Approach to fluid and electrolyte disorders and acid-base problems.
Employing a systematic approach to the interpretation of serum chemistries is the most effective way to ensure abnormalities are detected and correctly interpreted. This article reviews a series of steps that can be used in both the outpatient and inpatient settings. These steps will help to ensure the clinician identifies not only overt abnormalities but also subtle disturbances that may lay hidden in a routine set of serum chemistry values.
Palmer
Biff F
BF
Department of Internal Medicine, Division of Nephrology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA. biff.palmer@utsouthwestern.edu
D000137:Acid-Base Imbalance / Q000175:diagnosis* / Q000503:physiopathology; D000208:Acute Disease; D002712:Chlorides / Q000097:blood; D002908:Chronic Disease; D006801:Humans; D006947:Hyperkalemia / Q000175:diagnosis / Q000503:physiopathology; D006955:Hypernatremia / Q000175:diagnosis / Q000503:physiopathology; D007008:Hypokalemia / Q000175:diagnosis / Q000503:physiopathology; D007010:Hyponatremia / Q000175:diagnosis / Q000503:physiopathology; D014882:Water-Electrolyte Balance; D014883:Water-Electrolyte Imbalance / Q000175:diagnosis* / Q000503:physiopathology
D002712:Chlorides