Making Sense of Fluids and Electrolytes. a Hands-on Guide (Softcover)

Description

Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with.

Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patientmay occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be aninvaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.

Features

• Focuses on rapid assessment and appropriate action
• Serves as a rapid reference in a variety of healthcare settings
• Describes the fluid balance assessment and management responsibilities of the entire healthcare team
• Uses diagrams, tables, and tips to provide speedy access to key information and advice on when to act quickly or consider seeking help

Contents

How to use this book

Chapter 1 - Fluid Assessment

Chapter 2 - Keeping the Balance: Physiology, Electrolytes and Intravenous Fluids

• Fluid Compartments

Description & Summary of fluid compartments

Fluid intake and output

Movement between Fluid Compartments: Cell membrane and Capillary filtration

• Renal Physiology

Nephron

1. Hormones
2. Renal Electrolyte handling

• IntravenousFluids

Introduction

Types of IV fluids - Colloids

Types of IV fluids - Crystalloids: Isotonic, Hypotonic, Hypertonic

• Electrolyteabnormalities
• Definitions

Chapter 3 - Cardiac Arrest and Shock

• Introduction
• Assessment
• CardiacArrest (Identification and management)
• Shock

Distributive (including septic, anaphylactic)

Hypovolaemic (including haemorrhagic)

• Cases

Chapter 4 - Intravenous Fluid Therapy in Medical Patients

• Introduction
• Medical Considerations in Fluid Assessment and Management
• IV Fluid Therapy in theContext of Specific Medical Presentations:
• Fluid depletion:

Acute Kidney injury

Diarrhoea and vomiting

Burns

Rhabdomyolysis - Covered in the Acute Kidney Injury section

Diabetic ketoacidosis - Covered in a case, see end of chapter

GI Bleeding - Covered in a case, see end of Chapter 6

• Fluid Overload

Congestive cardiac failure - including Right and Left heart failure, Pulmonary oedema

Liver failure and ascites

Chronic Renal Failure - Covered in the Acute Kidney Injury section

• Complex Fluid States

Hepato-renal Syndrome

Hypercalcaemia of malignancy - covered in case

Hyponatremia - in Chapter 2 electrolyte section

• Other fluid states:

Fluids at the end of Life

Fluid therapy in the elderly

• Conclusion

Chapter 5 - Fluid therapy management in Surgical Patients

• Introduction
• Pre-operative fluid status management

Role of bowel preparations

Special considerations

• Intra-operative fluid balance
• Post-operative fluid status management

Role of enhanced recovery programmes

Special considerations in subspecialties; e.g. bladder irrigation in urology, ileostomy effects.

• Cases

Chapter 6 – Blood Products and Transfusion

• Introduction
• Assessment
• BloodProducts and Plasma Derivatives

Types

Indications

Special considerations.

• Transfusionregimes
• Cases 

Author(s) Bio

Dr. Zoja Milovanovic, Dr. Abisola Adeleye, and Dr, Douglas Corrigall are junior doctors in London, UK.

Dr. Tom Gilkes, Dr. Shilpa Reddy and Dr. Stefanie Robert are consultant anesthetists at Homerton Hospital, London, UK.