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by Robert W. Winters, Knud Engel, and Ralph B. Dell (programmed by Richard P. Berkson), 290 pp, with illus, $3.85, Westlake, Ohio: London Co., 1967.

W. D. Snively, Jr., MD, Reviewer
Evansville, Ind

JAMA. 1968;203(13):1144.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The authors, eminently qualified in their field, have chosen programmed instruction to lead their readers through the jungle of acidbase disturbances. The target audience is a sophisticated one: medical specialists who want an integrated picture of acid-base physiology which can serve as a background for their clinical activities.

But the subject presents formidable difficulties even under the best auspices. Most medical specialists will have to apply themselves industriously and repeatedly to understand the subject as here presented, especially if they are not mathematically oriented. Although the authors assert that they have avoided the mathematical approach —so repugnant to most physicians —many facets of the presentation involve mathematics.

The course approaches the subject logically and systematically, first covering elementary physical chemistry, buffer systems, and the metabolic and respiratory contributions to acid-base balance. Then the program carries the reader through the clinical disturbances: metabolic alkalosis, respiratory acidosis, and respiratory alkalosis. The authors . . . [Full Text PDF of this Article]

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