Basic Facts of Body Water and Ions by Stewart M. Brooks

By Stewart M. Brooks

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Aside from its pronounced osmotic properties the advantages of this agent relate to low cost, stability and ease of storage (no refrigeration required). ; in children 250 mi. may suffice. The recommended rate is 20 to 40 mi. per minute. Dextran 75 at a 12 percent concentration is used to treat edema of nephrosis. In this capacity it acts as an osmotic diuretic. Dextran 40 (Rheomacrodex), or low molecular weight dextran, is a more recent preparation used for the prevention or inhibition of intravascular aggregation of red blood cells, or the socalled sludging of blood.

Such units are either re-usable or expendable. The reusable type demands the fuss and bother of cleaning and sterilization-in this day and age a decided hindrance; the expendable type conserves space, time and manpower and affords a simple, standardized method of administration with added safety. The number and variety of parenteral solutions available is vast and somewhat confusing to the uninitiated unless considered in the framework of a practical bedside system of classification. Moreover, and this is worth remembering, a good 80 percent of parenteral therapy entails nothing more than the old standbys: normal saline, glucose, and glucose in saline.

Cause of death: hypokalemia. Dehydration The clinical state which follows in the wake of the abnormal loss of fluid-dehydration-is one of the first problems that comes to mind in a discussion of body fluids. Dehydration also occurs when a normal loss is not offset by a normal intake. Actually, dehydration is somewhat of a misnomer because the body rarely loses just water. The real loss is fluid; that is, water plus electrolytes, and the classical signs and symptoms (of dehydration) relate to both factors.

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