20 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 ... Infections #Timeline #differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
• Hypocalcemia/Late ... Hyperuricemia • Hyponatremia ... • HAGMA • Late ... ringers - Initial rate ... causes #treatment #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... The differential ... • The maximum rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... correction (max rate ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
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
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Drugs/Toxins: - Propofol ... HIV, Malaria, Late ... Difficult to diagnosis ... Lactic #Acidosis #Differential
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... heat illness → Hypernatremia ... Collapse: • Pathophysiology ... Decreased pulse rate ... - Athlete - difficulty
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... glomerular filtration rate ... Hypochloremia #Differential ... Diagnosis #Algorithm #Pathophysiology ... #Nephrology #Chloride