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Basic Concepts of Fluid and Electrolyte Therapy

Basic Concepts of Fluid and Electrolyte Therapy

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Foreword<br />

This book, ‘<strong>Basic</strong> <strong>Concepts</strong> <strong>of</strong> <strong>Fluid</strong> <strong>and</strong> <strong>Electrolyte</strong> <strong>Therapy</strong>’, fills a long<br />

felt need for an up to date pocket guide to the subject. Water <strong>and</strong><br />

electrolyte balance is crucial for body homeostasis <strong>and</strong> is one <strong>of</strong> the<br />

most protected physiological mechanisms in the body. While we can<br />

survive for months without food, without water intake we die very<br />

quickly. Similarly the body has very strong mechanisms to control salt<br />

<strong>and</strong> water balance, an underst<strong>and</strong>ing <strong>of</strong> which has major implications<br />

in clinical practice.<br />

Despite salt <strong>and</strong> water balance being so fundamental for homeostatic<br />

control, knowledge <strong>and</strong> practice <strong>of</strong> fluid <strong>and</strong> electrolyte therapy has<br />

been shown to be appallingly poor among many health care pr<strong>of</strong>essionals.<br />

The results <strong>of</strong> such knowledge surveys have been reported by<br />

the authors <strong>and</strong> were surely the reason why they felt the urge to write<br />

this book.<br />

Dileep Lobo, Andrew Lewington <strong>and</strong> Simon Allison are all well<br />

renowned experts in this field covering different aspects <strong>of</strong> the topic:<br />

surgery, renal medicine <strong>and</strong> clinical nutrition. This allows for a broad<br />

approach to the concepts <strong>of</strong> fluid <strong>and</strong> electrolyte management <strong>and</strong><br />

gives the book sufficient depth to fulfil the basic needs <strong>of</strong> all medical<br />

specialties.<br />

The book covers the basics in physiology <strong>and</strong> pathophysiology, how to<br />

assess fluid <strong>and</strong> electrolyte status, a clear overview <strong>of</strong> fluids used in<br />

clinical practice <strong>and</strong> how to prescribe them, <strong>and</strong> then moves on to<br />

describe <strong>and</strong> discuss some <strong>of</strong> the most common clinical problems.<br />

The book is rich in tables <strong>and</strong> figures that help the reader grasp the<br />

fundamentals, both physiological <strong>and</strong> pathophysiological. It contains<br />

examples <strong>of</strong> how to address clinical situations <strong>and</strong> to monitor treatment,<br />

<strong>of</strong>ten with the help <strong>of</strong> simple cartoons <strong>and</strong> figures. The authors<br />

5

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