BIOCHEM 2016-2017

Small Group Activity in Biochemistry

BGD on WATER- STUDENTS GUIDE
Name:__________________________________
DATE:__________________________
Section______
A. Learning Objectives:
At the end of the sessions the medical student should be able to
1. Compare and differentiate the water content of all the affected individuals according to sex, weight and age
2. Differentiate the body compartments according to the cations involved.
3. Predict and explain the movement of water using the different replacements given to different individuals
in the case.
4. Compute for the total body water, ECF and ICF Compartments and the osmolality of the different
individuals
B.

ACTIVITY: SMALL GROUP DISCUSSIONS

1.
2.
3.
4.

Divide the class into Small Groups- will be posted in the biochem bulletin board
Cases will be provided 1 week before the activity ( check bulletin board/ e portals for the cases)
To answer all the tasks assigned for each group
To participate in the SGD

C. TASKS
1. Differentiate the water content of the individuals in the case
2. Give the 2 main compartments of the body and compare and contrast the cations involved and their role in
the body
3. Explain the movement of water after the intake of the different type of fluids.
4. Compute the total body water, ICF and ICF
5. Solve for the serum osmolality

CASE 1 SECTION A
A family went to a party and when they reached home all of them had several episodes of vomiting followed by
diarrhea. The father drank distilled water. The mother drank ORS and the child was hooked to IVF and still
vigorously drank ORS. It was only the mother who recovered.
Guide Questions:
1. Differentiate the water content of all the affected individuals according to sex, weight and age?
2. Differentiate the different compartments according to the cations involved.
3. Explain the movement of water as the different replacements were given to 3 individuals in the case. A) the
father b) mother c) child
4. Compute for the total body water, ECF and ICF Compartments and the osmolality of the different
individuals: with the ff. data POST INTAKE of different fluids.
Father
50 kg
Na: 120meq/l
K: 3.5
Glu:115 mg/dl
BUN: 10 mg/dl

Mother
50kg
Na: 135meq/l
K: 3.5
Glu104 mg/dl
BUN: 4 mg/dl

Child
10kg
Na: 155 meq/l
K: 3.6
GLU: 103 mg/dl
BUN: 8 MG/DL

CASE 2 : SECTION B
A group of youngsters went to a rave concert at MOA, due to the sweltering heat and the vigorous dancing, the
3 youngsters drank the following:
Youngster 1: Gino, male athlete, 25 y/o lean male 45 kg : drank distilled absolute water
Youngster 2: Stella, obese female, 18 y/o,female: 80 kg , drank : ORS
Youngster 3: Chino , male, thin, 20 y /o male : 30 k: drank sugary ice Tea
GINO
45 kg
Na: 120meq/l
K: 3.5
Glu:115 mg/dl
BUN: 10 mg/dl

Stella
80 kg
Na: 135meq/l
K: 3.5
Glu104 mg/dl
BUN: 4 mg/dl

Chino
30kg
Na: 155 meq/l
K: 3.6
GLU: 103 mg/dl
BUN: 8 MG/DL

Guide Questions:
1. Differentiate the water content of all the affected individuals according to sex, weight and age?
2. Differentiate the different compartments according to the cations involved.
3. Explain the movement of water as the different replacements were given to 3 individuals in the case.
A)GINO b) STELLA c) CHINO
4. Compute for the total body water, ECF and ICF Compartments and the osmolality of the different
individuals: with the ff. data POST INTAKE of different fluids.

CASE 3: SECTION C
A family went on swimming at Puerto Galera. The father went swimming at the beach and nearly drowned. His
kid went to the swimming pool and nearly drowned too.
FATHER
50 kg
Na 155
K: 3.6
Glu 103
BUN :8 mg/dl

SON
15kg
Na: 120
K: 3.5
Glu 115 mg/dl
BUN: 10 mg/dl

Guide Questions:
1.
2.
3.
4.

Differentiate the water content of all the affected individuals according to sex, weight and age?
Differentiate the different compartments according to the cations involved.
Explain the movement of water in this 2 situations of near drowning in sea water and in fresh water
Compute for the total body water, ECF and ICF Compartments and the osmolality of the different
individuals: with the ff. data POST INTAKE of different fluids.

WATER RUBRIC
Tasks
1.Differentiate
the
water
content of the father mother
and child (age, weight and sex)
2.
Give
the
different
compartments and the cations
involved

1
Gave
differentiation
with 1
parameter
Able to name
the 2 basic
compartment

3: Explain the movement of

water .

No explanation
on the
movement of
the electrolytes
after correction
is done

4. Compute the total body

water of the patient.

No
computation of
TBW

2
Gave
differentiation
with 2
parameters
Able to name
and give the 2
basic
components
involved plus
the other fine
components
Only one
Correct
electrolyte
explained well

3
Gave differentiation with
3 parameter

Total
______X3

All the movements were

discussed in all
compartments

____X3 =

Wrong
computation of
TBW

Correct computation of
TBW

____X3 =

Able to give the

complete components
and cations involved

1.

Compute for
the
extracellular
and
intracellular
water
compartment
s.

6. Solve for the serum

osmolarity of the patient.

No
computation

No/wrong
computation

Correct
computation of
only one
compartment

Correct computation for

both compartments

Correct formula Computed Serum

used
osmolarity is correct
Total = _____/54 X 100 = ________%

Noted________________________________________Date______________
Faculty_______________________________________Date______________

____X3 =

____X3 =