Solution hypertonic

A substrate is a substance that is the basic component of an organism. Protein substrates are amino acids, which are essential to life Protein substrates are amino acid preparations that act to promote the production of proteins (anabolism). Amino acids are necessary to promote synthesis of structural components, reduce the rate of protein breakdown (catabolism), promote wound healing, and act as buffers in the extracellular and intracellular fluids. Crystalline amino acid preparations are hypertonic solutions of balanced essential and nonessential amino acid concentrations that provide substrates for protein synthesis or act to conserve existing body protein. 

The most common adverse reaction associated with the administration of fat emulsion is sepsis caused by administration equipment and thrombophlebitis caused by vein irritations from concurrently administering hypertonic solutions. Less frequently occurring adverse reactions include dyspnea, cyanosis, hyperlipidemia, hypercoagulability, nausea, vomiting, headache flushing, increase in temperature sweating, sleepiness, chest and back pain, slight pressure over the eyes, and dizziness. 

Very large doses can cause vomiting, diarrhea, and prostration. Dehydration and congestion occur in most internal organs. Hypertonic solutions can produce violent inflammatory reactions in the gastrointestinal tract. 

Some types of injections must be made iso-osmotic with blood serum. This applies particularly to large-volume intravenous infusions if at all possible hypotonic solutions cause lysis of red blood corpuscles and thus must not be used for this purpose. Conversely, hypertonic solutions can be employed these induce shrinkage, but not lysis, of red cells which recover their shape later. Intraspinal injections must also be isotonic, and to reduce pain at the site of injection so should intramuscular and subcutaneous injections. Adjustment to isotonicity can be determined by the following methods. 

Flores, J., Dibona, D.R., Beck, C.H. and Leaf, A. (1972). The role of ceU sweUing in ischaemic renal damage and the protective effect of hypertonic solute. J. Clin. Invest. 51, 118-126. 

Fluids can be classified further according to their tonicity. Isotonic solutions (i.e., normal saline or 0.9% sodium chloride [NaCl]) have a tonicity equal to that of the ICF (approximately 310 mEq/L or 310 mmol/L) and do not shift the distribution of water between the ECF and the ICF. Because hypertonic solutions (i.e., hypertonic saline or 3% NaCl) have greater tonicity than the ICF (greater than 376 mEq/L or 376 mmol/L), they draw water from the ICF into the ECF. In contrast, hypotonic solutions (i.e., 0.45% NaCl) have less tonicity than the ICF (less than 250 mEq/L or 250 mmol/L) leading to an osmotic pressure gradient that pulls water from the ECF into the ICF. The tonicity, electrolyte content, and glucose content of selected fluids are shown in Table 24—3. 

It is important that injectable solutions that are to be given intravenously are isotonic, or nearly so. Because of osmotic pressure changes and the resultant exchange of ionic species across red blood cell membranes, nonisotonic solutions, particularly if given in quantities larger than 100 mL, can cause hemolysis or cre-nation of red blood cells (owing to hypotonic or hypertonic solutions, respectively). Dextrose, sodium chloride, or potassium chloride is commonly used to achieve isotonicity in a parenteral formula. 

CPN solutions are highly concentrated hypertonic solutions that must be administered through a large central vein. 

Adding an isotonic solution to the extracellular fluid (ECF) does not change intracellular volume. Adding a hypertonic solution to the ECF decreases cell volume, whereas adding a hypotonic solution increases it (Table 78-1). 

It is well known that when solid food is immersed in a hypertonic solution, a driving force for the diffusion of water from the food into the solution is set up because the food cellular surface structure acts as a... 

Embolism is another possible complication of the IV route. Particulate matter may be introduced if a drug intended for intravenous use precipitates for some reason, or if a particular suspension intended for IM or SC use is inadvertently given into a vein. Hemolysis or agglutination of erythrocytes may be caused by injection of hypotonic/hypertonic solutions, or by more specific mechanisms (Gray, 1978). 

Osmotic effects are very important from a physiological standpoint. This is because biological membranes including the membrane of red blood cells behave like semipermeable membranes. Consequently, when red blood cells are immersed in a hypertonic solution (e.g., D5 A NS or D5NS), they shrink as water leaves the blood cells in an attempt to dilute and establish a concentration equilibrium across the blood cell membrane. Thus, when hypertonic solutions are administered into the blood stream, the fluid moves from interstitial and cellular space into the intravascular space. Conversely, when cells are placed in hypotonic environment (e.g., V2 NS), they swell because of the entry of fluid from the intravascular compartment, and may eventually undergo lysis. 

In the eye, hypertonic solutions may cause drawing of water towards the site of application whereas hypotonic solutions may cause water to move from the topical application site through the tissues of the eye. When instilled into the eye, isotonic solutions cause no contraction or swelling of the tissues with which they come in contact, and cause no discomfort. Therefore, it is very important to adjust the isotonicity of topical ophthalmic products. Isotonic adjustments are also important for nasal and aural preparations, parenteral products, and irrigating solutions. In a given product, all the... 

To isolate intact organelles, it is important for the homogenization solution to be isotonic—I e the osmotic value of the buffer has to be the same as that of the interior of the cell. If hypotonic solutions were used, the organelles would take up water and burst, while in hypertonic solutions they would shrink. 

Too rapid infusion of hypertonic solutions may cause local pain and, rarely, vein irritation. Adjust rate of administration according to tolerance. Use of the largest peripheral vein and a small bore needle is recommended. 

Extravasation Extravasation of IV hypertonic solutions of sodium bicarbonate may cause chemical cellulitis (because of their alkalinity), with tissue necrosis, ulceration, or sloughing at the site of infiltration. Prompt elevation of the part, warmth, and local injection of lidocaine or hyaluronidase are recommended to prevent sloughing. 

Similar experiments in which tissue was allowed to hydrate or dehydrate in hypotonic or hypertonic solutions also showed a lower rate of water transport for ozone-treated tissue (13). Hence, the coefficient of hydraulic permeability (Lp) appears to be decreased by ozone exposure. 

The drug is injected as a bolus or infused slowly directly into a vein to produce rapid action. It is also useful for certain irritant and hypertonic solutions, as they are rapidly diluted by the blood. Drugs in an oily vehicle or those which precipitate blood constituents or haemolyze erythrocytes should not be given by this route. 

Osmosis, water movement across a semipermeable membrane driven by differences in osmotic pressure, is an important factor in the life of most cells. Plasma membranes are more permeable to water than to most other small molecules, ions, and macromolecules. This permeability is due partly to simple diffusion of water through the lipid bilayer and partly to protein channels (aquaporins see Fig. 11-XX) in the membrane that selectively permit the passage of water. Solutions of equal osmolarity are said to be isotonic. Surrounded by an isotonic solution, a cell neither gains nor loses water (Fig. 2-13). In a hypertonic solution, one with higher... 

FIGURE 2-13 Effect of extracellular osmolarity on water movement across a plasma membrane. When a cell in osmotic balance with its surrounding medium (that is, in an isotonic medium) (a) is transferred into a hypertonic solution (b) or hypotonic solution (c), water moves across the plasma membrane in the direction that tends to equalize osmolarity outside and inside the cell. 

The method chosen to provide an aqueous concentrate was RO. The RO procedure provided 50-fold aqueous concentrates containing almost all of the organic carbon (4). However, the removal of salt that was required to achieve a 400-fold concentrate without precipitation and without forming a hypertonic solution resulted in substantial losses of organic carbon (13). 

Hypotonic solutions will cause a net flow of solvent into the cells to equalize the osmotic pressure. The cells will burst and die (hemolysis). Hypertonic solutions will cause a net flow of solvent out of the cells to equalize the osmotic pressure. The cells will shrink and die. 

As you doubtlessly learned in physiology, osmosis is diffusion of water through a semipermeable membrane. The semipermeable membrane allows water to move through it, but most solute particles are either too big or too polar to make it across the membrane. The relative concentration of solutes in osmotic systems is called the tonicity. Two solutions are isotonic if they contain equal concentrations of particles. If the concentrations are not equal, the one with the greater concentration is the hypertonic solution, and the one with the lower concentration is the hypotonic solution. It is critically important to notice that tonicity is a comparative concept, and it makes no sense to call a solution hypertonic without indicating to which solution you are comparing it. For example, is a 5% NaCl solution hypotonic or hypertonic You are probably tempted to say hypertonic, because you are mentally comparing this solution to normal saline, which is 0.89% (w/w) NaCl. So, 5% NaCl is hypertonic to normal saline. However, 5% NaCl is hypotonic to 10% NaCl and isotonic with another solution of 5% NaCl. 

If we separate a 5% NaCl solution from a 1% NaCl solution by a semipermeable membrane, as illustrated in Figure 8.4, in which direction will osmosis occur Osmosis is the diffusion of water, and diffusion always spontaneously occurs in the direction from an area of high concentration to an area of low concentration. Since the concentration of water in the hypotonic solution is greater that the concentration of water in the hypertonic solution, osmosis always spontaneously occurs from the hypotonic solution to the hypertonic solution. 

Fig. 18. Diagrams illustrating the differences and difficulties during freezing of cells in suspension (a) and on surfaces (b, c and d). In both cases, large ice crystal formation must be avoided, this means that freezing must be rapid and often involves the use of cryo-protectants. In suspension, the use of hypertonic solutions to shrink cells by osmosis helps to avoid membrane rupture. But with cells fixed to surfaces, shrinkage can lead to rupture of the filopodia or to parts of cytoskeleton or cell membrane (c). Additionally, animal cells under stress (including this kind of osmotic stress) tend to build up into a spherical shape. This means they would lose many of their surface contacts before freezing and disappear into solution after re-thawing. Cryo-con-servation of adhered cells in defined positions requires very precise control of the conditions...

Passive membrane dialysis is usually applied batch-wise, since its driving-force is the difference in gradient concentration between the two solutions separated by the membrane. In this case, the solute (reactants and products small molecules) from a hypertonic solution (the resulting solution of the catalytic reaction) permeates through the membrane to the hypotonic side (pure solvent) until equilibrium has been achieved, whereas the nanosized catalyst remains confined inside the membrane (similar to a tea-bag see Fig. 3A). 

Living cells, among them the red blood cells, are surrounded by semipermeable membranes. The osmolarity of most cells is 0.30 osmol. For example, a 0.89% w/v NaCl solution, normally referred to as physiological saline solution, has an osmolarity of 0.30. Thus when a cell is put in physiological saline solution, the osmolarity on both sides of the membrane is the same and therefore no osmotic pressure is generated across the membrane. Such a solution is called isotonic. On the other hand, if a cell is put in water (pure solvent) or in a solution which has lower osmolarity than the cell, there will be a net flow of water into the cell driven by the osmotic pressure. Such a solution is called hypotonic. A cell placed in a hypotonic solution will swell and eventually may burst. If that happens to a red blood cell, the process is called hemolysis. In contrast, a solution with higher osmolarity than the cell is called a hypertonic solution. A cell suspended in a hypertonic solution will shrivel there is a net flow of water from the cell into the surroundings. When that happens to a red blood cell, the process is called crenation. 

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