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Anesthesiologist

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AVG. SALARY

$242,060

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EDUCATION

First professional degree

Real-Life Activities

Real-Life Communication

Many of the medical reports anesthesiologists have to read are about as digestible as stereo instructions. While practice and a lot of "inside knowledge" helps anesthesiologists digest this material, good reading skills are also very important.

The following report was taken from the Internet. Read it through carefully, just once, and then try to answer the questions.

The major difference between infants and adults is the fact that 40 percent of body water in newborns is extracellular fluid (ECF), while in adults, the ECF is 20 percent. This extracellular water is in the interstitial fluid volume, while plasma volume is similar at all ages.

The high percentage of ECF causes a high turnover of water and electrolytes, especially sodium. A newborn child may lose 10 percent of its body weight if it drinks nothing for a day.

Fluid requirements are higher in hot rooms and in fever. For every one degree of fever, about 10 percent more fluid is necessary. Intraoperative fluid deficits may result from exposure of large areas of tissue, as in abdominal and thoracic surgery, as well as from blood loss.

Questions

  1. What causes a high turnover of water and electrolytes in a patient?
  2. If a patient has a fever two degrees higher than normal, what is the percentage of extra fluids this patient must be given?
  3. The plasma volume of infants is 40 percent, while it's only 20 percent in adults. True or false?
  4. A newborn child can lose ____ percent of its body weight if it receives no fluids for the day.

Want to learn more? Check out this URL:

American Society of Anesthesiologists
Internet: http://www.asahq.org/