224 Chapter 12
the Challenge: ever-Changing extracellular Fluid
The fluid inside cells is intracellular f luid. A variety of
gases and other substances move constantly between
intracellular and extracellular fluid. Those exchanges are
crucial for keeping cells functioning smoothly. They can’t
occur properly unless the volume and composition of the
ECF are stable.
Yet the ECF is always changing, because gases, cell prod-
ucts, ions, and other materials enter or leave it. To maintain
stable conditions in the ECF, especially the concentrations
of water and vital ions such as sodium (Na^1 ) and potassium
(K^1 ), there must be mechanisms that remove substances
as they enter the extracellular fluid or add needed ones as
they leave it. The urinary system performs this task. Before
examining how it operates, we’ll now take a general look at
the traffic of substances into and out of extracellular fluid.
the body gains water from food
and metabolic processes
Ordinarily, each day you take in about as much water
as your body loses (Table 12.1). Some of the water is
absorbed from foods and liquids you consume. The rest
is produced during metabolic reactions, including cellular
respiration and condensation reactions.
Thirst influences how much water we take in. When
there is a water deficit in body tissues, the brain “urges” us
to seek out water—for example, from a water fountain or
a cold drink from the refrigerator. We’ll discuss this thirst
mechanism later in the chapter.
the body loses water in urine, sweat,
feces, and by evaporation
Water leaves the body in four ways: excretion in urine,
evaporation from the lungs and skin, sweating, and in
feces. Of these four routes, urinary excretion is the form
of water loss over which the body has the most control.
Urinary excretion eliminates excess water, as well as excess
n The chemical makeup of body fluid changes constantly as
water and solutes enter and leave it.
n Links to Water and life 2.5, Condensation reactions 2.8,
Metabolism 3.13, Homeostasis 4.10, Blood 8.1, Nutrient
absorption 11.4
If you are an adult female in good health, by weight
your body is about 50 percent fluid. If you are an adult
male, the ratio is about 60 percent. This fluid is extremely
important both in the composition of body structures and
in nearly all body functions. Chapter 4 introduced the
concept of two “fluid compartments” in the body—one
that is inside cells, and a second that is outside cells. This
concept, summarized in Figure 12.1, is the starting point
for understanding why a “fluid management” system is so
important in body functioning.
the urinary system adjusts fluid
that is outside cells
Section 4.10 explained that tissue fluid fills the spaces
between cells and other components of tissues. Blood,
which is mostly watery plasma, circulates in blood vessels.
As you may remember, tissue fluid, blood plasma, and the
relatively small amounts of other fluids (such as in lymph)
outside cells together make up the body’s extracellular f luid,
or ECF.
Figure 12.1 Body fluid occurs in two compartments—one
inside cells and the other outside cells. Extracellular fluid
consists of blood and tissue (interstitial) fluid. (© Cengage Learning)
Intracellular
Fluid
(30 quarts/28 liters)
Extracellular
Fluid (ECF)
(16 quarts/15 liters)
Human Body Fluids
(46 quarts/43 liters)
interstitial
fluid (tissue)
plasma
lymph, cerebrospinal fluid,
mucus, and other fluids
12.1
© Ferenc Cegledi/Shutterstock.com
Water Gain Water Loss
(milliliters) (milliliters)
Ingested in solids: 850 Urine: 1,500
Ingested as liquids: 1,400 Feces: 200
Metabolically derived: 350 Evaporation: 900
2,600 2,600
Table 12.1 Normal Daily Balance between Water Gain
and Water Loss in Adult Humans
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