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Journal of Postgraduate Medicine, Vol. 50, No. 1, January-March, 2004, pp. 84 Book Review Practical guidelines on fluid therapy Tullu MS Department of Paediatrics, Seth GS Medical College and KEM Hospital, Mumbai Code Number: jp04027 The textbook "Practical Guidelines on Fluid Therapy" authored by Dr. Sanjay Pandya (consulting nephrologist) has satisfied the long-felt need of a comprehensive monogram on fluid therapy in adults and children. The book is handy, low-cost, user-friendly and authoritative. The use of a question and answer format has made the text appealing to physicians who are looking for a specific answer in a given clinical situation. The scattered medical literature on fluid and electrolyte therapy has been well compiled in one place by means of this book. Each chapter begins with a table of contents, which allows the reader to go to the desired information readily, thus saving precious time. The text has been well supported by liberal use of flowcharts, tables, diagrams and figures. Various formulae for calculations have been provided and explained in a lucid language. The bibliography of about 30 references at the end of the textbook adds depth to the research done by the author while compiling the textbook. The text has been aptly divided into 11 chapters, which describe the management of fluids and electrolyte imbalance in various medical and surgical disorders. The text begins with a chapter on basic physiology and ends with a chapter on prescribing fluid therapy. The inclusion of the composition of the various fluid preparations and electrolyte solutions available adds a good practical dimension to the textbook. All the important disorders of fluid balance and individual electrolyte imbalance are dealt with in the third chapter. Separate chapters on diabetes mellitus and renal disorders emphasize the importance of fluid and electrolyte management in these conditions. Acid-base disorders have been dealt with as well. Fluid therapy in children has been given due importance and is dealt with separately. The chapter on fluid therapy in children discusses the various forms of dehydration in children and intravenous and oral rehydration therapy. The index provided at the end of the book allows rapid search of the desired information. The paper and printing quality of the book can be improved further. If the book is converted into a ′Pocket-Book′ format, it will be easier for the resident medical officers to carry it around in their wards. The book would be an asset to libraries and it would also serve as a useful desktop reference for undergraduate and postgraduate medical students, practitioners, physicians, nephrologists, endocrinologists and medical teachers. Copyright 2004 - Journal of Postgraduate Medicine |
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