Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1971 Jun 5;2(5761):561–563. doi: 10.1136/bmj.2.5761.561

Impaired Water Handling in Chronic Airways Disease

R J White, D F Woodings
PMCID: PMC1795838  PMID: 5579193

Abstract

The response to a standard water load (20 ml/kg body weight) was studied in 20 patients with chronic obstructive airways disease and in 13 healthy subjects. The percentage of the water load excreted in four hours was significantly lower in the patients (mean 51%) than in the controls (mean 106%). The maximum urine flow, osmolar clearance, free water clearance, and creatinine clearance were also significantly reduced in the patients. There was a significant inverse correlation between the percentage of load passed and the arterial PCO2 (r = -0·798). Among the several possible causes of the reduced excretion of water which are discussed is a direct effect of hypercapnia.

Full text

PDF
562

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABER G. M., BAYLEY T. J., BISHOP J. M. INTER-RELATIONSHIPS BETWEEN RENAL AND CARDIAC FUNCTION AND RESPIRATORY GAS EXCHANGE IN OBSTRUCTIVE AIRWAYS DISEASE. Clin Sci. 1963 Oct;25:159–170. [PubMed] [Google Scholar]
  2. ABER G. M., BISHOP J. M. SERIAL CHANGES IN RENAL FUNCTION, ARTERIAL GAS TENSIONS AND THE ACID-BASE STATE IN PATIENTS WITH CHRONIC BRONCHITIS AND OEDEMA. Clin Sci. 1965 Jun;28:511–525. [PubMed] [Google Scholar]
  3. BELL N. H., SCHEDL H. P., BARTTER F. C. AN EXPLANATION FOR ABNORMAL WATER RETENTION AND HYPOOSMOLALITY IN CONGESTIVE HEART FAILURE. Am J Med. 1964 Mar;36:351–360. doi: 10.1016/0002-9343(64)90161-5. [DOI] [PubMed] [Google Scholar]
  4. Gibson D. G., Marshall J. C., Lockey E. Assessment of proximal tubular sodium reabsorption during water diuresis in patients with heart disease. Br Heart J. 1970 May;32(3):399–405. doi: 10.1136/hrt.32.3.399. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. HAMMOND J. D., MACKINNON J., SMITH W. D., STUART-HARRIS C. H. The renal circulation in chronic pulmonary disease and pulmonary heart failure. Q J Med. 1956 Jul;25(99):389–405. [PubMed] [Google Scholar]
  6. LONGSON D., MILLS J. N. The failure of the kidney to respond to respiratory acidosis. J Physiol. 1953 Oct;122(1):81–92. doi: 10.1113/jphysiol.1953.sp004980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. PLATTS M. M., HAMMOND J. D., STUART-HARRIS C. H. A study of cor pulmonale in patients with chronic bronchitis. Q J Med. 1960 Oct;29:559–574. [PubMed] [Google Scholar]
  8. SCHEDL H. P., BARTTER F. C. An explanation for and experimental correction of the abnormal water diuresis in cirrhosis. J Clin Invest. 1960 Feb;39:248–261. doi: 10.1172/JCI104035. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. SCHWARTZ W. B., BRACKETT N. C., Jr, COHEN J. J. THE RESPONSE OF EXTRACELLULAR HYDROGEN ION CONCENTRATION TO GRADED DEGREES OF CHRONIC HYPERCAPNIA: THE PHYSIOLOGIC LIMITS OF THE DEFENSE OF PH. J Clin Invest. 1965 Feb;44:291–301. doi: 10.1172/JCI105143. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. WHITE A. G., RUBIN G., LEITER L. Studies in edema. IV. Water retention and the antidiuretic hormone in hepatic and cardiac disease. J Clin Invest. 1953 Oct;32(10):931–939. doi: 10.1172/JCI102818. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES