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Chloride is an anion in the human body needed for metabolism (the process of turning food into energy). [1] It also helps keep the body's acid-base balance. The amount of serum chloride is carefully controlled by the kidneys. [2] Chloride ions have important physiological roles.
Hyperchloremia is an electrolyte disturbance in which there is an elevated level of chloride ions in the blood. [1] The normal serum range for chloride is 96 to 106 mEq/L, [2] therefore chloride levels at or above 110 mEq/L usually indicate kidney dysfunction as it is a regulator of chloride concentration. [3]
A chloridometer is a measuring instrument used to determine the concentration of chloride ions (Cl –) in a solution.It uses a process known as coulometric titration or amperostatic coulometry, the accepted electrochemistry reference method to determine the concentration of chloride in biological fluids, including blood serum, blood plasma, urine, sweat, and cerebrospinal fluid.
The anion gap is the quantity difference between cations (positively charged ions) and anions (negatively charged ions) in serum, plasma, or urine. The magnitude of this difference (i.e., "gap") in the serum is calculated to identify metabolic acidosis. If the gap is greater than normal, then high anion gap metabolic acidosis is diagnosed.
A chloride ion is a structural component of some proteins; for example, it is present in the amylase enzyme. For these roles, chloride is one of the essential dietary mineral (listed by its element name chlorine). Serum chloride levels are mainly regulated by the kidneys through a variety of transporters that are present along the nephron. [19]
Hypochloremia (or Hypochloraemia) is an electrolyte disturbance in which there is an abnormally low level of the chloride ion in the blood. The normal serum range for chloride is 97 to 107 mEq/L. [citation needed] It rarely occurs in the absence of other abnormalities. It is sometimes associated with hypoventilation. [1]
Reference ranges for ions and metals in CSF [1] Substance ... Chloride: 115 [1] 130 [1] mmol/L >100% [1] Calcium: 1.00 [1] ... (CSF/serum) quotient of 0 to 7x10 −3 ...
Ingestion of ammonium chloride, hydrochloric acid, or other acidifying salts; The treatment and recovery phases of diabetic ketoacidosis; Volume resuscitation with 0.9% normal saline provides a chloride load, so that infusing more than 3–4L can cause acidosis; Hyperalimentation (i.e., total parenteral nutrition)