69 results
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Differential Diagnosis Algorithm ... mannitol, glucosuria Low ... consciousness • No access ... Hypernatremia #Nephrology ... Differential #Diagnosis #Algorithm
Intraosseous (EZ-IO) Access in the Humeral Head of an adult

Rule of 45s:
- 45mm needle
- 45° angle
Intraosseous (EZ-IO) Access ... atrium in 3 sec - Flow ... #Management #IOAccess
Peripheral IV Catheters - Colors, Sizes and Flow Rates
#Management #Peripheral #PIV #Intravenous #Access #Catheter #FlowRates #Nursing
Colors, Sizes and Flow ... #Intravenous #Access
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... • Euvolemic (Low ... thirst, Lack of access ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... ACTIVATE CATH LAB ACCESS ... femoral arterial access ... Obtain venous access ... Cardiogenic #Shock #Algorithm
Emergency Access Flow Rates with Pressure

PERIPHERAL IV
 20G		140
 18G		210
 16G		390
 14G		480
 RIC		600
Intraosseous IO
 15G Tibia	30
 15G
Emergency Access ... Flow Rates with ... Sheath 600 #Access
Rewarming Methods in Hypothermia
 • Passive rewarming - Requires adequate patient physiologic mechanisms. Inadequate for more
Bladder lavage - Low ... benefit, low risk ... Consider if slow ... arrest without access
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
intake: • Lack of access ... Diagnosis #Causes #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Differential #Diagnosis #Algorithm ... #nephrology #sodium ... #low #uricacid