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management diagnosis b12 bloodcultures cobalamin collection criteria deficiency differential drawing emergencydepartment fatigue hypertonic hyponatremia ibd indications pathophysiology refeeding saline shapiro
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... may cause severe clinical ... Monitoring and correction ... Refeeding #Syndrome #Nutrition
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
May repeat until clinical ... first 5 hours. 4) Correction ... Treatment #management #protocol
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection Pawlowicz et al evidenced based
Blood Culture Collection ... Algorithm - Adult ... infections, whose clinical ... BloodCultures #Collection ... EmergencyDepartment #Protocol
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue despite clinical ... fatigue after correction ... modifications Algorithm ... #Fatigue #IBD #Algorithm
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... need more rapid correction ... diagnosis #management #nutrition
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