Fluid, Electrolytes, Acid-Base Balance

REQUIRED READING:

  • Current Medical Diagnosis and Treatment 2017.

   Chapter 21  Electrolytes and Acid-base balance

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1843&sectionid=135714601 Links to an external site.

  • Barkley Chapter 78: Fluid, electrolyte, and Acid-Base Imbalances.

Understand disorders and management of sodium, potassium, magnesium, phosphorous, and calcium.

Pay particular attention to management of sodium. Know how to calculate water deficit and how much to give in the first 24 hrs. (I generally use my MedCalc) Knowing this you will know what labs to order, why, interpret what to do with the results.

Know what is FeNa  Link Links to an external site. and FeUrea Link Links to an external site.  and how to interpret them.

 

. Acid-base balance

Download Yost Acid-Base disorders.doc

Download primer on clinical acid base problem solving.pdf

      Know and understand Box 1 p 125 as well as MUDPILES

 

If you need some basic ABG interpretations: Link Links to an external site.

 

    Compensation:

        Watch Link Links to an external site.

You tube Link Links to an external site.

 Know how to interpret anion gap and delta gap. Know about non-anion gap acidosis.

Suggested Readings: REVIEW:

Harrison's Chapter 63 Fluid and Electrolyte disturbances

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=79726591 Links to an external site.

64e Case Examples

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=79726736 Links to an external site.

Chapter 65 Hypercalcemia and Hypocalcemia

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=79726855 Links to an external site.

Chapter 66 Acidosis and Alkalosis.

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=79726883 Links to an external site.