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9780071486347

LANGE Instant Access Acid-Base, Fluids, and Electrolytes

by ;
  • ISBN13:

    9780071486347

  • ISBN10:

    0071486348

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2007-07-06
  • Publisher: McGraw Hill / Medical

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Summary

This is the most convenient, easy-to-use resource available on one of the most fundamental issues in inpatient management. The authors of McGraw-Hill's critically-acclaimedNephrology in 30 Daysextracted the most clinically relevant information on acid base and electrolyte disorders from that great resource and streamlined it for use at the point-of-care with a bulleted format and plenty of tables.

Author Biography

Robert Reilly, MD, holds the Frederick Coe Professorship in Nephrolithiasis Research, UTSouthwestern School of Medicine and is Chief of Nephrology at the Dallas VA Medical Center.

Mark Perazella, MD, is Associate Professor of Medicine at Yale University School of Medicine and Director of the Nephrology Clinical Fellowship Program.

Table of Contents

Body fluid compartments and intravenous fluid replacement
Body fluid compartments
Intravenous solutions
General principles
Assessing extracellular fluid volume
Fluid resuscitation
Clinical examples of fluid resuscitation
Disorders of Na+ balance (edema, hypertension or hypotension)
Introduction
Regulation of Na+ transport in kidney
Disorders associated with increased total body Na+ (ECF volume expansion)
Clinical manifestations of increased total body Na+ (ECF volume expansion)
General approach to the edematous patient
General treatment of the edematous patient
Clinical manifestations of decreased total body Na+ (ECF volume depletion)
General approach to the volume depleted patient
General Treatment of the Volume Depleted Patient
Disorders of water balance (hypo and hypernatremia)
Introduction
Hyponatremia
Etiology of hyponatremia
Signs and symptoms
Diagnosis
Treatment
Hypernatremia
Etiology
Signs and symptoms
Diagnosis
Treatment
Diuretics
Introduction
Sites of diuretic action in kidney
Diuretic resistance
Clinical conditions associated with diuretic resistance
Treatment of diuretic resistance
Disorders of K+ balance (hypo and hyperkalemia)
Introduction
K+ homeostasis
Role of K+ in the resting membrane potential
Cellular K+ distribution
K+ handling by the kidney
Factors controlling renal K+ excretion
Hypokalemia
Etiology
Increased cellular K+ uptake
Increased renal K+ losses
Approach to the patient
Clinical manifestations
Treatment
Hyperkalemia
Etiology
Approach to the patient
Clinical manifestations
Treatment
Metabolic Acidosis
Acid-Base Chemistry and Biology
The Bicarbonate Buffering System
Acid Excretion by the Kidney
Clinical Approach to the Patient with an Acid-Base Disorder
Pathophysiology, Compensation and Consequences
Use of the Serum and Urine Anion Gap in the Differential Diagnosis of Metabolic Acidosis
Differential Diagnosis of Metabolic Acidosis
Causes of Metabolic Acidosis
Treatment of Metabolic Acidosis
Metabolic Alkalosis
Introduction
Maintenance of Metabolic Alkalosis
Clinical Features
Differential Diagnosis
Cl--Responsive and Cl--Resistant Causes of Metabolic Alkalosis
Treatment
Respiratory and mixed acid-base disturbances
Respiratory Disturbances
Respiratory Acidosis
Respiratory Alkalosis
Mixed Disturbances
Disorders of Serum Calcium
Regulation
Hypercalcemia
Hypocalcemia
Disorders of Serum Phosphorus
Regulation
Hyperphosphatemia
Hypophosphatemia
Disorders of Serum Magnesium
Introduction
Hypomagnesemia
Hypermagnesemia
Appendix
Introduction
Clinical assessment of glomerular filtration rate (GFR)
Table of Contents provided by Publisher. All Rights Reserved.

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