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diagnosis management nephrology differential pharmacology potassium causes comparison criticalcare crystalloids effects foamed hypernatremia lactated normal ns physiologic physiology ringers table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... volume restriction alone ... diuresis can be high ... : Hypovolemia, Hypervolemia
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
water loss, Serum Sodium ... >145 mmol/L High ... 300 mmol/kg • Hypertonic ... saline administration ... mannitol, glucosuria Low
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
trial • Minimal K ... Is Dangerous in Hyperkalemia ... densa receives high ... decreased renal blood flow ... Decreased GFR, urine
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
lysis) ± Urine ... hypovolemia) - Use LR ... acidosis) • Low ... Use gtt, NOT hypertonic ... Slow - don’t delay
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Hypertonic Saline ... Cirrhosis - Correct K ... #Management #algorithm ... #treatment #sodium
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
we introduce a high ... the ECF causes Hyperkalemia ... The high CL- content ... crystalloids like LR ... management #diagnosis #treatment
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
drawn from a site/line ... • MEDIUM (30 ... or dialysis • SLOW ... #Management #treatment ... #potassium #high
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