57. Intravascular Volume Status

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5,
  4. Jeremiah D. Schuur5

Published Online: 9 NOV 2012

DOI: 10.1002/9781118482117.ch57

Book Title

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Additional Information

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Intravascular Volume Status, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch57

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 9 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

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CHAPTER TOOLS

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Keywords:

  • intravascular volume status;
  • accurate assessment of volume status in ill ED patients, a clinical skill;
  • diagnostic accuracy of lab tests, evaluation lacking in acutely ill ED patients;
  • optimal fluid management, unclear with increased morbidity/mortality;
  • terminology for volume deficiency conditions, confusing;
  • hypernatremia in geriatric adults, with intravascular volume depletion;
  • dehydration/volume depletion physicals, showing postural vital signs;
  • diagnostic accuracy of physicals in ED patients, for hypovolemia not from blood loss;
  • abnormal capillary refill, increasing posttest probability of hypovolemia;
  • understanding limitations of history/physicals, key to a safe volume resuscitation

Summary

This chapter contains sections titled:

  • Background

  • Clinical question

  • Comment

  • References

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