57. Intravascular Volume Status

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

Published Online: 9 NOV 2012

DOI: 10.1002/9781118482117.ch57

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

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

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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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