Practical Applications Of Intravenous Fluids In Surgical Patients

Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This new edition is a practical guide to intravenous fluids and their administration to surgical patients. Divided into sixteen sections, the text begins with an overview of normal water balance and distribution of body fluid. The next sections cover the pharmacology of different types of intravenous fluid, followed by discussion on fluid therapy in different medical circumstances, and concluding with a chapter on fluid calculation. The second edition has been fully revised to provide the latest information in the field, and features new topics including fluid choice in the perioperative period and surgery and stress response. Key points Fully revised, new edition presenting latest information on intravenous fluids in surgery Discusses different types of fluid and their application in different circumstances Second edition includes several new topics Previous edition (9789350903957) published in 2013

Discusses various types of intravenous fluid (IV) and the techniques of administration. Reviews physiology, pathophysiology and pharmacology and describes administration of fluid therapy for different surgical conditions. The final section explains the calculation of fluids.

Over the past decade, there have been a large number of important studies related to fluid management for the surgical patient, resulting in confusion on this critical aspect of patient care. Proper fluid therapy in the perioperative setting has always been important but has only recently had concrete outcome-based guidelines. This is the first comprehensive, up-to-date and practical summary book on the topic.

This open access book, published by Springer under the Open Access CC BY 4.0 Licence in collaboration with the International Fluid Academy (IFA, www.fluidacademy.org), explores rationalized intravenous fluid therapy for critically ill patients. Despite being commonly prescribed in inpatient settings, intravenous fluids are often administered without evidence-based guidelines, neglecting essential considerations such as the fact they are drugs, that need proper dosing, duration, indications, contraindications, side effects, and de-escalation. This book fills this knowledge gap. Each chapter starts with a clinical vignette and a related question, followed by a concise summary abstract, key learning points, main text, and a conclusion that addresses the clinical question and provides relevant take-home messages. Additionally, every chapter includes an IFA commentary referencing the latest literature and evidence. The book begins with an introductory chapter that provides definitions and terminology, followed by four sections. The first section covers the fundamentals of intravenous fluid therapy, including fluid compartments in sick patients, fluid bolus dynamics, heart-lung interactions, fluid challenge, fluid responsiveness, arterial blood gas analysis based on traditional and Stewart concepts, and electrolyte physiology relevant to clinical issues. The second section discusses commercially available intravenous fluids, while the third section focuses on fluid therapy in specific clinical situations. The final section introduces the concepts of fluid stewardship and appropriate fluid prescription. Aligned with the International Fluid Academy's mission to enhance education and promote research on fluid management and monitoring, ultimately improving patient survival rates, this book contributes significantly to establishing fluid stewardship at the bedside. It provides valuable support for physicians, nurses, pharmacists, and other healthcare professionals across various clinical disciplines working in emergency rooms, operating rooms, or intensive care units, aiding their everyday clinical practice.

Now in its thoroughly revised, updated Fifth Edition, this handbook is the only volume on fluids and electrolytes that is geared specifically to surgical residents and surgeons. It explains, in practical terms, how to assess and manage problems of fluid-electrolyte and acid-base balance in surgical patients. This edition's chapters have all been rewritten for easier readability. New charts and figures have been added and tables have been revised to reflect recent modifications in therapy. The text precisely describes the specific characteristics and uses of all currently available fluids. This edition also provides more information on the interpretation and therapeutic implications of laboratory results.

Intended for any healthcare professional working with surgical patients, including medical students, residents, surgeons and internists, nurses, dieticians, pharmacists, and physical therapists, The Practical Handbook of Perioperative Metabolic and Nutritional Care focuses on topics from the history of surgery and metabolism, to organic response to stress. Based on clinical processes, the author explores screening, assessment, and the impact of nutritional status on outcomes, in addition to investigating nutritional requirements, including macronutrients and micronutrients. Chapters examine wound healing as well as metabolic and nutritional surgical preconditioning, including coverage of preoperative counseling, preoperative nutrition, and preoperative fasting. Physical exercise is addressed, as well as nutritional therapy in the form of oral supplements, and enteral and parenteral approaches. Additional topics explored include nutrition therapy complications and immunomodulatory nutrients, pro, pre and symbiotics, postoperative oral, enteral and parenteral nutrition, enteral access, vascular access, fluid therapy, and more. With up-to-date information, practical and cost-effective data, this resource is critical for translating theory to practice. Focuses on preoperative metabolic and nutritional preparation for surgery Explores processes for intra and postoperatively assessing metabolic and nutritional state to ensure patient progress Contains content based on clinical process

Gain a thorough understanding of nursing anesthesia with the most comprehensive text on the market. Written by leading expert, John Nagelhout, CRNA, PhD, FAAN, and new contributing author Sass Elisha, EdD, CRNA, Nurse Anesthesia, 6th Edition features both scientific principles and evidence-based material. Inside you’ll find a solid introduction to the history, education, and legal issues of nurse anesthetist, its scientific foundations, equipment and monitoring, and preoperative evaluation and preparation of the patient. This new edition includes chapters on patient centered care and cultural competence, additional drugs of interest, blood and blood component therapy, anesthesia management for patients with cardiac devices, anesthesia for robotic surgery, anesthesia for transplant surgery and organ procurement, and physiology and management of acute and chronic pain. Not only a key reference for practicing nurse anesthetists, this bestseller prepares you for certification and today's clinical anesthesia practice. New coverage includes the latest specifics of pharmacokinetics, drug delivery systems, opiate antagonists, and key induction drugs. Updated information on patient safety, monitoring, and pharmacology. Unique! Expert CRNA authors provide the current clinical information that you will use in daily practice. Over 700 tables and boxes highlight the most essential information in a quick, easy-to-reference format. Easy-to-use organization covers basic principles first, and builds on those with individual chapters for each surgical specialty. Updated TJC standards for monitoring and administering moderate sedation/analgesia. NEW! Expanded content includes; non-OR anesthesia, acute and chronic pain management, anesthesia implications of complementary and alternative medicine, robotic surgery, new and less invasive procedures in interventional radiography, implications of modern implanted cardiac devices, and more! NEW! Full-color design and figures clarify difficult concepts and give the text a contemporary look and feel. NEW! Co-author Sass Elisha brings a fresh perspective to this edition.

Perioperative fluid therapy requires the correct selection, amount, and composition of fluids based on the patient's underlying pathology, state of hydration, and type and duration of surgical stress. Filling a gap in the literature, this source provides a solid foundation to practical perioperative fluid management, fluid solutions, and the utiliz