G. R. Park - Fluid Balance and Volume Resuscitation For Beginners
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Fluid Balance and Volume Resuscitation For Beginners
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A practical, quick reference for the doctor caring for the critically ill, providing key information on the basic concepts and practical issues relating to the maintenance of correct fluid balance in the critically ill patient.
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Fluid Balance and Volume Resuscitation for Beginners 1St Ed.
author
:
Park, G. R.
publisher
:
Greenwich Medical Media Limited
isbn10 | asin
:
1900151545
print isbn13
:
9781900151542
ebook isbn13
:
9780511043185
language
:
English
subject
Electrolyte therapy, Body fluid disorders.
publication date
:
2000
lcc
:
RD52.F59.P37 2000eb
ddc
:
subject
:
Electrolyte therapy, Body fluid disorders.
Page iii
Fluid Balance and Volume Resuscitation for Beginners
GR Park MD DMedSci FRCA Director of Intensive Care and Consultant in Anaesthesia PG Roe BSc FRCA Consultant in Anaesthesia both at Addenbrooke's Hospital, Cambridge
Page iv
2000 Greenwich Medical Media Ltd 4th Floor 137 Euston Road London NW1 2AA
ISBN: 1 900151 545
First Published 2000
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of the licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed above.
The right of G R Park and P G Roe to be identified as authors of this work has been asserted by them in accordance with the Copyright Designs and Patents Act, 1988.
The publishers make no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made. A catalogue record for this book is available from the British library.
Designed and Produced by Diane Parker, Saldatore Limited
Printed in Great Britain, by The Alden Group, Oxford
Page v
Contents
Preface
vi
Abbreviations
ix
1. Normal fluid and electrolyte balance
(P G Roe)
1
2. Abnormalities of water and electrolyte balance
(P G Roe)
13
3. Crystalloids
(P G Roe)
23
4. Colloids
(G R Park and P G Roe)
29
5. Shock
(G R Park)
47
6. Bleeding
(G R Park)
59
7. Oliguria
(K E Gunning)
77
8. Patients before and after surgery
(M J Lindop)
93
9. Children
(R Ross-Russel)
111
Suggested further reading
119
Index
125
The Authors
K E Gunning, FRCS, FRCA
Consultant in Anaesthesia and Intensive Care
M J Lindop, MA FRCA
Consultant in Anaesthesia and Intensive Care
G R Park, MD DMedSci FRCA
Director of Intensive Care and Consultant in Anaesthesia
P G Roe, BSc FRCA
Consultant Anaesthetist
R Ross Russell, MRCP
Director of Paediatric Intensive Care
All at Addenbrooke's Hospital, Cambridge.
Page vii
Preface
The topic of this book is important. Millions of patients throughout the world are given fluids, electrolytes and volume expanders every day. The choice of fluids is also huge. Their prescription is usually left to relatively junior doctors who often find the choice of fluid confusing, the electrolyte composition baffling and the amount they should give unclear. Many of the textbooks on the subject describe the physiology extremely well, but few will help the junior doctor solve a problem. This book willwe hope! It has been written by senior consultants, experts in their field, who not only know the theory, but also and perhaps more importantly deal with these problems everyday. In addition, each of them trains junior doctors and so is aware of the problems they have.
To help trainees understand the problems with their topic we have asked each contributor to write in a didactic manner, using tables, diagrams, key points and bulleted lists to make their chapter easy to understand. The theory is there as well, but usually clearly separated to allow it to be read with the clinical part or delayed as the reader wishes. The first chapter deals with fundamental theory. This can be read later if wished. However, parts of the subsequent chapters may be less to understand if this course is taken.
This is not meant to be a comprehensive book on the topicrather a practicable day to day guide. For example we have not included anything on the treatment of patients in renal failure. Readers of this book should obtain expert help in this other problems not covered, rather than "dabble". Similarly, each chapter has a list of suggested further reading.
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