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hyponatremia management nephrology diagnosis algorithm clamp differential hematology protocol treatment amjmed causes coagulation correction desmopressin disease diuresis diuretics ebm emergency
Approach to Emergency Management of Hyponatremia - Dr. Edward Etchells #Management #Emergency #Hyponatremia #Algorithm #Overcorrection #DDAVP
Hyponatremia #Algorithm #Overcorrection ... #DDAVP
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Excessive Loss - DDAVP ... Insipidus - DDAVP
Outcomes in Severe Hyponatremia Treated With and Without Desmopressin. Am J Med. 2018 Mar;131(3):317.e1-317.e10. doi: 10.1016/j.amjmed.2017.09.048. Epub
#Desmopressin #DDAVP
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Overcorrection of
Von Willebrand Disease - Most common inherited bleeding disorder Clinical • Easy bruising •
Desmopressin (DDAVP
Thromboelastogram Interpretation Reaction Time (R Value): - Time till initiation of fibrin clot - Treatment: FFP, protamine K
Treatment: Platelets, DDAVP
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
therapeutically re-lower overcorrection
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
augmentation with DDAVP
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Desmopressin (DDAVP
DDAVP Clamp Protocol in Hyponatremia • Stop any maintenance fluids. • Start DDAVP 2 mcg IV
DDAVP Clamp Protocol ... • Start DDAVP ... Continue 3% and DDAVP ... sodium is 125-130 #DDAVP
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