By Alluru S. Reddi
Fluid, Electrolyte and Acid-Base problems: scientific assessment & Management is a transparent and concise presentation of the basics of fluid, electrolyte and acid-base issues usually encountered in scientific practice.
Each bankruptcy starts with pertinent simple body structure by way of its scientific sickness. instances for every fluid, electrolyte and acid-base ailment are mentioned with solutions. additionally, board-type questions with causes are supplied for every medical illness to extend the information for the clinician.
Practical and clinically orientated, this ebook is a convenient reference for working towards physicians, scholars, citizens and fellows.
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Extra resources for Fluid, Electrolyte and Acid-Base Disorders: Clinical Evaluation and Management
Therefore, colloid rather than crystalloid infusion is suggested. Furthermore, colloids are more potent volume expanders than crystalloids and produce greater increases in cardiac output and systemic oxygen delivery. Despite these beneficial effects, crystalloids are generally recommended in most of the patients with ARDS unless the patients are anemic and hypoalbuminemic in which case colloids are the choice of fluid resuscitation. The major goal of fluid therapy in ARDS is to minimize the increases in pulmonary hydrostatic pressure.
1. A 40-year-old patient with septic shock 2. A nondiabetic subject with chest pain and normal blood pressure 3. A post-operative patient with serum [Na+] of 120 mEq/L and altered mental status 5. A 30-year-old patient with ARDS 6. An elderly patient with positive stool guaic and normal blood pressure 7. 5 mEq/L A. 9 %) saline B. D5W D. 3 % NaCl E. 45 %) normal saline 44 4 Intravenous Fluids: Composition and Indications Answers 1 = A; 2 = C; 3 = A; 4 = D; 5 = A; 6 = A; 7 = E. Case 4 A 70-year-old man is admitted for elective surgery of his prostate gland.
It extracts water from the intracellular compartment to the extracellular compartment, and expands the extracellular fluid volume. Also, mannitol and other osmotic diuretics dilate the afferent arteriole. As a result of these effects, the RBF is increased. A slight increase in GFR is also observed due to an increase in glomerular capillary pressure (PGC) . Question 2 What would happen to the urinary excretion of electrolytes in this patient? Answer In general, osmotic diuretics cause an increase in the urinary excretion of all electrolytes, including Na+, K+, Cl−, HCO3−,Ca2+,Mg2+, and phosphate.
Fluid, Electrolyte and Acid-Base Disorders: Clinical Evaluation and Management by Alluru S. Reddi