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diagnosis nephrology differential management causes comparison effects hypernatremia k lactated normal ns pharmacology physiologic 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 •
mEq/L • Potassium ... 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 ... #potassium #nephrology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
drawn from a site/line ... where potassium ... or dialysis • SLOW ... #Management #treatment ... #potassium #high
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