ASPEN Fluids, Electrolytes Handbook
This course is an outstanding deep dive into ASPEN’s book, which has been totally updated with the latest in evidence-based research and clinical experience. Edited by a multidisciplinary team of experts. It covers treatment for hemodynamic, cardiovascular, respiratory, and neurologic complications. Spiral bound and pocket-size for convenient use at the bedside.
1 Regulation of Water and Electrolyte Balance
2 Fluid Disorders
3 Electrolyte Disorders
4 Acid-Base Homeostasis and Disorders
5 Common Clinically Applicable Situations
6 Pediatric Considerations for Fluids, Electrolytes, and Acid-Base Disorders
Correction: See book insert for page 29 Table 2-6. Gatorade G2 (ready to drink) contains ~18.5 mEq of sodium per 32 ounces; addition of ½ teaspoon of salt results in a sodium concentration of ~70 mEq/L; potassium levels are well below the recommended amount for an ORS.
Level 2 & 3 CPE
Suggested Performance Indicators: 1.1.4, 1.2.1, 1.3.3, 2.2.4, 3.2.2, 4.1.1, 4.1.2, 4.2.6, 4.2.7, 6.1.2, 6.1.9, 6.2.5, 8.1.1, 8.1.5, 8.3.7, 10.1.1, 10.2.4, 10.2.11, 10.4.2, 10.4.4
CPE Type: 720 for Printed/Paper Tests; also available as 740 Online/Web-based Course
Upon successful completion, the users will be able to:
1. Calculate a person’s total body water (TBW).
2. Describe causes, signs, and symptoms of hyper- and hypo- states of sodium, potassium, calcium, magnesium, and phosphorus.
3. Define osmolality and describe effects of isotonic, hypotonic, and hypertonic solutions on cells in the body.
4. List one example of an isotonic, hypotonic, hypertonic, colloid, and crystalloid solutions used in intravenous therapy.
5. Identify signs, symptoms and actions for fluid volume excess and fluid volume deficit.
6. Describe the function of the following electrolytes: sodium, potassium, calcium, magnesium, and phosphorus.
7. Identify the approximate normal lab ranges for blood pressure, serum sodium, serum osmolality, urine sodium, glucose, and blood urea nitrogen (BUN).
8. Describe four acid base disorders and the influence of the respiratory system on this balance.
9. Identify which three minerals are often lost in refeeding syndrome.
10. Describe the diet that increases renal magnesium excretion.
11. Distinguish between acidosis and alkalosis resulting from respiratory and metabolic factors.
12. Describe the mechanisms involved in regulating sodium balance, blood volume and blood pressure.
13. Describe the physiology of fluid and electrolyte balance.
14. Describe imbalances of fluid homeostasis and their consequences.
15. List medications and treatments that put patients at risk for fluid imbalance.
16. List key electrolytes for maintaining fluid balance.
17. Identify common clinical conditions associated with fluid and electrolyte disorders.
18. Discuss three nutritional considerations when a person has hypocalcemia.
19. Identify the dietary restrictions needed for a person with cirrhosis and ascites.
20. Describe refeeding syndrome and identify three nutrients and conditions of particular importance to the person’s recovery.
Why we chose this book
ASPEN is known for its high quality, evidence-based resources. One of our expert dietitian item writers with extensive clinical experience chose this title for a course.
About the author
Edited by a multidisciplinary team of experts:
Jeff Bruno, PharmD, BCNSP, FCCM, Director, PGY2 Critical Care Pharmacy Residency, MD Anderson Cancer Center, Houston, TX
Nicki Canada, MS, RD, LD, CNSC, Assistant Director, Clinical Nutrition, TX Children’s, Houston, TX; Todd Canada, PharmD, BCNSP, FASPEN, Nutrition Support Specialist, MD Anderson, Houston, TX
Anne Tucker, PharmD, BCNSP, Clinical Pharmacy Specialist, MD Anderson, Houston, TX
Joseph Ybarra, PharmD, BCNSP, Dir. of Corporate Clinical Pharmacy, CHRISTUS Health, Irving, TX