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Fluid, Electrolytes, Acid-Base Balance

REQUIRED READING:

  • Current Medical Diagnosis and Treatment 2019.

   Chapter 21  Electrolytes and Acid-base balance

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/book.aspx?bookid=2449 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 49 Fluid and Electrolyte disturbances

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2129&sectionid=192013179 Links to an external site.

Harrison's Chapter S1 Case Examples (In part 22)

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?sectionid=192509786&bookid=2129&Resultclick=2 Links to an external site.

Chapter 50 Hypercalcemia and Hypocalcemia

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2129&sectionid=192013331 Links to an external site.

Chapter 51 Acidosis and Alkalosis.

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2129&sectionid=192013363 Links to an external site.