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management nephrology pulmonary abscess ac alcoholic algorithm assistcontrol betadglucan causes correction criticalcare diagnosis differential falsepositives fungal galactomannan hepatitis hepatology hyponatremia
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Goal correction ... Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM ... Hyponatremia #Correction #goal
Volume Assist/Control Mechanical Ventilation How does this mode work? • Delivers a set volume of air with
• TV- Use 8cc ... /kg PBW and adjust ... consider starting at 6cc ... /kg PBW ... maintain SpO2 goal
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
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
Alcoholic Hepatitis - Management Algorithm Assess Eligibility for Treatment: - Maddrey Discriminant Function ≥ (or possibly MELD
HCV, DILI, HCC, ... Enteral nutrition goal ... of >21 kcal/kg
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