Fluids, Electrolytes, & Acid-Base Balance: Reviews & Rationales / Edition 1

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Overview

Essential for course review and NCLEX review, this resource is a complete, concentrated outline of fluids, electrolytes, & acid-base balance. Content includes all of the "need-to-know" information covering balances and imbalances of sodium, potassium, calcium, magnesium, acids & bases, replacement therapies, common health problems and much more Each chapter provides the following tools that will help lead you to success in your course and on the NCLEX-RN:

  • Chapter Objectives
  • Pre- and post-chapter tests with comprehensive rationales
  • Vocabulary review
  • Practice-to-Pass exercises
  • Critical thinking case studies
  • NCLEX alerts


Enhance your review with the Nursing Review & Rationales' with the free CD-ROM and Companion Website. These additional tools feature even more detailed explanations of difficult concepts and visuals, interactive practice exercises and NCLEX-RN questions, audio glossaries, and more related resources.

About the Series
Prentice Hall's Nursing Review & Rationales Series is the complete foundation for success both within the classroom and on the NCLEX-RN. Each volume offers a concentrated review of core content from across the nursing curriculum, while providing hundreds of practice questions and comprehensive rationales. The only review series with an integrated technology package, each book offers a free corresponding CD-ROM and Companion Website. The complete series includes books for:

  • Nursing Fundamentals
  • Child Health Nursing
  • Fluid, Electrolyte, & Acid-Base Balance
  • Maternal-Newborn Nursing
  • Medical-Surgical Nursing
  • Mental Health Nursing
  • Nutrition & Diet Therapy
  • Pathophysiology
  • Pharmacology


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Editorial Reviews

Doody's Review Service
Reviewer: Michele None Pantle, RN, MS (Indiana State University)
Description: This is a review book that includes outlines, pretests and post-tests, NCLEX practice tips and case studies, to help students have a better understanding of complex material. It also includes answers and rationales for each of the topics.
Purpose: The purpose is to provide a review of and impart important information about the principles of fluids, electrolytes and acid-base balance. The book is written by nurses from across the country who are experts in the content area they cover. There is definitely a need for a review of this complex subject for students and novice nurses. The objectives of the book are well written and precise, and the author meets them.
Audience: This book can be used by nursing students during their education, students reviewing for NCLEX, and as a review for practicing nurses.
Features: Each chapter contains objectives, 10 multiple choice NCLEX-type questions as a pretest, content outlines, case studies, and areas which are highlighted in blue as NCLEX practice points, as well as post-tests. Also included is a CD-ROM, removable nurses notes, and access to a companion web site. The book also covers the nursing process in relationship to each topic.
Assessment: Unlike other review books, this one also covers the nursing process in relationship to fluids, electrolytes and acid-base balance, as well as nutrition and educational therapy.

4 Stars! from Doody
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Product Details

Meet the Author

Mary Ann Hogan, RN, CS, MSN has been a nurse educator for 20 years, currently as a Clinical Assistant Professor at the University of Massachusetts, Amherst. She has taught in diploma, associate degree, and baccalaureate nursing programs. A former item writer for the CAT NCLEX-RN, Ms. Hogan has been teaching NCLEX-RN review courses throughout New England for the last 14 years. She has also contributed to a number of publications in the areas of adult health and fundamentals of nursing. Ms. Hogan is an ANCC-certified clinical specialist in medical-surgical nursing and is a member of Sigma Theta Tau.

Daryle Wane, APRN, BC, MSN, BSN is an Assistant Professor at Pasco Hernando Community College in New Port Richey, Florida. Ms. Wane has taught various courses in the nursing program, including fundamentals, medical-surgical nursing, and maternity nursing. As a nurse educator for 9 years, she has taught generic RN, LPN, and paramedic-RN bridge students. She has served as a reviewer for several nursing textbooks, and published materials for nursing instructors. In addition to nursing, Ms. Wane has a BA in Nutrition and teaches nutrition courses at the college. She is an ANCC-certified Family Nurse Practitioner and is a member of Sigma Theta Tau.

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Table of Contents

1. Fluid Balance and Imbalances.
2. Sodium Balance and Imbalances.
3. Potassium Balance and Imbalances.
4. Calcium Balance and Imbalances.
5. Magnesium Balance and Imbalances.
6. Chloride Balance and Imbalances.
7. Phosphorus Balance and Imbalances.
8. Acid-Base Balance and Imbalances.
9. Replacement Therapies for Fluid and Electrolyte Imbalances.
Appendix: Answers to Practice to Pass & Case Studies.
Index.
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Preface

INTRODUCTION

Welcome to the new Prentice Hall Reviews and Rationales Series! This 9-book series has been specifically designed to provide a clear and concentrated review of important nursing knowledge in the following content areas:

  • Child Health Nursing
  • Maternal-Newborn Nursing
  • Mental Health Nursing
  • Medical-Surgical Nursing
  • Pathophysiology
  • Pharmacology
  • Nursing Fundamentals
  • Nutrition and Diet Therapy
  • Fluids, Electrolytes, & Acid-Base Balance

The books in this series have been designed for use either by current nursing students as a study aid for nursing course work or NCLEX-RN licensing exam preparation, or by practicing nurses seeking a comprehensive yet concise review of a nursing specialty or subject area.

This series is truly unique. One of its most special features is that it has been authored by a large team of nurse educators from across the United States and Canada to ensure that each chapter is written by a nurse expert in the content area under study. Prentice Hall Health representatives from across North America submitted names of nurse educators and/or clinicians who excel in their respective fields, and these authors were then invited to write a chapter in one or more books. The consulting editor for each book, who is also an expert in that specialty area, then reviewed all chapters submitted for comprehensiveness and accuracy. The series editor designed the overall series in collaboration with a core Prentice Hall team to take full advantage of Prentice Hall's cutting edge technology, and also reviewed the chapters in each book.

All books in the series are identical in their overall design for your convenience (further details follow at the end of this section). As an added value, each book comes with a comprehensive support package, including free CD-ROM, free companion website access, and a Nursing Notes card for quick clinical reference.

STUDY TIPS

Use of this review book should help simplify your study. To make the most of your valuable study time, also follow these simple but important suggestions:

  • Use a weekly calendar to schedule study sessions.
    • Outline the timeframes for all of your activities (home, school, appointments, etc.) on a weekly calendar.
    • Find the "holes" in your calendar—the times in which you can plan to study. Add study sessions to the calendar at times when you can expect to be mentally alert and follow it!
  • Create the optimal study environment.
    • Eliminate external sources of distraction, such as television, telephone, etc.
    • Eliminate internal sources of distraction, such as hunger, thirst, or dwelling on items or problems that cannot be worked on at the moment.
    • Take a break for 10 minutes or so after each hour of concentrated study both as a reward and an incentive to keep studying.
  • Use pre-reading strategies to increase comprehension of chapter material.
    • Skim the headings in the chapter (because they identify chapter content).
    • Read the definitions of key terms, which will help you learn new words to comprehend chapter information.
    • Review all graphic aids (figures, tables, boxes) because they are often used to explain important points in the chapter.
  • Read the chapter thoroughly but at a reasonable speed.
    • Comprehension and retention are actually enhanced by not reading too slowly.
    • Do take the time to reread any section that is unclear to you.
  • Summarize what you have learned.
    • Use questions supplied with this book, CD-ROM, and companion website to test your recall of chapter content.
    • Review again any sections that correspond to questions you answered incorrectly or incompletely.

TEST TAKING STRATEGIES

Use the following strategies to increase your success on multiple-choice nursing tests or examinations:

  • Get sufficient sleep and have something to eat before taking a test. Take deep breaths during the test as needed. Remember, the brain requires oxygen and glucose as fuel. Avoid concentrated sweets before a test, however, to avoid rapid upward and then downward surges in blood glucose levels.
  • Read each question carefully, identifying the stem, the four options, and any key words or phrases in either the stem or options.
    • Key words in the stem such as "most important" indicate the need to set priorities, since more than one option is likely to contain a statement that is technically correct.
    • Remember that the presence of absolute words such as "never" or "only" in an option is more likely to make that option incorrect.
  • Determine who is the client in the question; often this is the person with the health problem, but it may also be a significant other, relative, friend, or another nurse.
  • Decide whether the stem is a true response stem or a false response stem. With a true response stem, the correct answer will be a true statement, and vice-versa.
  • Determine what the question is really asking, sometimes referred to as the issue of the question. Evaluate all answer options in relation to this issue, and not strictly to the "correctness" of the statement in each individual option.
  • Eliminate options that are obviously incorrect, then go back and reread the stem. Evaluate the remaining options against the stem once more.
  • If two answers seem similar and correct, try to decide whether one of them is more global or comprehensive. If the global option includes the alternative option within it, it is likely that the more global response is the correct answer.

THE NCLEX-RN LICENSING EXAMINATION

The NCLEX-RN licensing examination is a Computer Adaptive Test (CAT) that ranges in length from 75 to 265 individual (stand-alone) test items, depending on individual performance during the examination. Upon graduation from a nursing program, successful completion of this exam is the gateway to your professional nursing practice. The blueprint for the exam is reviewed and revised every three years by the National Council of State Boards of Nursing according to the results of a job analysis study of new graduate nurses (practicing within the first six months after graduation). Each question on the exam is coded to one Client Need Category and one or more Integrated Concepts and Processes.

Client Need Categories

There are 4 categories of client needs, and each exam will contain a minimum and maximum percent of questions from each category. Each major category has subcategories within it. The Client Need categories according to the NCLEX-RN Test Plan effective April 2001 are as follows:

  • Safe, Effective Care Environment
    • Management of Care (7-13%)
    • Safety and Infection Control (5-11 %)
  • Health Promotion and Maintenance
    • Growth and Development Throughout the Lifespan (7-13%)
    • Prevention and Early Detection of Disease (5-11 %)
  • Psychosocial Integrity
    • Coping and Adaptation (5-11%)
    • Psychosocial Adaptation (5-11%)
  • Physiological Integrity
    • Basic Care and Comfort (7-13%)
    • Pharmacological and Parenteral Therapies (5-11%)
    • Reduction of Risk Potential (12-18.%)
    • Physiological Adaptation (12-18%)

Integrated Concepts and Processes

The integrated concepts and processes identified on the NCLEX-RN Test Plan effective April 2001, with condensed definitions, are as follows:

  • Nursing Process: a scientific problem-solving approach used in nursing practice; consisting of assessment, analysis, planning, implementation, and evaluation.
  • Caring: client-nurse interaction(s) characterized by mutual respect and trust and directed toward achieving desired client outcomes.
  • Communication and Documentation: verbal and/or nonverbal interactions between nurse and others (client, family, health care team); a written or electronic recording of activities or events that occur during client care.
  • Cultural Awareness: knowledge and sensitivity to the client's beliefs/values and how these might impact on the client's healthcare experience.
  • Self-Care: assisting clients to meet their health care needs, which may include maintaining health or restoring function.
  • Teaching/Learning: facilitating client's acquisition of knowledge, skills, and attitudes that lead to behavior change.

More detailed information about this examination may be obtained by visiting the National Council of State Boards of Nursing website at and viewing the NCLEX-RN Examination Test Plan for the National Council Licensure Examination for Registered Nurses.

HOW TO GET THE MOST OUT OF THIS BOOK

Chapter Organization

Each chapter has the following elements to guide you during review and study:

  • Chapter Objectives: describe what you will be able to know or do after learning the material covered in the chapter.
  • OBJECTIVES:
  • Review basic principles of growth and development.
  • Describe major physical expectations for each developmental age group.
  • Identify developmental milestones for various age groups.
  • Discuss the reactions to illness and hospitalization for children at various stages of development.
  • Review at a Glance: contains a glossary of key terms used in the chapter, with definitions provided up-front and available at your fingertips, to help you stay focused and make the best use of your study time.
  • Pretest: this 10-question multiple choice test provides a sample overview of content covered in the chapter and helps you decide what areas need the most—or the least—review.
  • Practice to Pass questions: these are open-ended questions that stimulate critical thinking and reinforce mastery of the chapter content.
  • NCLEX Alerts: the NCLEX icon identifies information or concepts that are likely to be tested on the NCLEX licensing examination. Be sure to learn the information flagged by this type of icon.
  • Case Study: found at the end of the chapter, it provides an opportunity for you to use your critical thinking and clinical reasoning skills to "put it all together;" it describes a true-to-life client case situation and asks you open-ended questions about how you would provide care for that client and/or family.
  • Posttest: a 10-question multiple-choice test at the end of the chapter provides new questions that are representative of chapter content, and provide you with feedback about mastery of that content following review and study. All pretest and posttest questions contain rationales for the correct answer, and are coded according to the phase of the nursing process used and the NCLEX category of client need (called the Test Plan). The Test plan codes are PHYS (Physiological Integrity), PSYC (Psychosocial Integrity), SECE (Safe Effective Care Environment), and HPM (Health Promotion and Maintenance).

CD-ROM

For those who want to practice taking tests on a computer, the CD-ROM that accompanies the book contains the pretest and posttest questions found in all chapters of the book. In addition, it contains 10 NEW questions for each chapter to help you further evaluate your knowledge base and hone your test-taking skills. In several chapters, one of the questions will have embedded art to use in answering the question. Some of the newly developed NCLEX test items are also designed in this way, so these items will give you valuable practice with this type of question.

Companion Website (CW)

The companion website is a "virtual" reference for virtually all your needs! The CW contains the following:

  • 50 NCLEX-style questions: 10 pretest, 10 posttest, 10 CD-ROM, and 20 additional new questions
  • Definitions of key terms: the glossary is also stored on the companion website for ease of reference
  • In Depth With NCLEX: features drawings or photos that are each accompanied by a one- to two-paragraph explanation. These are especially useful when describing something that is complex, technical (such as equipment), or difficult to mentally visualize.
  • Suggested Answers to Practice to Pass and Case Study Questions: easily located on the website, these allow for timely feedback for those who answer chapter questions on the web.

Nursing Notes Clinical Reference Card

This laminated card provides a reference for frequently used facts and information related to the subject matter of the book. These are designed to be useful in the clinical setting, when quick and easy access to information is so important!

ABOUT THE FLUIDS, ELECTROLYTES, AND ACID-BASE BALANCE BOOK

Chapters in this book cover "need-to-know" information about principles of fluids, electrolytes, and acid-base balance, including focused assessments and how they affect entire body systems. Individual chapters focus on specific electrolytes (sodium, potassium, calcium, magnesium, chloride, and phosphorus), acid base disturbances, and replacement therapies for common fluids and electrolytes imbalances. Each chapter includes definitions, etiologies, clinical manifestations, and therapeutic management of fluids, electrolytes, and acid-base problems in the context of the nursing process.

Read More Show Less

Introduction

INTRODUCTION

Welcome to the new Prentice Hall Reviews and Rationales Series! This 9-book series has been specifically designed to provide a clear and concentrated review of important nursing knowledge in the following content areas:

  • Child Health Nursing
  • Maternal-Newborn Nursing
  • Mental Health Nursing
  • Medical-Surgical Nursing
  • Pathophysiology
  • Pharmacology
  • Nursing Fundamentals
  • Nutrition and Diet Therapy
  • Fluids, Electrolytes, & Acid-Base Balance

The books in this series have been designed for use either by current nursing students as a study aid for nursing course work or NCLEX-RN licensing exam preparation, or by practicing nurses seeking a comprehensive yet concise review of a nursing specialty or subject area.

This series is truly unique. One of its most special features is that it has been authored by a large team of nurse educators from across the United States and Canada to ensure that each chapter is written by a nurse expert in the content area under study. Prentice Hall Health representatives from across North America submitted names of nurse educators and/or clinicians who excel in their respective fields, and these authors were then invited to write a chapter in one or more books. The consulting editor for each book, who is also an expert in that specialty area, then reviewed all chapters submitted for comprehensiveness and accuracy. The series editor designed the overall series in collaboration with a core Prentice Hall team to take full advantage of Prentice Hall's cutting edge technology, and also reviewed the chapters in each book.

All books in the seriesare identical in their overall design for your convenience (further details follow at the end of this section). As an added value, each book comes with a comprehensive support package, including free CD-ROM, free companion website access, and a Nursing Notes card for quick clinical reference.

STUDY TIPS

Use of this review book should help simplify your study. To make the most of your valuable study time, also follow these simple but important suggestions:

  • Use a weekly calendar to schedule study sessions.
    • Outline the timeframes for all of your activities (home, school, appointments, etc.) on a weekly calendar.
    • Find the "holes" in your calendar—the times in which you can plan to study. Add study sessions to the calendar at times when you can expect to be mentally alert and follow it!
  • Create the optimal study environment.
    • Eliminate external sources of distraction, such as television, telephone, etc.
    • Eliminate internal sources of distraction, such as hunger, thirst, or dwelling on items or problems that cannot be worked on at the moment.
    • Take a break for 10 minutes or so after each hour of concentrated study both as a reward and an incentive to keep studying.
  • Use pre-reading strategies to increase comprehension of chapter material.
    • Skim the headings in the chapter (because they identify chapter content).
    • Read the definitions of key terms, which will help you learn new words to comprehend chapter information.
    • Review all graphic aids (figures, tables, boxes) because they are often used to explain important points in the chapter.
  • Read the chapter thoroughly but at a reasonable speed.
    • Comprehension and retention are actually enhanced by not reading too slowly.
    • Do take the time to reread any section that is unclear to you.
  • Summarize what you have learned.
    • Use questions supplied with this book, CD-ROM, and companion website to test your recall of chapter content.
    • Review again any sections that correspond to questions you answered incorrectly or incompletely.

TEST TAKING STRATEGIES

Use the following strategies to increase your success on multiple-choice nursing tests or examinations:

  • Get sufficient sleep and have something to eat before taking a test. Take deep breaths during the test as needed. Remember, the brain requires oxygen and glucose as fuel. Avoid concentrated sweets before a test, however, to avoid rapid upward and then downward surges in blood glucose levels.
  • Read each question carefully, identifying the stem, the four options, and any key words or phrases in either the stem or options.
    • Key words in the stem such as "most important" indicate the need to set priorities, since more than one option is likely to contain a statement that is technically correct.
    • Remember that the presence of absolute words such as "never" or "only" in an option is more likely to make that option incorrect.
  • Determine who is the client in the question; often this is the person with the health problem, but it may also be a significant other, relative, friend, or another nurse.
  • Decide whether the stem is a true response stem or a false response stem. With a true response stem, the correct answer will be a true statement, and vice-versa.
  • Determine what the question is really asking, sometimes referred to as the issue of the question. Evaluate all answer options in relation to this issue, and not strictly to the "correctness" of the statement in each individual option.
  • Eliminate options that are obviously incorrect, then go back and reread the stem. Evaluate the remaining options against the stem once more.
  • If two answers seem similar and correct, try to decide whether one of them is more global or comprehensive. If the global option includes the alternative option within it, it is likely that the more global response is the correct answer.

THE NCLEX-RN LICENSING EXAMINATION

The NCLEX-RN licensing examination is a Computer Adaptive Test (CAT) that ranges in length from 75 to 265 individual (stand-alone) test items, depending on individual performance during the examination. Upon graduation from a nursing program, successful completion of this exam is the gateway to your professional nursing practice. The blueprint for the exam is reviewed and revised every three years by the National Council of State Boards of Nursing according to the results of a job analysis study of new graduate nurses (practicing within the first six months after graduation). Each question on the exam is coded to one Client Need Category and one or more Integrated Concepts and Processes.

Client Need Categories

There are 4 categories of client needs, and each exam will contain a minimum and maximum percent of questions from each category. Each major category has subcategories within it. The Client Need categories according to the NCLEX-RN Test Plan effective April 2001 are as follows:

  • Safe, Effective Care Environment
    • Management of Care (7-13%)
    • Safety and Infection Control (5-11 %)
  • Health Promotion and Maintenance
    • Growth and Development Throughout the Lifespan (7-13%)
    • Prevention and Early Detection of Disease (5-11 %)
  • Psychosocial Integrity
    • Coping and Adaptation (5-11%)
    • Psychosocial Adaptation (5-11%)
  • Physiological Integrity
    • Basic Care and Comfort (7-13%)
    • Pharmacological and Parenteral Therapies (5-11%)
    • Reduction of Risk Potential (12-18.%)
    • Physiological Adaptation (12-18%)

Integrated Concepts and Processes

The integrated concepts and processes identified on the NCLEX-RN Test Plan effective April 2001, with condensed definitions, are as follows:

  • Nursing Process: a scientific problem-solving approach used in nursing practice; consisting of assessment, analysis, planning, implementation, and evaluation.
  • Caring: client-nurse interaction(s) characterized by mutual respect and trust and directed toward achieving desired client outcomes.
  • Communication and Documentation: verbal and/or nonverbal interactions between nurse and others (client, family, health care team); a written or electronic recording of activities or events that occur during client care.
  • Cultural Awareness: knowledge and sensitivity to the client's beliefs/values and how these might impact on the client's healthcare experience.
  • Self-Care: assisting clients to meet their health care needs, which may include maintaining health or restoring function.
  • Teaching/Learning: facilitating client's acquisition of knowledge, skills, and attitudes that lead to behavior change.

More detailed information about this examination may be obtained by visiting the National Council of State Boards of Nursing website and viewing the NCLEX-RN Examination Test Plan for the National Council Licensure Examination for Registered Nurses.

HOW TO GET THE MOST OUT OF THIS BOOK

Chapter Organization

Each chapter has the following elements to guide you during review and study:

  • Chapter Objectives: describe what you will be able to know or do after learning the material covered in the chapter.
  • OBJECTIVES:
  • Review basic principles of growth and development.
  • Describe major physical expectations for each developmental age group.
  • Identify developmental milestones for various age groups.
  • Discuss the reactions to illness and hospitalization for children at various stages of development.
  • Review at a Glance: contains a glossary of key terms used in the chapter, with definitions provided up-front and available at your fingertips, to help you stay focused and make the best use of your study time.
  • Pretest: this 10-question multiple choice test provides a sample overview of content covered in the chapter and helps you decide what areas need the most—or the least—review.
  • Practice to Pass questions: these are open-ended questions that stimulate critical thinking and reinforce mastery of the chapter content.
  • NCLEX Alerts: the NCLEX icon identifies information or concepts that are likely to be tested on the NCLEX licensing examination. Be sure to learn the information flagged by this type of icon.
  • Case Study: found at the end of the chapter, it provides an opportunity for you to use your critical thinking and clinical reasoning skills to "put it all together;" it describes a true-to-life client case situation and asks you open-ended questions about how you would provide care for that client and/or family.
  • Posttest: a 10-question multiple-choice test at the end of the chapter provides new questions that are representative of chapter content, and provide you with feedback about mastery of that content following review and study. All pretest and posttest questions contain rationales for the correct answer, and are coded according to the phase of the nursing process used and the NCLEX category of client need (called the Test Plan). The Test plan codes are PHYS (Physiological Integrity), PSYC (Psychosocial Integrity), SECE (Safe Effective Care Environment), and HPM (Health Promotion and Maintenance).

CD-ROM

For those who want to practice taking tests on a computer, the CD-ROM that accompanies the book contains the pretest and posttest questions found in all chapters of the book. In addition, it contains 10 NEW questions for each chapter to help you further evaluate your knowledge base and hone your test-taking skills. In several chapters, one of the questions will have embedded art to use in answering the question. Some of the newly developed NCLEX test items are also designed in this way, so these items will give you valuable practice with this type of question.

Companion Website (CW)

The companion website is a "virtual" reference for virtually all your needs! The CW contains the following:

  • 50 NCLEX-style questions: 10 pretest, 10 posttest, 10 CD-ROM, and 20 additional new questions
  • Definitions of key terms: the glossary is also stored on the companion website for ease of reference
  • In Depth With NCLEX: features drawings or photos that are each accompanied by a one- to two-paragraph explanation. These are especially useful when describing something that is complex, technical (such as equipment), or difficult to mentally visualize.
  • Suggested Answers to Practice to Pass and Case Study Questions: easily located on the website, these allow for timely feedback for those who answer chapter questions on the web.

Nursing Notes Clinical Reference Card

This laminated card provides a reference for frequently used facts and information related to the subject matter of the book. These are designed to be useful in the clinical setting, when quick and easy access to information is so important!

ABOUT THE FLUIDS, ELECTROLYTES, AND ACID-BASE BALANCE BOOK

Chapters in this book cover "need-to-know" information about principles of fluids, electrolytes, and acid-base balance, including focused assessments and how they affect entire body systems. Individual chapters focus on specific electrolytes (sodium, potassium, calcium, magnesium, chloride, and phosphorus), acid base disturbances, and replacement therapies for common fluids and electrolytes imbalances. Each chapter includes definitions, etiologies, clinical manifestations, and therapeutic management of fluids, electrolytes, and acid-base problems in the context of the nursing process.

Read More Show Less

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