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October 1972

Paediatric Fluid Therapy.

Am J Dis Child. 1972;124(4):612-613. doi:10.1001/archpedi.1972.02110160150024

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This book successfully combines basic physiology of water and electrolyte metabolism with applicable schedules of fluid therapy. It can be divided into three sections.

  1. The first 30 pages discuss principles of water, electrolyte and acid-base balance including basic differences in fluid compartment size, turnover and components in infants, children, and adults. The acid-base section includes a discussion of buffers, the use of the Astrup method, examples of classical problems and the usual indications and precautions observed when treating patients with bicarbonate or THAM buffer. Unfortunately not even simple renal physiology is included. Maintenance requirements including nutritionally complete parenteral feeding are summarized.

  2. The bulk of the text deals with treatment situations. Following definition of the problem, each section contains a brief discussion of pathophysiology, clinical and laboratory features, and treatment. Chapters that are especially informative are those considering iso-, hypo- and hypertonic dehydration and neonatal problems. Other subjects discussed

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