24 results
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients

CJASN May 2019, 14 (5)
Rate of Correction ... of Hypernatremia ... correction of hypernatremia ... #Rapid #Rate #Correction ... #Nephrology #Management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... MetroHealth_EM #Hyponatremia ... Correction #goal #rate ... #management #nephrology
Transplant Infections Timeline
Pre-transplant:
 • Common bacteria (endogenous): Staphylococci (skin), Gram-negative bacilli (gut)
 • Viruses: HSV (reactivation)
Engraftment:
Clostridioides difficile ... jirovecii (airways) • Protozoa ... Toxoplasma gondii Late ... jirovecii (airways) • Protozoa ... differential #diagnosis #causes
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... the underlying cause ... correction (max rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
• Hypocalcemia/Late ... Hyperuricemia • Hyponatremia ... • HAGMA • Late ... ringers - Initial rate ... #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... day • Can be difficult ... SatyaPatelMD #SIADH #Management ... #hyponatremia # ... nephrology #treatment
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
DDAVP Clamp Protocol ... in Hyponatremia ... NaCl infusion rate ... adjusting the rate ... management #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... and Treatment Hypernatremia ... • The maximum rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... Calculate correction rate ... hourly • Identify Cause ... #Management #algorithm
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
heat illness → Hypernatremia ... Collapse: • Pathophysiology ... Decreased pulse rate ... - Athlete - difficulty ... differential #diagnosis #causes