Fluid, Electrolyte and Acid-Base Physiology: A Problem-Based Approach / Edition 4

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Overview

The revised and updated fourth edition of Fluid, Electrolyte and Acid-Base Physiology continues to offer expert advice on the bedside management of acid-base and electrolyte disorders. Distinguished authors synthesize key theoretical and clinical information in a way that is easy to understand and apply. Discussions on the latest science, as well as new cases, new discoveries, and new approaches in intensive care are just a few of the updates you’ll find to help you make the best management decisions. Clinical information is presented in an easy-to-understand style, and the integration of color offers increased visual guidance. What’s more, diagnostic flow charts and critical questions challenge your problem-solving skills and reinforce your decision-making expertise.

• Incorporates relevant information on energy metabolism and endocrine, gastrointestinal, respiratory, and cardiovascular physiology.

• Features a consistent, user-friendly format with diagnostic algorithms and helpful margin notes.

• Includes numerous case studies that illustrate how key management principles are applied in practice.

• Presents questions and explanations throughout that let you test your knowledge and hone your skills.

• Features entirely new cases with discussions that keep you on the cusp of current clinical dilemmas and standards of practice.

• Discusses new treatment options to help you provide optimal care.

• Presents new discoveries to bring you up to date on the latest findings in science and clinical practice.

• Offers new approaches in critical care keeping you current in this emerging area of nephrology.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody Reviews
Reviewer: Jon Webb, MD (University of Kentucky College of Medicine)
Description: This is the fourth edition of a book that provides a clinical approach to disorders involving abnormalities in acid-base, salt and water, and potassium homeostasis.
Purpose: This is a thorough reference on the physiology and clinical management of common clinical cases in acid-base and fluid disorders. It encourages an understanding of the disease processes with detailed explanations on basic physiology.
Audience: Although the book serves as a reference for nephrologists, it is also intended as a useful tool for general internists, intensive care physicians, and pediatricians.
Features: Each of the four sections opens with a focus on physiology followed by common clinical abnormalities. Chapters begin with an introduction to the theme and a list of objectives before continuing on with an exploration of the topics, which includes helpful diagrams and tables, and concluding with a discussion of questions detailed throughout the chapter. The book is designed with multiple different reading styles in mind, but maintains a thoughtful approach throughout. For general readers, the book flows easily and can be read with helpful insight, although this style is suited for those with more time to devote to the topics. However, the authors also focus on readers vested in answers to clinical emergencies and provide easy access to appropriate management. For students, a case-based approach supplies familiar presentations with corresponding solutions. Well-placed questions are identifiable throughout the chapters, which conclude with case solutions designed to support the preceding physiologic review. Lastly, a nice review of suggested readings provides a resource for further information.
Assessment: The problem-based approach the book uses provides a thorough review for common clinical scenarios. This fourth edition adds an author and further emphasizes a deep understanding of the physiology. The book is designed to take a new perspective on classic scenarios and use facts to explain why previously accepted theories need to be challenged. The concept of understanding is evident, and the authors go to great lengths to describe clinical scenarios with easily followed basic mechanisms. With this in mind, the book is likely best suited for nephrologists, and more specifically, nephrologists in training. In fact, this would be a useful tool for fellowship programs and, even more important, in preparation for board exams. The amount of information is extensive, and I found myself distracted by the details listed at the sides of the pages, while also looking ahead to the case discussion. Thus, quick management decisions and guidance are difficult to locate, but with time, a deeper understanding of the disease process allows for excellent clinical care.
Doody's Review Service
Reviewer: Jon Webb, MD (University of Kentucky College of Medicine)
Description: This is the fourth edition of a book that provides a clinical approach to disorders involving abnormalities in acid-base, salt and water, and potassium homeostasis.
Purpose: This is a thorough reference on the physiology and clinical management of common clinical cases in acid-base and fluid disorders. It encourages an understanding of the disease processes with detailed explanations on basic physiology.
Audience: Although the book serves as a reference for nephrologists, it is also intended as a useful tool for general internists, intensive care physicians, and pediatricians.
Features: Each of the four sections opens with a focus on physiology followed by common clinical abnormalities. Chapters begin with an introduction to the theme and a list of objectives before continuing on with an exploration of the topics, which includes helpful diagrams and tables, and concluding with a discussion of questions detailed throughout the chapter. The book is designed with multiple different reading styles in mind, but maintains a thoughtful approach throughout. For general readers, the book flows easily and can be read with helpful insight, although this style is suited for those with more time to devote to the topics. However, the authors also focus on readers vested in answers to clinical emergencies and provide easy access to appropriate management. For students, a case-based approach supplies familiar presentations with corresponding solutions. Well-placed questions are identifiable throughout the chapters, which conclude with case solutions designed to support the preceding physiologic review. Lastly, a nice review of suggested readings provides a resource for further information.
Assessment: The problem-based approach the book uses provides a thorough review for common clinical scenarios. This fourth edition adds an author and further emphasizes a deep understanding of the physiology. The book is designed to take a new perspective on classic scenarios and use facts to explain why previously accepted theories need to be challenged. The concept of understanding is evident, and the authors go to great lengths to describe clinical scenarios with easily followed basic mechanisms. With this in mind, the book is likely best suited for nephrologists, and more specifically, nephrologists in training. In fact, this would be a useful tool for fellowship programs and, even more important, in preparation for board exams. The amount of information is extensive, and I found myself distracted by the details listed at the sides of the pages, while also looking ahead to the case discussion. Thus, quick management decisions and guidance are difficult to locate, but with time, a deeper understanding of the disease process allows for excellent clinical care.
From the Publisher
“Figures, algorithms, and tables…clearly summarize a lot of information, facilitating the comprehension of the topic under discussion.”—Pediatric Nephrology
From The Critics
Reviewer: Jon Webb, MD(University of Kentucky College of Medicine)
Description: This is the fourth edition of a book that provides a clinical approach to disorders involving abnormalities in acid-base, salt and water, and potassium homeostasis.
Purpose: This is a thorough reference on the physiology and clinical management of common clinical cases in acid-base and fluid disorders. It encourages an understanding of the disease processes with detailed explanations on basic physiology.
Audience: Although the book serves as a reference for nephrologists, it is also intended as a useful tool for general internists, intensive care physicians, and pediatricians.
Features: Each of the four sections opens with a focus on physiology followed by common clinical abnormalities. Chapters begin with an introduction to the theme and a list of objectives before continuing on with an exploration of the topics, which includes helpful diagrams and tables, and concluding with a discussion of questions detailed throughout the chapter. The book is designed with multiple different reading styles in mind, but maintains a thoughtful approach throughout. For general readers, the book flows easily and can be read with helpful insight, although this style is suited for those with more time to devote to the topics. However, the authors also focus on readers vested in answers to clinical emergencies and provide easy access to appropriate management. For students, a case-based approach supplies familiar presentations with corresponding solutions. Well-placed questions are identifiable throughout the chapters, which conclude with case solutions designed to support the preceding physiologic review. Lastly, a nice review of suggested readings provides a resource for further information.
Assessment: The problem-based approach the book uses provides a thorough review for common clinical scenarios. This fourth edition adds an author and further emphasizes a deep understanding of the physiology. The book is designed to take a new perspective on classic scenarios and use facts to explain why previously accepted theories need to be challenged. The concept of understanding is evident, and the authors go to great lengths to describe clinical scenarios with easily followed basic mechanisms. With this in mind, the book is likely best suited for nephrologists, and more specifically, nephrologists in training. In fact, this would be a useful tool for fellowship programs and, even more important, in preparation for board exams. The amount of information is extensive, and I found myself distracted by the details listed at the sides of the pages, while also looking ahead to the case discussion. Thus, quick management decisions and guidance are difficult to locate, but with time, a deeper understanding of the disease process allows for excellent clinical care.
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Product Details

  • ISBN-13: 9781416024422
  • Publisher: Elsevier Health Sciences
  • Publication date: 4/2/2010
  • Edition description: New Edition
  • Edition number: 4
  • Pages: 616
  • Sales rank: 1,386,139
  • Product dimensions: 7.20 (w) x 10.10 (h) x 1.10 (d)

Table of Contents

List of Cases xv

List of Flow Charts xvii

Section 1 Acid-Base

1 Principles of Acid-Base Physiology 3

2 Tools to Use to Diagnose Acid-Base Disorders 39

3 Metabolic Acidosis: Clinical Approach 60

4 Metabolic Acidosis due to a Deficit of NasHCO3 75

5 Ketoacidosis 111

6 Metabolic Acidosis: Acid Gain Types 160

7 Metabolic Alkalosis 193

8 Respiratory Acid-Base Disturbances 222

Section 2 Salt and Water

9 Sodium and Water Physiology 245

10 Hyponatremia 314

11 Hypernatremia 368

12 Polyuria 403

Section 3 Potassium

13 Potassium Physiology 425

14 Hypokalemia 460

15 Hyperkalemia 512

Section 4 Integrative Physiology

16 Hyperglycemia 543

Suggested Readings 575

Index 583

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