Body Fluids Cerebrospinal fluid

Acyclovir is cleared primarily by glomerular filtration and tubular secretion. The half-life is 2.5-3 hours in patients with normal renal function and 20 hours in patients with anuria. Acyclovir diffuses readily into most tissues and body fluids. Cerebrospinal fluid concentrations are 20-50% of serum values. 

Extracellular fluid contains sodium as the predominant cation and accounts for 20-25% of body weight, or one-third of total body water. It makes up vascular, interstitial, transcellular, and dense connective tissue fluid pools. Vascular fluid is the circulating portion, is rich in protein, and does not readily cross endothelial membranes. Interstitial fluid surrounds cells and accounts for 18-20% of total body water. It exchanges with vascular fluid via the lymph system. Transcellular fluid is present in digestive juices, intraocular fluid, cerebrospinal fluid (CSF),... 

Flucytosine [2022-85-7] is well absorbed in the digestive tract, which is why oral adraiinistration is preferable. Plasma levels of 30 —40 mg/L are obtained after a dose of 30 mg/kg body weight. Approximately 90% of the pyrimidine derivative is found unaltered in urine, indicating that it is highly suitable for the treatment of renal candidosis. High concentrations were also noted in cerebrospinal fluid the average concentration is approximately 75% of the plasma concentration. 

Vision is vital for human activities, and eyes are very sensitive to a number of toxic insults induced by chemical compounds. The most serious outcome is permanent eye damage which may be so severe as to cause loss of vision. The eye consists of the cornea and conjunctiva, the choroid, the iris, and the ciliary body. It also contains the retina, which is of neural origin, and the optic nerve. The retina contains photoreceptors, a highly specific light-sensitive type of neural tissue. The eye also contains the lens and a small cerebrospinal fluid system, the aqueous humor system, that is important for the maintenance of the steady state of hydration of the lens and thus the transparency of the eye. 

Many enzyme activities have been proposed for diagnosis, in serum, urine, cerebrospinal fluid and other body fluids, and the proposed methods have been reviewed elsewhere (17). Here we will confine ourselves to the tried and most commonly used enzyme activities which yield useful information in ambulatory or hospital patients. 

Invasive pathogens either aggressively invade the tissues surrounding the primary site of infeehon or are passively transported around the body in the blood, lymph, cerebrospinal fluid or pleural fluids. Some, espeeially aggressive organisms, do both, setting up a number of expansive seeondary sites of infeehon in various organs. 

This chapter will review some recently completed studies on the long-term effects of MDMA in nonhuman primates. The goals of these studies were to (1) determine if the neurotoxic effects of MDMA, which have been well documented in the rodent (see below), generalize to the primate (2) compare the relative sensitivity of primates and rodents to the neurotoxic effects of MDMA (3) ascertain if the toxic effects of MDMA in the monkey are restricted to nerve fibers (as they are in the rat), or if they involve cell bodies as well (4) evaluate how closely toxic doses of MDMA in the monkey approximate those used by humans and (5) examine whether 5-hydroxyindoleacetic acid (5-HIAA) in the cerebrospinal fluid (CSF) can be used to detect MDMA-induced serotonergic damage in the CNS of primates. Before presenting the results of these studies, previous results in the... 

The transcellular fluid includes the viscous components of the peritoneum, pleural space, and pericardium, as well as the cerebrospinal fluid, joint space fluid, and the gastrointestinal (GI) digestive juices. Although the transcellular fluid normally accounts for about 1% of TBW, this amount can increase significantly during various illnesses favoring fluid collection in one of these spaces (e.g., pleural effusions or ascites in the peritoneum). The accumulation of fluid in the transcellular space is often referred to as third spacing. To review the calculations of the body fluid compartments in a representative patient, see Patient Encounter 1. 

Many areas of the human body are colonized with bacteria— this is known as normal flora. Infections often arise from one s own normal flora (also called an endogenous infection). Endogenous infection may occur when there are alterations in the normal flora (e.g., recent antimicrobial use may allow for overgrowth of other normal flora) or disruption of host defenses (e.g., a break or entry in the skin). Knowing what organisms reside where can help to guide empirical antimicrobial therapy (Fig. 66-1). In addition, it is beneficial to know what anatomic sites are normally sterile. These include the cerebrospinal fluid, blood, and urine. 

The histaminergic neurons have several well-developed primary and secondary dendrites that overlap with each other. Furthermore, long dendrites from histaminergic neurons located close to the mammillary recess or to the basal surface of the mammillary body appear to penetrate into the ependymal layer and make contact with cerebrospinal fluid. Thus, it is likely that neuroactive substances such as cytokines, present in the cerebrospinal fluid, may influence the discharge activity of TMN neurons (Wada et al., 1991). Unlike the dopaminergic neurons, which are known to release dopamine from their dendrites, there is no evidence that these histaminergic dendrites store and/or release HA. 

The importance of tissue penetration varies with the site of infection. The CNS is one body site where the importance of antimicrobial penetration is relatively well defined and correlations with clinical outcomes are established. Drugs that do not reach significant concentrations in cerebrospinal fluid should either be avoided or instilled directly when treating meningitis. 

Table V contains data for two model substances, p-aminohippurate (PAH) and phenol red. Consideration of the highest values in this table tells you where the major portions of the substances appear. For example, urine and bile show the largest concentrations of PAH and phenol red. Both compounds appear in significant concentrations in the kidney while the values in muscle, brain and cerebrospinal fluid (CSF) are invariably lower than the values seen in plasma. The values in parentheses (Table V) are percent of the administered dose in a given tissue or fluid compartment. They add to the previous information by revealing the overall importance of a particular compartment in the disposition of a substance. For example, while the hepatic concentrations of PAH and phenol red at 4 hrs. are only about 2-fold those of plasma, the large size of the shark liver relative to its body weight, typically about 10%, leads to the appearance of 30-40% of these substances in the liver. The relative handling of these compounds by the urinary and biliary system is obvious from considering the percentage figures. Thus in 24 hours phenol red is about equally distributed in the bile and urine (38 vs 31%) the urinary route is the dominant route of excretion of PAH, i.e., 56 vs 2%.

Analysis of small ions has been published for many applications other than pharmaceutical applications, and has a growing impact in industrial, environmental, biomedical, clinical, and forensic laboratories. Sample matrices range from simple tap water to Kraft black liquor, including river and seawater, beer and wine, environmental water, and nuclear plant water, but also body fluids such as serum, urine, plasma, cerebrospinal fluid, and many others. Those topics alone would require a separate book. 

Plasma protein binding of meropenem is approximately 2%. The volume of meropenem distribution is 15.7 to 26.68 L. Meropenem penetrates well into most body fluids and tissues, including cerebrospinal fluid, achieving concentrations... 

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