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June 25, 1955

Fluid and Electrolytes in Practice

JAMA. 1955;158(8):701. doi:10.1001/jama.1955.02960080077030

This monograph is essentially a review of reviews. Even the illustrations have been largely redrawn from other sources. There are only three original case reports. These are described only in terms of needed treatment and contain no data as to the effects produced thereby. Moreover, in the case reported on page 112 it is astonishing to find an obvious example of inadequate preoperative preparation described without comment. A man was admitted with long-standing anorexia, recent vomiting, and marked loss of weight. He had a nonprotein nitrogen level of 92 mg. per 100 cc. and x-ray evidence of pyloric obstruction and yet was subjected to a subtotal gastrectomy after the administration of but 1 liter of isotonic sodium chloride solution intravenously. On the day after operation the serum chloride level was 74 mEq. per liter and the carbon dioxide combining power, 50 mEq. per liter. The clinical findings associated with this

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