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September 1960

Clinical Disorders of Hydration and Acid-Base Equilibrium.

Author Affiliations

Ed. 2. By Louis G. Welt, M.D. Price, $7. Pp. 336, with some illustrations. Little, Brown & Company, 34 Beacon St., Boston, 1959.

Arch Intern Med. 1960;106(3):462. doi:10.1001/archinte.1960.03820030150031

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This revision is an improvement over a book which was excellent four years ago. Three hundred twenty-nine references and seventy-four pages have been added, and in certain areas the text has been completely rewritten because of the changes in concepts resulting from this new material. The basic outline remains the same. The first part is basic while the second part is clinical. Some of the revision is designed to clarify difficult concepts. For example, the section on blood buffers has two helpful additions. The first is an actual calculation of pCO2 and the partition of total CO2. Following this is a discussion of buffer base and how it can be estimated by examining the relationship of total CO2 plus chloride concentration with sodium concentration.

There is a minimum of demonology and circular reasoning. One gem present in the first edition was allowed to remain, however, and I