Metabolic and electrolyte disorders can pose special challenges to physicians caring for the critically ill patients. Constrained by time and circumstances, clinicians require rapid access to information to help assess and manage these often life-threatening conditions. In this book, a readily useable road map is presented, emphasizing the interactions among problems and suggesting clear lines of action. Keeping the physiopathological mechanisms to the essential, and maintaining anuncluttered format, each chapter provides guidelines to understanding how did we get here and what should we do now, as quickly and safely as possible. Chapters describe clinical presentation and management of the most common renal, electrolyte, acid-base, metabolic and endocrine disorders,complicating the course of critically ill patients. Contributing authors are all experts in their respective fields, who regularly engage in the day-to-day management of critically ill patients. In a rapidly changing field, the authors have endeavored to maintain an updated approach, emphasizing the most recent evidence on diagnosis and management. Although controversy in the interpretation and management of some problems is inevitable, the editors see it as a desirable way to depict differing interpretations and solutions for each problem. Eachchapter ends with a selected list of key references to facilitate in-depth review of each subject.As with other titles in the Pittsburgh Critical Care Medicine series, this book is intended for frequent use by both budding experts as well as by seasoned practitioners in need for of quick and effective reference.
Section A: Renal Disease; 1 AKI I: the critically ill patient; 2 Acute kidney injury in Special circumstances; 3 AKI and Sepsis; 4 The critically ill patient with CKD; 5 Principles of fluid management; 6 Functional hemodynamic monitoring; 7 Pharmacologic therapy in acute kidney injury; 8 Drug dosing in kidney disease; 9 Renal replacement therapy (RRT) indications, timing, and patiient selection; 10 Choosing a renal replacement therapy in acute kidney injury; 11 Combined kidney-lung failure; 12 Acute kidney injury in cirrhosis; 13 Renal disorders in Pregnancy; 14 Renal disorders in Pediatrics; 15 Acid-base disorders; 16 Electrolyte disorders; 17 Management of the renal transplant patient in the ICU; Section B: Endocrine & Metabolic Disease; 18 Diabetes mellitus; 19 Thyroid conditions in critical care; 20 Adrenal disease in critical care; 21 Calcium, bone and mineral disease in the critically ill patient; 22 Nutrition in the critically ill patient;
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