blue curve),

such as

y = a + b · ln x,

can be linearized by plotting ln x on the x-axis (! D4), where b is the slope and a is the intercept.

A power function (! D1, green curve), such

as

y = a · xb,

can be graphically linearized by plotting ln y and ln x on the coordinate axes (! D3) because

ln y = ln a + b · ln x,

where b is the slope and ln a is the intercept.

Note: The condition x or y = 0 does not exist on logarithmic coordinates because ln 0 = '. Nevertheless, ln a is still called the intercept in the equation when the logarithmic abscissa (! D3,4) is intercepted by the ordinate at ln x = 0, i.e., x = 1.

Instead of plotting ln x and/or ln y on the x- and/or y-axis, they can be plotted on logarithmic paper on which the ordinate or abscissa (semi-log paper) or both coordinates (log-log paper) are plotted in logarithmic units. In such cases, a is no longer treated as the intersect because the position of a depends on site of intersection of the x-axis by the y-axis. All values (0 are possible.

Other nonlinear functions can also be graphically linearized using an appropriate plotting method. Take, for example, the Michaelis– Menten equation (! E1), which applies to

many enzyme reactions and carrier-mediated transport processes:

J = Jmax ·

C

[13.10]

KM + C

where J is the actual rate of transport (e.g., in

mol · m–2 · s–1), Jmax is the maximal transport rate, C (mol · m–3) is the actual concentration of

the substance to be transported, and KM is the concentration (half-saturation concentration)

at 1/2 Jmax.

One of the three commonly used linear rearrangements of the Michaelis–Menten equation, the Lineweaver–Burk plot, states:

1/J = (KM/Jmax) · (1/C) + 1/Jmax,

[13.11]

Consequently, a plot of 1/J on the y-axis and 1/C on the x-axis results in a straight line (! E2). While a plot of J over C (! E1) does not

1

 

Jmax

 

J

 

 

J = Jmax !C/(KM+C)

1/2Jmax

 

0

C

 

KM

 

2

1/J

 

 

 

 

1/Jmax

Range of

 

 

 

 

measurement

 

0

1/C

 

–1/KM

 

E. Two methods of representing the Mi- chaelis–Menten equation: The data can be plotted as a curve of J over C (E1), or as 1/J over 1/C in linearized form (E2). In the latter case, Jmax and KM are determined by extrapolating the data outside the range of measurement.

Graphic Representation of Data

383

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13 Appendix

permit accurate extrapolation of Jmax (because an infinitely high concentration of C would be required), the linear rearrangement (! E2) makes it possible to generate a regression line that can be extrapolated to C = ' from the measured data. Since 1/C is equal to 1/' = 0,1/Jmax lies on the y-axis at x = 0 (! E2). The reciprocal of this value is Jmax. Insertion of 1/J = 0 into equation 13.11 yields

0 = (KM/Jmax) · (1/C) + 1/Jmax

[13.12]

or 1/KM = $1/C, so that KM can be derived from the negative reciprocal of the x-axis intersect, which corresponds to 1/J = 0 (! E2).

Reference Values in Physiology

 

The Greek Alphabet

 

 

 

 

 

α

Α

alpha

(

Β

beta

γ

*

gamma

δ

 

delta

ε

Ε

epsilon

.

/

zeta

η

Η

eta

), θ

Θ

theta

ι

Ι

iota

κ

Κ

kappa

λ

Λ

lamda

µ

Μ

mu

ν

Ν

nu

=

>

xi

?

@

omicron

π

Π

pi

*

Ρ

rho

σ, C

Σ

sigma

τ

Τ

tau

υ

Υ

upsilon

φ

Φ

phi

K

L

chi

ψ

Ψ

psi

ω

Ω

omega

 

 

 

 

Total body and cells

Chemical composition of 1 kg fat-free body mass of an adult

Distribution of water in adult (child) as percentage of body weight (cf. p. 168)

Ion concentrations in ICF and ECF

720 g water, 210 g protein, 22.4 g Ca, 12 g P, 2.7 g K, 1.8 g Na, 1.8 g Cl, 0.47 g Mg

Intracellular: 40% (40%); interstitium: 15% (25%); plasma: 5% (5%)

See p. 93 C

Cardiovascular system

 

Weight of heart

250–350 g

 

Cardiac output at rest (maximal)

5–6 L/min (25 L/min); cf. p. 186

 

Resting pulse = sinus rhythm

60–75 min-1 or bpm

 

AV rhythm

40–55 min-1

 

Ventricular rhythm

25–40 min-1

 

Arterial blood pressure (Riva–Rocci)

120/80 mm Hg (16/10.7 kPa) systolic/diastolic

 

Pulmonary artery pressure

20/7 mm Hg (2.7/0.9 kPa) systolic/diastolic

 

Central venous pressure

3–6 mm Hg (0.4–0.8 kPa)

 

Portal venous pressure

3–6 mm Hg (0.4–0.8 kPa)

 

Ventricular volume at end of diastole/systole

120 mL/40 mL

 

Ejection fraction

0.67

 

Pressure pulse wave velocity

Aorta: 3–5 m/s; arteries: 5–10 m/s;

 

 

veins: 1–2 m/s

384

Mean velocity of blood flow

Aorta: 0.18 m/s; capillaries: 0.0002–0.001 m/s;

 

 

venae cavae: 0.06 m/s

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Blood flow in organs at rest

 

 

 

(See also pp. 187 A, 213 A)

% of cardiac output

per gram of tissue

Heart

4%

0.8 mL/min

Brain

13%

0.5 mL/min

Kidneys

20%

4 mL/min

GI tract (drained by portal venous system)

16%

0.7 mL/min

Liver (blood supplied by hepatic artery)

8%

0.3 mL/min

Skeletal muscle

21%

0.04 mL/min

Skin and miscellaneous organs

18%

 

 

 

 

Lungs and gas transport

Men

Women

Total lung capacity (TLC)

7 L

6.2 L

Vital capacity (VC); cf. p. 112

5.6 L

5 L

Tidal volume (VT) at rest

0.6 L

0.5 L

Inspiratory reserve volume

3.2 L

2.9 L

Expiratory reserve volume

1.8 L

1.6 L

Residual volume

1.4 L

1.2 L

Max. breathing capacity in 30 breaths/min

110 L

100 L

Partial pressure of O2

Air: 21.17 kPa

(159 mm Hg)

 

Alveolar: 13.33 kPa

(100 mm Hg)

 

Arterial: 12.66 kPa

(95 mm Hg)

 

Venous 5.33 kPa

(40 mm Hg)

Partial pressure of CO2

Air: 0.03 kPa

(0.23 mm Hg)

 

Alveolar: 5.2 kPa

(39 mm Hg)

 

Arterial: 5.3 kPa

(40 mm Hg)

 

Venous: 6.1 kPa

(46 mm Hg)

Respiratory rate (at rest)

16 breaths/min

 

 

Dead space volume

150 mL

 

 

Oxygen capacity of blood

180–200 mL O2/L blood = 8–9 mmol O2/L blood

Respiratory quotient

0.84 (0.7–1.0)

 

 

 

 

 

 

Kidney and excretion

 

 

 

Renal plasma flow (RPF)

480–800 mL/min per 1.73 m2 body surface

 

area

 

 

Glomerular filtration rate (GFR)

80–140 mL/min per 1.73 m2 body surface area

Filtration fraction (GFR/RPF)

0.19

 

 

Urinary output

0.7–1.8 L/day

 

 

Osmolality of urine

250–1000 mOsm/kg H2O

Na+ excretion

50–250 mmol/day

 

 

K+ excretion

25–115 mmol/day

 

 

Glucose excretion

"300 mg/day = 1.67 mmol/day

Nitrogen excretion

150–250 mg/kg/day

 

 

Protein excretion

10–200 mg/day

 

 

Urine pH

4.5–8.2

 

 

Titratable acidity

10–30 mmol/day

 

 

Urea excretion

10–20 g/day = 166–333 mmol/day

Uric acid excretion

300–800 mg/day = 1.78–6.53 mmol/day

Creatinine excretion

0.56–2.1 g/day = 4.95–18.6 µg/day

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Reference Values in Physiology

385

13 Appendix

Nutrition and metabolism

Men

Women

Energy expenditure during various activities

 

 

! Bed rest

6500 kJ/d

5400 kJ/d

 

(1550 kcal/d)

(1300 kcal/d)

! Light office work

10 800 kJ/d

9600 kJ/d

 

(2600 kcal/d)

(2300 kcal/d)

! Walking (4.9 km/h)

3.3 kW

2.7 kW

! Sports (dancing, horseback riding, swimming)

4.5–6.8 kW

3.6–5.4 kW

Functional protein minimum

1 g/kg body weight

 

Vitamins, optimal daily intake

A: 10 000–50 000 IU; D: 400–600 IU

(IU = international units)

E: 200–800 IU; K: 65–80 µg; B1, B2, B5, B6:

 

25–300 mg of each; B12: 25–300 µg; folate:

 

0.4–1.2 mg; H: 25–300 µg; C: 500–5000 mg

Electrolytes and trace elements,

Ca: 1–1.5 g; Cr: 200–600 µg; Cu: 0.5–2 mg;

optimal daily intake

Fe: 15–30 mg: I: 50–300 µg; K+: 0.8–1.5 g;

 

Mg: 500–750 mg; Mn: 15–30 mg;

 

Mo: 45–500 µg; Na+: 2 g; P: 200–400 mg;

 

Se: 50–400 µg; Zn: 22–50 mg

 

 

 

Nervous Systems, muscles

 

 

Duration of an action potential

Nerve: 1–2 ms; skeletal muscle: 10 ms;

 

myocardium: 200 ms

 

Nerve conduction rate

See p. 49 C

 

 

Blood and other bodily fluids

(see also Tables 9.1, and 9.2 on pp. 186, 187)

 

Blood (in adults)

Men:

Women:

 

Blood volume (also refer to table on p. 88)

4500 mL

3600 mL

 

Hematocrit

0.40–0.54

0.37–0.47

 

Red cell count (RBC)

4.5–5.9 · 1012/L

4.2–5.4 · 1012/L

 

Hemoglobin (Hb) in whole blood

140–180 g/L

120–160 g/L

 

 

(2.2–2.8 mmol/L)

(1.9–2.5 mmol/L)

 

Mean corpuscular volume (MCV)

80–100 fL

 

 

Mean corpuscular Hb concentration (MCHC)

320–360 g/L

 

 

Mean Hb concentration in single RBC (MCH)

27–32 pg

 

 

Mean RBC diameter

7.2–7.8 µm

 

 

Reticulocytes

0.4–2% (20–75 · 109/L)

 

 

Leukocytes (also refer to table on p. 88)

3–11 · 109/L

 

 

Platelets

170–360 · 109/L

180–400 · 109/L

 

Erythrocyte sedimentation rate (ESR)

"10 mm in first hour "20 mm in first hour

 

Proteins

 

 

 

Total

66–85 g/L serum

 

 

Albumin

35–50 g/L serum

55–64 % of total

 

α1-globulins

1.3–4 g/L serum

2.5–4 % of total

 

α2-globulins

4–9 g/L serum

7–10% of total

 

(-globulins

6–11 g/L serum

8–12% of total

 

γ-globulins

13–17 g/L serum

12–20% of total

 

Coagulation

(See p. 102 for coagulation factors)

 

Thromboplastin time (Quick)

0.9–1.15 INR (international normalized ratio)

386

Partial thromboplastin time

26–42 s

 

 

Bleeding time

"6 min

 

Despopoulos, Color Atlas of Physiology © 2003 Thieme

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Parameters of glucose metabolism

 

 

Glucose concentration in venous blood

3.9–5.5 mmol/L

(70–100 mg/dL)

Glucose concentration in capillary blood

4.4–6.1 mmol/L

(80–110 mg/dL)

Glucose concentration in plasma

4.2–6.4 mmol/L

(75–115 mg/dL)

Limit for diabetes mellitus in plasma

(7.8 mmol/L

((140 mg/dL)

HBA1c (glycosylated hemoglobin A)

3.2–5.2%

 

Parameters of lipid metabolism

 

 

Triglycerides in serum

"1.71 mmol/L

("150 mg/dL)

Total cholesterol in serum

"5.2 mmol/L

("200 mg/dL)

HDL cholesterol in serum

(1.04 mmol/L

((40 mg/dL)

Substances excreted in urine

 

 

Urea concentration in serum

3.3–8.3 mmol/L

(20–50 mg/dL)

Uric acid concentration in serum

150–390 µmol/L

(2.6–6.5 mg/dL)

Creatinine concentration in serum

36–106 µmol/L

(0.4–1.2 mg/dL)

Bilirubin

 

 

Total bilirubin in serum

3.4–17 µmol/L

(0.2–1 mg/dL)

Direct bilirubin in serum

0.8–5.1 µmol/L

(0.05–0.3 mg/dL)

Electrolytes and blood gases

 

 

Osmolality

280–300 mmol/kg H2O

Cations in serum:

Na+

135–145 mmol/L

 

K+

3.5–5.5 mmol/L

 

Ionized Ca2+

1.0–1.3 mmol/L

 

Ionized Mg2+

0.5–0.7 mmol/L

Anions in serum:

Cl-

95–108 mmol/L

 

H2PO4- + HPO42-

0.8–1.5 mmol/L

pH

 

7.35–7.45

Standard bicarbonate

 

22–26 mmol/L

TotaL buffer bases

 

48 mmol/L

Oxygen saturation

 

96% arterial; 65–75%

 

 

mixed venous

Partial pressure of O2 at half saturation (P0.5)

 

3.6 kPa (27 mmHg)

 

 

 

Cerebrospinal fluid

 

 

Pressure in relaxed horizontal position

1.4 kPa (10.5 mmHg)

 

Specific weight

1.006–1.008 g/L

 

Osmolality

290 mOsm/kg H2O

 

Glucose concentration

45–70 mg/dL (2.5–3.9 mmol/L)

Protein concentration

0.15–0.45 g/L

 

IgG concentration

"84 mg/dL

 

White cell count

"5 WBC/ µL

 

 

 

 

Reference Values in Physiology

387

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