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management nephrology abscess betadglucan causes correction diagnosis differential falsepositives fungal galactomannan goal hyponatremia icucard kidney laboratory lung nephrolithiasis pediatrics pulmonary
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
therapy (MET): e.g ... , Anuria - PCN ... +/- Stent: < 2 cm ... involvement: eyes, TFT, ECG
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
) + (5 x Ht cm) ... ) +(1.8 x Ht cm) ... Inhalation injury (endoscopy ... patient) MIP > - 25 cm ... H20 PEEP < 5 cm
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Clindamycin in case of PCN ... Cavitation > 6 cm ... • Vasculitis (e.g
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives 1,3-Beta-D-Glucan • Cell wall component of many fungi
Other +s: PCP, Histo ... specificity for IFI in hem ... formulations (eg ... risk pts with hem
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