Professional Documents
Culture Documents
Brain Electrolytes: Water Intoxication, Also Known As Water Poisoning or Dilutional
Brain Electrolytes: Water Intoxication, Also Known As Water Poisoning or Dilutional
food. Dose is a measure of the amount of toxicant that comes into contact with the target organ
or tissue, within the organism, where it exerts a toxic effect. The dose is largely determined by
how effectively the toxicant is absorbed, distributed, metabolized , and eliminated by the body.
As a consequence, basic toxicological studies include measurements of the effects of increasing
doses of a toxicant on an organism or some component of that organism (e.g., tissue, cell,
subcellular structure, or compound). The measurements are commonly plotted as doseresponse
curves. A doseresponse curve typically ranges from relatively low concentrations that do not
elicit a toxic effect to higher concentrations that are increasingly toxic.
Abstract To protect the quality of water from toxic pollutants for the health of humans and the
environment, two approaches are generally applied in the field of toxicology to predict the
effects of pollutants and to monitor the toxic pollutants in water. Because of toxicology of water
like Ingested nitrites and nitrates from polluted drinking waters can induce methemoglobinemia
in humans, particularly in young infants, by blocking the oxygen-carrying capacity of
hemoglobin.i It also can human faces many problem.Example
Endurance sports[
Marathon runners are susceptible to water intoxication if they drink too much while running.
This is caused when sodium levels drop below 135 mmol/L when athletes consume large
amounts of fluid. This has been noted to be the result of the encouragement of excessive fluid
replacement by various guidelines. This has largely been identified in marathon runners as a
dilutional hyponatremia. A study conducted on participants of the 2002 Boston marathon found
that thirteen percent finished the race with hyponatremia. The study concluded that the strongest
predictor of hyponatremia was weight gain while racing (over-hydration), and hyponatremia was
just as likely to occur in runners who chose sports drinks as those who chose water. Medical
personnel at marathon events are trained to suspect water intoxication immediately when runners
collapse or show signs of confusion.
Psychiatric conditions
Psychogenic polydipsia is the psychiatric condition in which patients feel compelled to drink
large quantities of water, thus putting them at risk of water intoxication. This condition can be
especially dangerous if the patient also exhibits other psychiatric indications (as is often the
case), as the care-takers might misinterpret the hyponatremic symptoms.
Iatrogenic[
When an unconscious person is being fed intravenously (for example, total parenteral nutrition)
or via a nasogastric tube the fluids given must be carefully balanced in composition to match
fluids and electrolytes lost. These fluids are typically hypertonic, and so water is often coadministered. If the electrolytes are not monitored (even in an ambulatory patient)
either hypernatremia or hyponatremia may result
Some neurological/psychiatric medications (Oxcarbazepine, among others) have been found to
cause hyponatremia in some patients. Patients with diabetes insipidus are particularly vulnerable
due to rapid fluid processing.
Pathophysiology
At the onset of this condition, fluid outside the cells has an excessively low amount of solutes
(such as sodium (hyponatremia) and other electrolytes) in comparison to that inside the cells
causing the fluid to shift through (via osmosis) into the cells to balance its concentration. This
causes the cells to swell. In the brain, this swelling increases intracranial pressure (ICP). It is this
increase in pressure which leads to the first observable symptoms of water intoxication:
headache, personality changes, changes in behavior, confusion, irritability, and drowsiness.
These are sometimes followed by difficulty breathing during exertion, muscle weakness & pain,
twitching, or cramping, nausea, vomiting, thirst, and a dulled ability to perceive and interpret
sensory information. As the condition persists, papillary and vital signs may result
including bradycardia and widened pulse pressure. The cells in the brain may swell to the point
where blood flow is interrupted resulting in cerebral edema. Swollen brain cells may also
apply pressure to the brain stem causing central nervous system dysfunction. Both cerebral
edema and interference with the central nervous system are dangerous and could result in
seizures, brain damage, coma or death.
Prevention
Water intoxication can be prevented if a person's intake of water does not grossly exceed his or
her losses. Healthy kidneys are able to excrete approximately 0.8 to 1 litre of fluid water (0.21 0.26 gallons) per hour. However, stress (from prolonged physical exertion), as well as disease
states, can greatly reduce this amount.
In this example, it was discovered that a rare, but naturally occurring and essential
element was unwittingly concentrated to toxic levels in the environment by human activity.