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  • Book
    edited by Sonya Clarke and Julie Santy-Tomlinson.
    Contents:
    An introduction to orthopaedic and trauma care / Julie Santy-Tomlinson and Sonya Clarke
    The knowledge and evidence base for practice / Mark Limb and Peter Davis
    Professional development, competence and education / Mary Drozd and Sinead Hassey
    The musculoskeletal system and human movement / Lynne Newton-Triggs and Jean Rogers
    The team approach and nursing roles in orthopaedic and musculoskeletal trauma care / Brain Lucas and Sandra Flynn
    Rehabilitation and the orthopaedic and musculoskeletal trauma patient / Rebecca Jester
    Clinical assessment of the orthopaedic and trauma patient / Rebecca Jester
    Key musculoskeletal interventions / Lynne Newton-Triggs, Hannah Pugh, Jean Rogers and Anna Timms
    The complications of musculoskeletal conditions and trauma / Julie Santy-Tomlinson, Sonya Clarke and Peter Davis
    Nutrition and hydration / Rosemary Masterson
    Pain assessment and management in orthopaedic and trauma care / Carolyn Mackintosh-Franklin
    Wound management, tissue viability, and infection / Jeannie Donnelley, Alison Collins and Julie Santy-Tomlinson
    Key conditions and principles of orthopaedic management / Elaine Wylie and Sonya Clarke
    Elective orthopaedic surgery / Brian Lucas, Mary Drozd, Sandra Flynn and Vanessa Blair
    Musculoskeletal oncology over the lifespan / Helen Stradling
    Principles of trauma care / Fiona Heaney and Julie Santy-Tomlinson
    Principles of fracture management / Sonya Clarke, Julie Santy-Tomlinson, Sinead MacDonald and Pamela Moore
    Fractures in the older person / Karen Hertz and Julie Santy-Tomlinson
    Spinal cord injury / Donna Poole and Pauline Robertson
    Soft tissue injury, peripheral nerve and brachial plexus injury / Beverley Wellington
    Key issues in caring for the child and young person with an orthopaedic or musculoskeletal trauma condition / Sonya Clarke and Lorna Liggett
    Common childhood orthopaedic conditions, their care and management / Julia Judd
    Fracture management in the infant, child and young person / Elizabeth Wright
    Key fractures relating to infant child and young person / Thelma Begley and Sonya Clarke.
    Digital Access Wiley 2014
  • Article
    Rhodes PG, Hall RT, Hellerstein S.
    J Pediatr. 1977 May;90(5):789-95.
    Acid-base equilibrium and plasma and red blood cell water and solute were evaluated in a group of asphyxiated, acidotic neonates prior to and following infusion of hypertonic NaHCO3. The dose was calculated to correct the deficit of base in a bicarbonate space of 400 ml/kg and was given at a rate of 0.3 mM NaHCO3/kg/minute. All of the infants with RDS and two of the five with other forms of asphyxia received ventilatory assistance during the infusion. The quantity of base infused was sufficient to alter acid-base balance and shift whole blood and red blood cell pH values toward normal. The changes in body composition 3 minutes following the infusion indicate that the osmotic load imposed by the hypertonic NaHCO3 caused a shift of solute-free water into the interstitial and intravascular fluids. During the period from 3 to 30 minutes following the infusion there was redistribution of extracellular water and solute so that plasma volume and [Na]PL decreased. Since there was no evidence of an intracellular shift of solute, we hypothesize that the changes in body composition between 3 and 30 minutes postinfusion were in part the consequence of gradual penetration of transcellular fluids by Na. Osmotic inactivation of ECF Na by sequestration with connective tissue polyelectrolytes may also play a role. These studies' do not provide an answer to the clinical problem of whether the beneficial effects of prompt correction metabolic acidosis outweigh the potenially harmful effect of the osmotic alterations that accompany rapid infusion of hypertonic NaHCO3.
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