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Sample
Distilled
Water
5%
Glucose
Normal
Saline
None
1st collection
1.010
1.025
1.025
1.030
2nd
collection
1.005
1.030
1.025
1.025
3rd collection
1.005
1.015
1.030
1.025
4th collection
1.005
1.005
1.030
1.025
Specific Gravity
Refers to the ratio of the density of a
substance (urine) to the density of a
reference substance (water)
An indicator of urine concentration
A SG value that is closer to 1.0 means
that the density of urine is almost that
of water (diluted)
A higher value means that the urine is
more concentrated
A. Distilled Water
Hyposmotic
Ingestion will result to
hyposmotic overhydration
Distributed throughout the
total body water
The amount of water that will
go to each compartment is in
proportion to the contribution
of that compartment to the
total body water
+ 88mL
+ 350mL
+ 262mL
+
1000mL
+ 650mL
Distilled Water
Due to the lack of ADH:
Urea transporters in the
collecting ducts are not
expressed on the cells luminal
surface = low urea permeability
and recycling = low
countercurrent multiplier
Principal cells do not express
aquaporins = low water
reabsorption
The acute increase in the
sodium reabsorption in the
ascending loop of henle is not
observed = low countercurrent
multiplier
All of these contribute to the
production of urine whose SG is
close to 1.000
5% Glucose
Isosmotic (when glucose is still
present)
After glucose is taken in by the
cells, the net effect is that of pure
water
Ingestion will result to hyposmotic
overhydration
Distributed throughout the total
body water
The amount of water that will go to
each compartment is in proportion
to the contribution of that
compartment to the total body
water
+ 88mL
+ 350mL
+ 262mL
+
1000mL
+ 650mL
5% Glucose Solution
Due to the lack of ADH:
Urea transporters in the
collecting ducts are not
expressed on the cells luminal
surface = low urea permeability
and recycling = low
countercurrent multiplier
Principal cells do not express
aquaporins = low water
reabsorption
The acute increase in the
sodium reabsorption in the
ascending loop of henle is not
observed = low countercurrent
multiplier
All of these contribute to the
production of urine whose SG is
close to 1.000
5% Glucose Solution
Summary
No ANP
ADH is decreased
Dilute Urine
+ 250mL
+
1000mL
+
1000mL
+ 750mL
NSS
Since NSS do not contain protein,
oncotic pressure is decreased in the
plasma
Movement of fluid to glomerulus is
favored
Also, the decreased oncotic pressure
means a decrease in water
reabsorption in the proximal tubule
This results in a glomero-tubular
imbalance
The rest of the tubule will function
normally
The added fluid will be excreted
despite the non-disturbance of the
body water volume and osmolarity
Urinary output = fluid input
Urine is of typical specific gravity
and therefore, concentration
(neither highly concentrated nor
diluted)
NSS summary
No ANP
ADH production is
not decreased
Normal Urine
No fluid taken
Mild dehydration
Body will continue on
losing water through
normal metabolic
processes (e.g.
breathing, sweating)
Without replenishing the
fluid loss, the body will
try to minimize fluid loss
by concentrating urine
No fluid taken
The fluid loss will
result to a plasma
with higher
osmolarity
The osmolarity
changes will be
detected by the
hypothalamus
which will trigger
ADH production by
the pituitary gland
No fluid taken
Due to the high amount of ADH:
Urea transporters in the
collecting ducts are expressed
on the cells luminal surface =
high urea permeability and
recycling = low
countercurrent multiplier
Principal cells express
aquaporins = high water
reabsorption
There is an acute increase in
the sodium reabsorption in
the ascending loop of henle =
high countercurrent multiplier
All of these contribute to the
production of a concentrated
urine
No fluid taken