Renal and Metabolic Disorders

by John A. Kellum, Jorge Cerda

Overview

Metabolic and electrolyte disorders can pose special challenges to physicians caring for the critically ill patients. Constrained by time and circumstances, clinicians require rapid access to information to help assess and manage these often life-threatening conditions. In this book, a readily useable road map is presented, emphasizing the interactions among problems and suggesting clear lines of action. Keeping the physiopathological mechanisms to the essential, and maintaining an uncluttered format, each chapter provides guidelines to understanding "how did we get here" and "what should we do now", as quickly and safely as possible. Chapters describe clinical presentation and management of the most common renal, electrolyte, acid-base, metabolic and endocrine disorders, complicating the course of critically ill patients.

Contributing authors are all experts in their respective fields, who regularly engage in the day-to-day management of critically ill patients. In a rapidly changing field, the authors have endeavored to maintain an updated approach, emphasizing the most recent evidence on diagnosis and management. Although controversy in the interpretation and management of some problems is inevitable, the editors see it as a desirable way to depict differing interpretations and solutions for each problem. Each chapter ends with a selected list of key references to facilitate in-depth review of each subject.

As with other titles in the Pittsburgh Critical Care Medicine series, this book is intended for frequent use by both "budding experts" as well as by seasoned practitioners in need for of quick and effective reference.

Product Details

ISBN-13:	9780199751600
Publisher:	Oxford University Press
Publication date:	12/24/2012
Series:	Pittsburgh Critical Care Medicine
Pages:	240
Product dimensions:	4.90(w) x 7.90(h) x 1.00(d)

About the Author

Dr. Kellum is actively involved in education, research and administration. Dr. Kellum's research interests span various aspects of Critical Care Medicine, but center in critical care nephrology, sepsis and multi-organ failure, and clinical epidemiology, including consensus development and research methodology. He has authored more than 250 publications and has won several awards for teaching. He lectures widely and has given more than 300 seminars and invited lectures worldwide related to his research.

Jorge Cerdá, MD, FACP, FASN is currently a Clinical Professor of Medicine at the Albany Medical College, where he actively participates in the teaching and research program.
Dr. Cerda's main research interests have been in the field of Critical Care Nephrology and Chronic Kidney Disease and are focused on acute kidney injury (AKI) post cardiac surgery, continuous renal replacement therapies in AKI, and the epidemiology of AKI. Additionally, he currently participates in research on the management of secondary hyperparathyroidism and in multicentric trials in the treatment of IgA Nephropathy.

Table of Contents

Section A: Renal Disease

1 AKI I: the critically ill patient
2 AKI (Acute Kidney Injury) II: Special circumstances
3 AKI and Sepsis
4 The critically ill patient with CKD
5 Principles of fluid management in the ICU
6 Functional hemodynamic monitoring
7 Pharmacologic therapy in renal disease
8 Drug dosing in renal disease
9 RRT Indications, timing and patient selection
10 Choosing an RRT therapy
11 Combined lung and kidney failure
12 Combined liver and kidney failure
13 Renal disorders in Pregnancy
14 Renal disorders in Pediatrics
15 Acid-base disorders
16 Electrolyte disorders
17 Management of the renal transplant patient

Section B: Endocrine & Metabolic Disease

18 Diabetes mellitus
19 Thyroid disease
20 Adrenal disease
21 Calcium, bone and mineral disease
22 Nutrition in the critically ill patient

Editorial Reviews

Reviewer: David James Dries, MSE, MD (Regions Hospital)
Description: Part of the Pittsburgh Critical Care Medicine series, this monograph describes essential aspects of critical care nephrology and metabolic management, including endocrine disorders.
Purpose: It is intended as an introduction to management of metabolic and renal disturbances in patients with critical illness.
Audience: Students, trainees, and generalists requiring an introduction to broad management principles are an appropriate audience for this work, which emanates from faculty and trainees of the University of Pittsburgh critical care medicine group.
Features: After describing the presentation and scoring of acute kidney injury, the book reviews principles of fluid management, hemodynamic monitoring, pharmacotherapy, and drug dosing. It then presents organ failure combinations such as kidney-lung failure, renal dysfunction in cirrhosis, renal problems in the child, and complications of pregnancy. Common acid-base and electrolyte disorders are discussed next, along with a review of management for the renal transplant patient. A shorter, concluding group of chapters describes metabolic disturbances including diabetes, thyroid and adrenal disorders, and irregularity of calcium and bone metabolism. A concluding chapter presents basic nutrition principles. Chapters are clearly written and make good use of tables. Remarkably, the book includes little of the relevant mathematics in electrolyte disorders and acid-base physiology. Chapters contain a brief reference list of major papers from the primary literature. A brief table of contents lists and groups chapters while the subject index of approximately 10 pages includes separate citations for tables and figures.
Assessment: This is a concise, easy-to-read introduction to a key organ system tied to ICU outcome. The authors have avoided the mathematical relationships that may intimidate some readers.

Doody's Review Service

"This is a concise, easy-to-read introduction to a key organ system tied to ICU outcome. The authors have avoided the mathematical relationships that may intimidate some readers." — DOODY'S

From the Publisher