Contents
P art I Balancing basics 1
1 Balancing fluids 3
Elena C. Prendergast, DNP , APRN , FNP-C , ACHPN
2 Balancing electrolytes 21
Shelba Durston, MSN , RN , CCRN , SAFE
3 Balancing acids and bases 37
Shelba Durston, MSN , RN , CCRN , SAFE
P art II Fluid and electr olyte imbalances 53
4 When fluids tip the balance 55
Rachel Koransky-Matson, DNP , NP-C
5 When sodium tips the balance 84
Denise Pattison, DNP , APRN-CNP
6 When potassium tips the balance 106
Victoria Wilson, BSN , RN , CHPN
7 When magnesium tips the balance 126
Victoria Wilson, BSN , RN , CHPN
8 When calcium tips the balance 147
Katie Dinh, MSN , APRN , ACPCNP-BC
9 When phosphorus tips the balance 167
Elena C. Prendergast, DNP , APRN , FNP-C , ACHPN
10 When chloride tips the balance 185
Rachel Koransky-Matson, DNP , NP-C
11 When acids and bases tip the balance 199
Elena C. Prendergast, DNP , APRN , FNP-C , ACHPN
P art III Disorders that cause imbalances 231
12 Heat-related health alterations 233
Cherie R. Rebar , P h D , MBA , RN , COI
13 Heart failure 245
Alan C. Eddison, DNP , ARNP xi
Contents
14 Respiratory failure 261
Katrin Moskowitz, DNP , FNP-C
15 Excessive GI fluid loss 271
Katrin Moskowitz, DNP , FNP-C
16 Acute pancreatitis 281
Katie Dinh, MSN , APRN , ACPCNP-BC
17 Renal failure 297
Diego Acero, MSN , FNP-C
18 Burns 312
Cherie R. Rebar , P h D , MBA , RN , COI
P art IV T reating imbalances 329
19 I.V. fluid replacement 331
Mary K. Jones, DNP , CNM , ENP-BC , FNP-BC
20 T otal parenteral nutrition 348
Mary K. Jones, DNP , CNM , ENP-BC , FNP-BC
Appendices and index 359
Common fluid and electrolyte imbalances in
pediatric patients 360
Keelin C. Cromar, MSN , RN
Common fluid and electrolyte imbalances in
elderly patients 362
Keelin C. Cromar, MSN , RN
T ransfusing blood and selected components 364
Keelin C. Cromar, MSN , RN
Practice makes perfect 366
Keelin C. Cromar, MSN , RN
Glossary 384
Index 387