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Chapter 17 - Electrolyte and Metabolic Emergencies

from Part 3 - Emergency Prescribing

Published online by Cambridge University Press:  08 June 2020

By
Ned Gilbert-Kawai
Edited by
Hugh Montgomery ,
Robert Shulman  and
Mayur Murali
Hugh Montgomery
Affiliation:
Centre for Human Health and Performance, University College London
Robert Shulman
Affiliation:
University College Hospitals London
Mayur Murali
Affiliation:
Whittington Hospital, London
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Summary

A slow and steady increase in some electrolyte or others may go overlooked (or even consciously ignored), and can remain asymptomatic. However, they can cause trouble insidiously, or catastrophically, and thus require early correction. Readers are advised of the causes of electrolyte disturbance (‘Us and Them’), provided with the ‘Rule of What’s’ to manage trouble and given prescribing advice to manage electrolyte and metabolic disturbance.

Keywords

ElectrolyteMetabolicAcid-based balanceIntravenous fluidsHyperkalaemiaHypercalcaemiaThyrotoxicosisHypokalaemiaHypocalcaemiaHypothyroidHypoglycaemiaHypoadrenalism
Type
Chapter
Information
Surviving Prescribing
A Practical Guide
 , pp. 67 - 74
Publisher: Cambridge University Press
Print publication year: 2020

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