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Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... water Extrarenal hypotonic ... salt intake: • Hypertonic ... Differential #Diagnosis #Causes
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline ... improved headache and nausea ... therapeutically re-lower overcorrection ... #Hypertonic #Saline
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Indications for Hypertonic ... Overcorrection of
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... administration Hypertonic ... Primary polydipsia Hypotonic ... Diagnosis #Algorithm #Causes
Intrapartum Abnormal Fetal HR Tracing - Causes of Variability & Decelerations - Differential Diagnosis Algorithm Minimal/Absent Variability
Fetal HR Tracing - Causes ... saturation • Hypertonic ... deceleration: • Hypertonic ... Diagnosis #Algorithm #Causes
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... 300 mmol/kg • Hypertonic ... Diagnosis #Algorithm #Causes
Differential Diagnosis for Hemolytic Anemia Intrinsic Causes: • Enzyme deficiencies ex. G6PD, pyruvate kinase • Hemoglobinopathies
Anemia Intrinsic Causes ... elliptocytosis Extrinsic Causes ... Intravascular Causes ... IV infusion of hypotonic ... Differential #Diagnosis #causes
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Hyponatremia Hypertonic ... after infusion of Hypertonic ... including the hypertonic ... SIADH — look for cause ... hourly • Identify Cause
Internal Jugular Vein Rouleaux Flow on POCUS Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
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 Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... Myopathies #Hypotonic ... Diagnosis #Algorithm #Causes
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