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preLekára.sk / Journals / Internal Medicine / 2019 - 3

Diagnosing hypovolemia and hypervolemia: from clinical examination to modern methods

Česká verzia

Authors: MUDr. Jan Beneš 1,2
Authors place of work: Klinika anesteziologie, resuscitace a intenzivní medicíny LF UK a FN Plzeň 1;  Biomedicínské centrum LF UK Plzeň 2
Published in the journal: Vnitř Lék 2019; 65(3): 170-176
Category:

Summary

In acutely ill patients, disturbances of circulating blood volume and water homeostasis are frequently encountered. In order to choose adequate treatment strategy a well based diagnostics of these disturbance sis necessary, because fluid therapy possess the potential not only to help but also to worsen patient’s state. Currently we have at hand several possibilities to diagnose hypovolemia or hypervolemia: besides standard clinical assessment novel approaches as dedicated laboratory markers or sonography. Tests of fluid responsiveness are other mean how to ensure that the acutely ill patient will receive just the right amount of fluids. In this review article we will present the current view of the circulating blood volume pathophysiology as well as contemporary diagnostic tools.

Keywords:

fluid challenge – fluid responsiveness – infusion therapy

Zdroje

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Štítky
Diabetology Endocrinology Internal medicine
Článek An unstable patient in first contact with a doctor in hospital: how to recognize the risk?
Článek Importance of ultrasound examination in diagnosing acute conditions
Článek Intravenous fluid therapy in acutely ill patients for non-intensivists
Článek Acute respiratory distress syndrome
Článek Initial antibiotic treatment of serious bacterial infections
Článek Hemorrhagic shock and treatment of severe bleeding
Článek Nutrition in the acute phase of illness
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Internal Medicine

Číslo 3
2019 Číslo 3
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