579 results
Fluids, Electrolytes, Acid-Base
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General Concepts
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< Osmolality vs osmolarity
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Osmolality
[H 20)
Milliosmoles per kg of water. The osmolality is the
Concepts > < Osmolality ... vs osmolarity ... ★ Osmolality [ ... The osmolality is ... Osmolarity (mOsm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Check plasma osmolality ... NORMAL PLASMA OSMOLALITY ... DECREASED PLASMA OSMOLALITY ... Hypernatremia #Diagnosis #Workup
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... mEq/L • Sodium lactate ... 28 mEq/L • Osmolarity ... 154 mEq/L • Osmolarity ... mEq • Sodium Lactate
Crystalloid Composition - Normal Saline, Ringer's Lactate, Hartmann's Solution, PlasmaLyte

Ca2+ Mg2+ Cl- 
Acetate 
Lactate 
Gluconate 
Bicarbonate
Saline, Ringer's Lactate ... Cl- Acetate Lactate ... Bicarbonate Osmolarity ... #LR #Ringers #Lactated
Contrast dyes are divided into three groups based on their osmolarity.  High-osmolar contrast medium (HOCM),
based on their osmolarity ... LowOsmolarity #Osmolality
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... 1) Check Urine Osmolality ... Differential #Diagnosis #Workup
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
24 hours Urine osmolality ... /18 HIGH urine osmolality ... Azotemia LOW urine osmolality
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Nephrology #UOsm #Osmolality
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... Calcium Chelators, Lactate ... #Hypocalcemia #Workup
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
retention 1) Serum Osmolarity ... 2) Urine Osmolarity