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Dehydration deaths in infants and young children.

Dehydration in developed countries is an uncommon but important mechanism resulting in the death of infants and children. The clinicopathological features of a series of 37 fatal dehydration cases autopsied at the Adelaide Children's Hospital over a 33-year period (1961-1993) are presented. Causative factors for dehydration included gastroenteritis (21 cases), gastroenteritis with high environmental temperature (one case), high environmental temperatures (six cases), neglect/failure to thrive (four cases), mental retardation/chromosomal abnormality (three cases), congenital adrenal hyperplasia (one case), and unsuspected cystic fibrosis (one case). The mean age at death was 11.4 months (range 2 weeks to 6.25 years; median 6 months; 95% confidence interval 6 months to 1 year and 4 months; male-to-female ratio, 19:18). Sixteen of the 22 cases of fatal gastroenteritis (73%) occurred during the fall/winter months (March to August). There were a total of seven aboriginal or part aboriginal children in the group (19%). Children with mental retardation were at higher risk of dehydration, and previously unsuspected cases of child abuse/neglect also presented with lethal dehydration. Vitreous humor electrolyte levels and immunoassay for rotavirus were useful diagnostic adjuncts.

Child↗

Comparison of renal cortical perfusion assessed with angiography and xenon washout technique in hydrated and dehydrated dogs: a preliminary observation.

Selective renal angiograms and xenon washout curves were performed under general anesthesia with pentobarbital in hydrated or dehydrated dogs weighing 22-27 kg. Compared to the hydrated animals a significant overall decrease in the angiographic cortical perfusion was found in the dehydrated dogs which was reversible with the infusion of 200 ml isotonic saline. The total renal blood flow, the rapid flow component and the percent of total flow to the first compartment assessed with the xenon washout technique was however not significantly different in hydrated and dehydrated animals. It is suggested that temporary cortical ischemia might occur in dehydration which differs from the well known pathologic condition of cortical ischemia since total renal blood flow appears to be normal in the former and there is a fast recovery with isotonic saline infusion. The observed findings in dehydration could be explained with redistribution of blood away from the outer cortex to the inner cortex and to the medulla.

Angiography↗

Hydrogel lens dehydration and subjective comfort and dryness ratings in symptomatic and asymptomatic contact lens wearers.

PURPOSE: To determine whether lens dehydration correlates with discomfort, dryness, and noninvasive tear break-up time in symptomatic and asymptomatic contact lens wearers and whether dehydration of the two lens types varies. METHOD: Twenty hydrogel contact lens wearers with dryness-related symptoms and 20 asymptomatic wearers wore an Etafilcon A lens (Acuvue; Vistakon, Inc., Jacksonville, Florida) in one eye and an Omafilcon A lens (Proclear; Biocompatibles, Norfolk, Virginia) in the contralateral eye for 7 h in a randomized, double-masked study. Lens water content was measured before and after 7 h of lens wear and prelens noninvasive tear film break-up time (NIBUT) was measured immediately after insertion and after 5 h of lens wear. Subjective comfort and dryness were rated at 0, 1, 3, 5, and 7 h of lens wear. RESULTS: The symptomatic group had significantly reduced prelens NIBUT, decreased comfort, and increased dryness, but there was no difference between lenses for these variables. The Omafilcon A lenses dehydrated significantly less than the Etafilcon A lenses, but there was no significant difference in lens dehydration between two subject groups. CONCLUSION: No correlation was found between lens dehydration and subjective dryness and comfort. Symptomatic hydrogel contact lens wearers with decreased wearing time had measurably decreased comfort, increased dryness ratings, and reduced NIBUT.

Adult↗

May the best friend be an enemy if not recognized early: hypernatremic dehydration due to breastfeeding.

Hypernatremic dehydration is a serious condition in the newborn period. We present 5 infants with hypernatremic dehydration due to breastfeeding; one of them died because of brain edema during treatment.Hypernatremic dehydration in breast-fed newborns is secondary to insufficient lactation and all mothers should be encouraged about breastfeeding, taught the signs of successful breastfeeding, and the warning signs of dehydration. Here, we discuss hypernatremic dehydration in breastfeeding neonates, its causes and treatment.

Breast Feeding↗

Analysis of cDNA clones encoding sucrose-phosphate synthase in relation to sugar interconversions associated with dehydration in the resurrection plant Craterostigma plantagineum Hochst.

Sucrose-phosphate synthase (SPS) is a key enzyme in the regulation of sucrose metabolism, being responsible for the synthesis of sucrose 6-phosphate from fructose 6-phosphate and uridine 5'-diphosphate-glucose. We report on the isolation and characterization of cDNA clones encoding SPS from Craterostigma plantagineum Hochst., a resurrection plant in which the accumulation of sucrose is considered to play an important role in tolerance to severe protoplastic dehydration. Two distinct classes of cDNAs encoding SPS were isolated from C. plantagineum, and are represented by the clones Cpsps1 and Cpsps2. The transcripts corresponding to both cDNAs decrease to very low levels in dehydrating leaves of C. plantagineum. Only the Cpsps1 transcript occurs in the roots, where it is present at a higher level than in leaves and increases upon dehydration of the plant. Higher enzymatic activities have been determined in protein extracts of dehydrated tissues compared with untreated tissues, which correlates with an increase in protein levels. It is suggested that the overall regulation of SPS is strongly influenced by the changing composition of the cytoplasm in C. plantagineum leaves during the dehydration-rehydration cycle.

Amino Acid Sequence↗

Acute effects of dehydration on sweat composition in men during prolonged exercise in the heat.

AIM: To determine whether acute exercise-heat-induced dehydration affects sweat composition, eight males cycled for 2 h at 39.5 +/- 1.6% VO2peak on two separate occasions in a hot-humid environment (38.0 +/- 0.0 degrees C, 60.0 +/- 0.1% relative humidity). METHODS: During exercise, subjects ingested either no fluid (dehydration) or a 20 mmol L(-1) sodium chloride solution (euhydration). The volume of solution, calculated from whole-body sweat loss and determined in a familiarization trial, was ingested at 0 min and every 15 min thereafter. Venous blood was collected at 0, 60 and 120 min of exercise and sweat was aspirated from a patch located on the dominant forearm at 120 min. RESULTS: Following the 2-h cycling exercise, sweat [Na+] and [Cl-] was greater (P < 0.05) in the dehydration trial (Na+ 91.1 +/- 6.8 mmol L(-1); Cl- 73.3 +/- 3.5 mmol L(-1)) compared with the euhydration trial (Na+ 81.1 +/- 5.9 mmol L(-1); Cl- 68.5 +/- 3.3 mmol L(-1)). In addition, dehydration invoked a greater serum [Na+] (142.2 +/- 0.7 mmol L(-1); P < 0.05), [Cl-] (105.8 +/- 0.6 mmol L(-1); P < 0.05) and [K+] (5.27 +/- 0.2 mmol L(-1); P < 0.05) over the euhydration values for [Na+], [Cl-] and [K+], respectively (138.9 +/- 0.6, 102.9 +/- 0.5 and 4.88 +/- 0.1 mmol L(-1)). Plasma aldosterone was also significantly higher during exercise in the dehydration trial compared with the euhydration trial (53.8 +/- 3.8 vs. 40.0 +/- 4.3 ng dL(-1); P < 0.05). CONCLUSIONS: Acute exercise-heat stress without fluid replacement resulted in a greater sweat [Na+] and [Cl-] which was potentially related to greater extracellular fluid [Na+], plasma aldosterone or sympathetic nervous activity.

Adult↗

Oral rehydration therapy without bicarbonate for prevention and treatment of dehydration: a double-blind controlled trial.

Forty children (less than or equal to 2 years of age) were admitted to hospital with acute gastroenteritis and were randomly assigned to receive either an oral rehydration solution (ORS) containing bicarbonate (Na 35, K 20, Cl 37, HCO3 18, glucose 202 mmol litre-1) or an identical solution in which bicarbonate was replaced by chloride ions. Groups were matched for age, sex, ethnic origin, duration of diarrhoea and nutritional status. On admission, degree of dehydration, biochemical and haematological parameters were similar. The majority had minimal or no dehydration and only 30% had moderate to severe dehydration. All children were treated successfully with no complications. Oral rehydration solution intake by each group was similar. Clinical outcome, as judged by speed of rehydration or maintenance of hydration, duration of diarrhoea, stool frequency and length of hospital stay, was the same in both groups. After 24 h of ORS there was no difference between groups in venous pH, serum bicarbonate, urea and electrolytes. In hospitalized children with acute gastroenteritis in the United Kingdom an ORS without bicarbonate is a safe, effective means to prevent dehydration and maintain hydration and acid-base status where dehydration is not severe. Exclusion of bicarbonate would simplify production, increase stability and reduce the cost of ORS without apparent impairment of efficacy.

Acidosis↗

Dimensional stability and dehydration of a thermoplastic polycarbonate-based and two PMMA-based denture resins.

This study compared the dimensional stability and dehydration of a thermoplastic polycarbonate denture base resin with two conventional polymethyl methacrylate denture base resins. Maxillary complete dentures were fabricated from the three denture materials and the accuracy of fit along the posterior palatal border of the cast used in processing was measured. Measurements were conducted at five palatal locations immediately after processing and at 7 and 30 days during immersion in water (23 degrees C) and at 7 and 30 days during dehydration (23 degrees C, 65-75% relative humidity). Percentage mass loss during dehydration was determined with an electronic balance. The thermoplastic material was separately compared with each of the conventional resins using a modified Welch two-sample t-test, with a Bonferroni correction for P values. For mean palatal dimensional change, the thermoplastic resin was generally not statistically different from the conventional resins after processing and during immersion (P > or = 0.06), but was generally less than the conventional resins during dehydration (P < or = 0.02). For mean percentage mass loss, the thermoplastic resin consistently showed much smaller, statistically significant values compared with the conventional resins (P < 0.001). It was concluded that the thermoplastic resin should show dimensional changes in service comparable with the conventional resins, but less dimensional change caused by dehydration.

Acrylic Resins↗

Chronic dehydration stone disease.

A study was made of 819 patients attending a metabolic stone clinic. A firm diagnosis was made in 708 (86%) and in 132 of these (19%) the diagnosis was thought to be chronic dehydration. The records were available for study for 87 males and 11 females in the chronic dehydration group. The mean age at presentation was 43 years. The causes of chronic dehydration were hot climate (62%), with hot occupation and low water intake almost equal in second place. In patients with a single cause of chronic dehydration, 57% also had a dietary risk factor for urolithiasis and this was most commonly high oxalate intake. Following dietary advice, the mean urinary volume increased from 1720 to 2475 ml/24 h. This was accompanied by a rise in mean urinary calcium from 6.02 to 6.96 mmol/24 h, presumably due to the calcium in the additional water drunk. Urinary oxalate did not change significantly. The mean follow-up time was 4.85 years and the stone recurrence rate was low. It was concluded that chronic dehydration is a common cause of urolithiasis; this can be treated satisfactorily by increasing water intake plus dietary advice in certain cases.

Adult↗

Effect of dehydration and hyperosmolal hydration on lignocaine and metabolites disposition in conscious rabbits.

1. The present study aimed to investigate the effect of dehydration and hyperosmolal hydration on the disposition of lignocaine and two of its metabolites, monoethylglycinexylidide (MEGX) and glycinexylidide (GX). 2. Lignocaine was infused to three groups of conscious rabbits: controls, rabbits previously deprived of water for 48 h and rabbits receiving an infusion of 2.5% NaCl. 3. In dehydrated and hyperosmolal-hydrated rabbits, plasma osmolality was 321 +/- 1 and 313 +/- 1 mOsm kg-1, respectively (P < 0.01 compared to controls, 285 +/- 1 mOsm kg-1). In dehydrated animals, baseline values of plasma arginine vasopressin (AVP) concentrations and plasma renin activity (PRA) were higher than in controls, i.e. 12.4 +/- 1.4 pg ml-1 and 15.4 +/- 1.7 ng AI ml-1 h-1 vs. 3.4 +/- 0.2 pg ml-1 (P < 0.01), and 5.1 +/- 0.6 ng AI ml-1 h-1 (P < 0.01), respectively; atrial natriuretic peptide (ANP) decreased from 55 +/- 11 to 32 +/- 4 pg ml-1 (P < 0.05). Compared to controls, hyperosmolal hydration only increased AVP to 15.5 +/- 0.7 pg ml-1 (P < 0.01). 4. Under both experimental conditions, lignocaine plasma concentrations were almost double (P < 0.01) those in controls, due to a lower systemic clearance, e.g. 54 +/- 3 and 59 +/- 1 vs. 96 +/- 5 ml min-1 kg-1, respectively. Plasma levels of MEGX increased (P < 0.01) only in dehydrated animals, although GX plasma concentrations were augmented (P < 0.01) about three fold in both groups of animals. The changes in lignocaine plasma concentrations were correlated with AVP levels (R2 = 0.5168, P<0.001).5. To document the effect of AVP on hepatic plasma flow, another group of rabbits received on separate occasions two doses of AVP (17 and 84 ng kg-1) while receiving an infusion of in docyanine green. AVP reduced hepatic plasma flow from 38.9 +/-2.7 ml min-1 to 19.6 +/-2.5 ml min-1 (P<0.01).The predicted maximal AVP-induced decrease in hepatic plasma flow was 19.6 ml min-1 kg- 1(Emax), and AVP concentration eliciting 50% of Em.. (ED50) was 28.7 pg ml-1.6 It is concluded that both dehydration and hyperosmolal hydration alter the disposition of lignocaine and two of its metabolites.

Animals↗

Hypernatremic dehydration in nursing home patients: an indicator of neglect.

In order to determine the antecedents of hypernatremic dehydration the authors reviewed the records of 56 patients with this condition at two public hospitals, one of which includes a large chronic care facility. Twenty-nine patients developed hypernatremic dehydration while at nursing homes. All cases came from proprietary nursing homes, although proprietaries account for only 88 per cent of nursing home beds in the community studied (P less than 0.05). There was a cluster of patients from two nursing homes. Sixteen patients admitted from home all showed evidence of inadequate care prior to admission. Eleven patients became hypernatremic while in acute care hospitals. No patient in the public chronic care facility developed hypernatremic dehydration during the period studied. The average serum sodium concentration of patients transferred from nursing homes was significantly higher than that of patients who developed hypernatremic dehydration at home or in acute care hospitals. It is concluded that hypernatremic dehydration in an institutionalized patient may be an indicator of inadequate care, which should prompt further investigation of the living conditions of the patient.

Adult↗

Risk factors for dehydration among elderly nursing home residents.

Dehydration is the most common fluid and electrolyte disorder among the elderly, yet risk factors are not known. This study identifies risk factors for dehydration in acutely ill nursing home residents. All 339 elderly resident of two nursing homes who developed an acute illness requiring hospitalization during 1984 were included in the study. The 173 patients having a serum Na less than 150 mg/dL and blood urea nitrogen to creatinine ratio (BUN:Cre) less than 20 were designated controls; 91 patients having a serum Na greater than 150 mg/dL or a serum BUN:Cre greater than 25 were designated cases. Odds ratios (OR) and confidence intervals were calculated for age, sex, chronic conditions, acute illnesses, medications, functional status measures, and season. Acutely ill dehydrated patients were female (OR, 3.3); over 85 years old (OR, 2.2); had more than four chronic conditions (OR, 4.0); took more than four medications (OR, 2.8); and were bedridden (OR, 2.9). Among the most severely dehydrated (serum Na greater than 150 mg/dL and BUN:Cre greater than 25), the odds ratios for the above factors were strengthened and other factors, such as inability to feed oneself and type of acute diagnosis, emerged as risk factors. Among the variables unrelated to functional status, laxatives (OR, 3.2) and chronic infections (OR, 1.8) were risk factors. We conclude that a group at high risk for dehydration can be defined and that they are better characterized by the number of chronic diseases and debilitated functional status than by acute disease processes.

Acute Disease↗

Indices of dehydration among frail nursing home patients: highly variable but stable over time.

OBJECTIVE: To determine changes in standard laboratory measures of dehydration among residents of a nursing home care unit (NHCU) over a 6-month period. DESIGN: A prospective cohort analytic study. SETTING: A 130-bed NHCU in a Department of Veterans Affairs Hospital. PATIENTS: Fifteen infirm but stable male residents (mean age 77 years; range (R) 62-93) on one ward of the NHCU. MAIN OUTCOME MEASURES: We studied prospectively for 6 months the serum osmolality (osm), serum sodium (Na), blood urea nitrogen/creatinine (BUN/Cr) ratios and weight (wt) for 15 patients of the NHCU. None of the patients was acutely ill during the study period or exhibited clinical signs of dehydration. RESULTS: Mean serum osm at baseline: 291.6 mOsm/kg (R 278 to 300); 3 months: 291.5 mOsm/kg (R 276 to 301); 6 months: 291.3 mOsm/kg (R 283-300) were all similar. Forty percent (6/15) of patients had at least one high normal/elevated reading (> or = 295 mOsm/kg) during the study. Three patients (20%) had readings of > or = 300 mOsm/kg, but none of these patients had either concurrent increased serum Na (> or = 146 mmole/L) or BUN/Cr ratios (> or = 25). Mean serum Na at baseline: 143.0 mmole/L (R 139-148); 3 months: 142.1 mmole/L (R 138-149); 6 months: 142.9 mmole/L (R 137-150) were all similar. Sixty percent (9/15) of the patients maintained normal (nl) serum Na levels throughout the study. The relationship between the change in serum Na and serum osm levels from baseline to 6 months was not significant (r = 0.242). BUN/Cr ratios ranged from 12-34 over the study period with 3 of 15 patients (20%) demonstrating elevated ratios consistently throughout the study without clinical evidence of dehydration. Only two patients had both high nl/elevated serum osm and elevated serum Na, although both had nl BUN/Cr ratios. Neither of these patients was thought by staff to be clinically dehydrated. Analysis of variance (ANOVA) indicated none of the laboratory measures changed significantly over time (serum osm: F(2,28) < 1; Na: F(2,28) < 1; BUN/Cr: F(2,28) < 1). There was no significant change in weight between the baseline and six month readings. CONCLUSIONS: These data suggest that in the presence of clinical stability, long-term care residents may have a serum osm in the high normal/elevated range without overt clinical evidence of dehydration, an accompanying elevated Na, or BUN/Cr ratio. This may indicate a different central osm setting for these residents as the serum osm appeared to be stable for each resident over time. These data also suggest that measures of serum osm, Na, and BUN/Cr in the long-term care setting may accurately predict future laboratory values in an individual patient if baseline values are drawn when the patient is not acutely ill.

Aged↗

Effect of dehydration on renal blood flow in dog.

The effect of dehydration on intrarenal blood flow was investigated in 11 dogs, using polarographic determination of H2-gas desaturation for measuring local blood flow in inner cortex (ICF) and outer cortex (OCF). Dehydration was induced by 48 h water deprivation +2-300 mg ethacrynic acid (EA) per os the day before the experiment. Compared to a control group (n=9) ICF was markedly reduced to 2.40 +/- 0.47 ml/min X g (control 3.23 +/- 0.64) whereas OCF 3.29 +/- 0.80 ml/min X g was nearly unchanged (control 3.59 +/- 0.85). The ratio OCF/ICF was increased to 1.37 (1.11). Further dehydration by hypertonic peritoneal dialysis for 3 h increased Hct to 60 +/- 4 and further reduced OCF and ICF, without significant change of the OCF/ICF-ratio. At Hct above 55 sudden and intermittent changes in local cortical blood flow were recorded randomly at individual electrode sites, showing ischemic periods lasting for 1 to 60 min. Such flow changes were observed in 13 of 14 expts. and were not accompanied by changes in RBF. It is concluded that moderate dehydration causes a greater reduction of ICF than of OCF. Severe dehydration gives in addition rise to patchy, intermittent ischemia in both cortical layers.

Animals↗

The effect of dietary fibre on hydration status after dehydration with frusemide.

Three diets were fed to 6 horses in a 3 x 6 Latin rectangle experiment to determine if dietary fibre could improve hydration status in response to dehydration with frusemide. Frusemide was used to simulate dehydration from exercise-induced sweat loss. Diets contained similar dry matter (DM), energy, protein and electrolyte content, but differed in total dietary fibre (TDF) and/or soluble fibre (SDF). The 3 diets were: 1) HIGH-HIGH (high TDF, high SDF); 2) HIGH-LOW (high TDF, low SDF); and 3) LOW-LOW (low TDF, low SDF). In each 10 day period, water intake and faecal moisture content were assessed on Day 7. On Day 10, feed and water were withheld and horses were dehydrated with frusemide (1 mg/kg bwt, i.m.). Plasma volume (PV), plasma total protein (TP), packed cell volume (PCV) and plasma electrolyte concentrations were determined before and after frusemide administration. Water consumption was greater (P < 0.05) when horses received diets high in TDF. Faecal moisture content was greatest (P < 0.01) when horses received the HIGH-HIGH diet. The decline in PV and the rise in plasma TP concentration following frusemide administration were similar for all diets. When horses received the HIGH-HIGH diet, they had a greater (P < 0.05) bodyweight before dehydration and lost more (P < 0.05) bodyweight in response to frusemide. A greater loss of bodyweight in response to frusemide without a proportional loss of PV when horses received the HIGH-HIGH diet suggests that a diet high in SDF may provide the horse with a source of dispensable water in the hind gut during dehydration.

Animal Feed↗

Sodium chloride absorption and solute-linked water flow across the epithelium of the coprodeum and large intestine in the normal and dehydrated fowl (Gallus domesticus). In vivo perfusion studies.

1. The transmural net flow of salt and water in the coprodeum and large intestine of normal and dehydrated hens was investigated by means of an intraluminal in vivo perfusion technique. The lumen was perfused with hypo-, iso-, and hyperosmotic salt solutions. Polyethylene glycol (PEG 4000) and [(14)C]inulin served as water markers.2. The maximal net Na(+) flow (J(Na)) from the mucosal to the serosal side was nearly the same in the two states of hydration: normal birds 308 mu-equiv/kg.hr, dehydrated birds 281 mu-equiv/kg.hr, while the J(Na) was half maximal at luminal Na(+) concentrations of 99 and 43 mu-equiv/l. respectively. The ;affinity' for Na(+) in the dehydrated bird was thus twice that in the normal bird. K(+) was secreted into the gut lumen at a constant rate against the electrochemical gradient, J(K) = -97 mu-equiv/kg.hr (S.E. = 5). Cl(-) was absorbed from lumen to plasma down the electrochemical gradient with J(Cl) ranging from 0 to 94 mu-equiv/kg.hr. The low J(Cl) was observed at low luminal NaCl concentrations when the J(Na) was also small.3. The solute-linked water flow, J(vs), occurring in the absence of an osmolality difference across the epithelium, was 1.1 mul. H(2)O/mu-equiv Na(+) in normal birds and 1.5 in dehydrated birds. The J(vs) was calculated as an operational parameter in experiments with luminal osmolalities different from plasma osmolality by subtracting the water flow observed in an experiment without Na(+) in the perfusion fluid from the water flow in an experiment with Na(+) containing perfusion fluids, both fluids being of the same osmolality. J(vs) was maximal at luminal osmolalities close to plasma osmolality. These observations are compatible with the hypothesis that the J(vs) is due to an osmotic flow into a confined region between the cells.4. When the perfusion rate was lowered from 5-9 ml./kg.hr to 0.8-1.0 the incoming perfusion fluid osmolality at which net water flow across the epithelium was zero went up from 100 to 180 m-osmolal higher than plasma osmolality. This observation suggests that a significant fraction of ureteral urine in the dehydrated bird may be absorbed in the coprodeum and large intestine.

Animals↗

The effect of vasopressin (Pitressin) administration and dehydration on the concentration of solutes in renal fluids of rats with and without hereditary hypothalamic diabetes insipidus.

1. The method of sequential centrifugation has been used to obtain fluid samples from both the renal papilla and inner medulla of the rat.2. Experiments were carried out on Brattleboro rats with hereditary hypothalamic diabetes insipidus (DI; homozygous recessive), and on their (heterozygous) litter-mates with normal quantities of neurohypophysial vasopressin. Initial classification of the animals by measurement of urine volume and osmolality was confirmed by post-mortem bio-assay of the pituitary glands, in thirty-five out of forty-seven animals.3. In rats with DI, urine osmolalities comparable to those of heterozygous rats were obtained after four daily injections of 1 u. Pitressin Tannate in Oil (PTO). Under these conditions, when dehydration was superimposed for 72 hr, urine osmolality did not increase markedly. In heterozygous rats dehydrated for the same period of time, urine osmolality increased by some twofold.4. In rats with DI, the administration of PTO induced a rise of both sodium and urea concentrations in renal fluids and in urine. Dehydration during PTO administration caused a further rise of urea concentrations only. Dehydration per se significantly raised urinary and renal fluid urea concentrations, but sodium concentrations did not rise.5. In heterozygous rats dehydration per se increased both urea and sodium concentrations in renal fluids and urine.6. The evidence is discussed that the action of vasopressin involves factors apart from increasing the permeability of the distal nephron to water and urea.

Ammonia↗

Effects of dehydration and rehydration on thermoregulatory sweating in goats.

1. Measurement of rectal temperature (Tr), sweat rate, respiratory frequency (f) and respiratory evaporation (Eresp) were made in one Nubian and four Alpine-Toggenberg goats while they stood for 90 min in a climate chamber at 40 degrees C ambient temperature (Ta). The animals were studied when they were hydrated, when they had been dehydrated by 48 h water deprivation, and when they were rehydrated by voluntary drinking of water or saline or by intraruminal water administration. Plasma osmolality (Posm), plasma protein concentration (PP) and haematocrit (Hct) were measured before every experiment and before and after voluntary drinking. 2. Hydrated animals increased evaporation by panting and sweating during heat exposure and Tr rose about 1 degree C. The rate of sweating was as high or higher than Eresp. Dehydrated animals had lower sweat rates and higher Tr than hydrated animals, but f and Eresp were the same in hydrated and dehydrated animals. 3. When dehydrated goats were allowed to drink after 60 min of heat exposure, sweating began abruptly within 3 min of the start of drinking in every animal whether water or saline was drunk. Sweat rate returned to hydrated levels or higher before any change occurred in Posm, PP or Hct. Respiratory frequency was higher after drinking than in dehydrated animals which were not allowed to drink. 4. When water was administered by rumen tube after 60 min of heat exposure, sweating in the Nubian occurred with a short latency, similar to the onset after drinking. In the other four animals, sweating onset occurred on average at 13 min 42 s after intraruminal water administration. 5. It is concluded that sweating is a significant avenue of evaporative heat loss in these goats when they are hydrated and exposed to high Ta. Sweat rate is markedly reduced after water deprivation but returns to hydrated levels within 3 min after the start of drinking. The rapid recovery of sweating after voluntary drinking is not initiated by changes in Posm or in blood volume and does not appear to depend upon osmoreceptors in the mouth or gastrointestinal tract since it occurs after drinking either water or saline. The arrival of water in the rumen may be sufficient to initiate immediate sweating in some goats, but the act of drinking is necessary in others.

Animals↗