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renal crrt hyponatremia replacement therapy treatment devices diagnosis differential managment modalities modes rate rrt sodium algorithm cardiac cardiology casts clamp
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients CJASN May 2019, 14 (5)
Rate of Correction ... of Hypernatremia ... evidence that rapid correction ... #Rapid #Rate #Correction ... #Nephrology #Management
Hypernatremia Management Algorithm Acute vs Chronic Calculate Losses • Current water Deficit • Ongoing Free water Losses •
Hypernatremia Management ... Algorithm Acute vs Chronic ... Medicine @SCVMCMed #Hypernatremia ... #Management #Algorithm ... #treatment #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Goal correction ... #Correction #goal ... #rate #management ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
caused by the inability ... (max rate of correction ... of chronic hyponatremia ... Diagnosis #Treatment #management ... #nephrology #sodium
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
- Diffusion + convection ... with hemodynamic instability ... solutes + ↑ rapid correction ... #Indications #Nephrology ... #Management
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
• Rapid correction ... of chronic hypernatremia ... maximum rate of correction ... Diagnosis #Treatment #management ... #nephrology #sodium
Cardiac Event Monitoring Devices - Compared Ambulatory ECG (Hotter): • Advantages: Continuous recording, records asx events, all
• Advantages: Continuous ... monitoring period, Correlation ... • Advantages: Continuous ... Limited data on ability ... Comparison #cardiology #management
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
• CVVH: Continuous ... dialysate flow (both convection ... fluid removal and correction ... #Therapy #RRT #managment ... #nephrology #CRRT
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... liver cirrhosis, chronic ... nephrotic syndrome • Hyponatremia ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology
Renal Replacement Therapy (RRT) Modalities RRT Modalities in the ICU: • IHD (Intermittent HD): 3-5 hr
• SCUF - Slow continuous ... dialysate flow (both convection ... fluid removal and correction ... #Therapy #RRT #managment ... #nephrology #CRRT
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