Handling acid-base, fluid, and electrolyte problems is a common and essential part of the everyday practice of medicine, but can often be quite challenging for the practitioner. 1 have found it helpful to follow a systematic method for dealing with these often perplexing problems. Just as it is important to develop a routine for performing the physical examination or for reviewing an ECG. it is useful to have a systematic way of approaching acid-base and electrolyte problems.
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