1 X = osmolarity
Concentration X Osmotic coefficent= osmolarity
2 X = Effective osmotic pressure
Osmotic coefficient X Reflection Coefficient = Effective osmotic pressure
3For tonicity, we only compare effective
For tonicity, we only compare effective osmotic pressure
4Solution will flow to the side with the higher effective
Solution will flow to the side with the higher effective osmotic pressure
5Normal values range from to mOsm/kg for plasma
Normal values range from 275 to 295 mOsm/kg for plasma
6If you need to replace 1 L of intersittial fluid, you would actually need to add liters because that space is the .
If you need to replace 1 L of intersittial fluid, you would actually need to add 4 liters because that space is 1/4 the extracellular space.
7For hypovolemia/Hypotension (isotonic correction), you can correct with isotonic saline
For hypovolemia/Hypotension (isotonic correction), you can correct with
4 L isotonic saline

8For hypovolemia/hypotension correcting with
(hypotonic correction) you would need to correct. Not ideal because overall osmolarity
For hypovolemia/hypotension correcting with
(hypotonic correction) you would need
more than 4 L to correct. Not ideal because
lowering overall osmolarity

9For hpovolemia/hypotension correcting with
(hypertonic correction), you would need . Not ideal bceaue it overall osmolarity
For hpovolemia/hypotension correcting with
(hypertonic correction), you would need
less than 4 L. Not ideal bceaue it
raises overall osmolarity
