Language Guiding Therapy: The Case of Dehydration versus Volume Depletion

@article{Mange1997LanguageGT,
  title={Language Guiding Therapy: The Case of Dehydration versus Volume Depletion},
  author={Kevin C. Mange and Daisuke Matsuura and Borut {\vC}i{\vz}man and Henry Soto and Fuad N. Ziyadeh and Stanley Goldfarb and Eric G. Neilson},
  journal={Annals of Internal Medicine},
  year={1997},
  volume={127},
  pages={848-853}
}
Patients presenting with orthostatic hypotension and normal plasma sodium concentrations are frequently admitted to the hospital with a diagnosis of dehydration. If they are fortunate, they receive fluids containing sodium chloride instead of free water to correct obvious extracellular fluid volume depletion. Confusing this diagnosis highlights the growing and pernicious habit of using the terms dehydration and volume depletion interchangeably at the bedside when the two describe clearly… Expand
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Dehydration versus volume depletion.
  • M. Emmett
  • Chemistry, Medicine
  • Kidney international
  • 2005
To the Editor: In his recent Nephrology Forum, Dr. Friedman1 makes a number of interesting and cogent observations regarding enteral and parenteral fluid and electrolyte therapy in infants and… Expand
Hypovolemia and dehydration in the oncology patient.
TLDR
The physiologic control of extracellular volume and electrolytes, diagnosis of sodium and water balance problems, and the management of these concerns are reviewed. Expand
Evaluation and treatment of cancer-related fluid deficits: volume depletion and dehydration
TLDR
In hemodynamically compromised individuals with orthostatic hypotension and oliguria, replacement with isotonic saline until hemodynamic stabilization is crucial and oral or parenteral fluid should be given along with treatment of the underlying cause. Expand
Dehydration despite drinking: beyond the BUN/creatinine ratio.
TLDR
The physiology of the laboratory and clinical findings of dehydration are discussed and common clinical problems in which these findings occur are illustrated, either not due to dehydration at all, or unrelated to the diligence of staff in providing sustenance. Expand
Management of Diarrhoeal Dehydration in Childhood: A Review for Clinicians in Developing Countries
TLDR
The article uses the clinical case examples to illustrate the bed-side approach to the management of three different types of dehydration using a pre-mixed isotonic fluid solution (with 20 or 40 mmol/L of potassium chloride added depending on the absence or presence of hypokalemia, respectively). Expand
Understanding clinical dehydration and its treatment.
TLDR
It is argued that the clinical definition for dehydration, ie, loss of total body water, addresses the medical needs of the patient most effectively and that subcutaneous infusion of fluids (hypodermoclysis) provides a better opportunity to treat mild to moderate dehydration in the nursing home and at home. Expand
Special Communication of a Case of Hypovolemic-Associated EAH: Lessons Learned During Recovery.
TLDR
Biochemical evidence is provided suggesting that this patient's severe symptomatic EAH was associated with volume depletion from underreplaced sodium losses, suggesting a 'reverse' perspective of the underlying pathophysiology. Expand
Understanding and managing acute fluid and electrolyte disturbances
TLDR
Fuid and electrolyte disorders should be approached by considering the deficit, the maintenance fluid and continuing losses, and a rate of replacement which will not produce severe neurological deficit, especially in septic patients. Expand
Acute electrolyte and acid-base disorders in patients with ileostomies: a case series.
TLDR
The cases emphasize the need to be aware of the variety of acute electrolyte and acid-base disorders that can occur in patients with ileostomies and to intervene rapidly when they develop, as well as considerations for long-term management of fluid and electrolyte balance. Expand
Long-term enteral nutrition support and the risk of dehydration.
  • R. Dickerson, Rex O. Brown
  • Medicine
  • Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
  • 2005
TLDR
A case-based discussion is provided regarding the evaluation, treatment, and prevention of dehydration in long-term tube-fed patients who are not allowed oral intake, has an altered mental status, is unable to communicate, is elderly or fluid-restricted, or has thirst impairment. Expand
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