Fluids and Electrolytes in the Surgical Patientby Carlos Pestana
Now in its thoroughly revised, updated Fifth Edition, this handbook is the only volume on fluids and electrolytes that is geared specifically to surgical residents and surgeons. It explains, in practical terms, how to assess and manage problems of fluid-electrolyte and acid-base balance in surgical patients. Coverage includes enteral and parenteral nutrition,
Now in its thoroughly revised, updated Fifth Edition, this handbook is the only volume on fluids and electrolytes that is geared specifically to surgical residents and surgeons. It explains, in practical terms, how to assess and manage problems of fluid-electrolyte and acid-base balance in surgical patients. Coverage includes enteral and parenteral nutrition, calculations for fluid and electrolyte replacement, acid-base management in shock, and selection of the optimal method of fluid and electrolyte delivery.This edition's chapters have all been rewritten for easier readability. New charts and figures have been added and tables have been revised to reflect recent modifications in therapy. The text precisely describes the specific characteristics and uses of all currently available fluids. This edition also provides more information on the interpretation and therapeutic implications of laboratory results.
Description: This fifth edition of a popular publication is on fluid and electrolyte management issues in the surgical patient.
Purpose: The author provides an introduction to fluid management on the surgical service. Currently, medical education includes little information on this important clinical subject.
Audience: As noted by the author, the appropriate focus in this long running work is the senior student or junior house officer. The author, as in four previous editions of this book, retains this focus effectively.
Features: Seven chapters and an addendum are included in the 150 pages of this softbound monograph. Routine fluid orders are discussed initially, followed by fluid therapy for specific shock states and changes in tonicity. Later chapters include specific electrolyte disorders and acid base balance. A final chapter, written with the assistance of Dr. Carey Page, is an overview of enteral and parenteral nutrition support. The writing style employed is conversational. Occasional tables are used with black-and-white figures, which reproduce well. The author prefers to use cartoons to provide insight into clinical conditions described, avoiding the use of even the traditional formulas for volume and electrolyte replacement. The concluding addendum is a description of the value and pitfalls of various parameters utilized to assess volume status, acid base balance, and tonicity. The table of contents includes not only chapter titles but all relevant subheadings. A detailed subject index with separate citations for tables concludes the book. No references are provided.
Assessment: In his series of monographs, the author continues an effective discussion on the basics of fluid and electrolytes. The addition of expanded comments on acid base and nutrition appropriately complements this theme. While each chapter concludes with a statement regarding pertinent formulas, standard physiologic relationships are generally not provided. The clinical insight provided, however, should prove valuable to the young clinician.
- Lippincott Williams & Wilkins
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