15 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
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... Neurological event 2) Sodium ... fluid therapy → rare ... #diagnosis #nephrology ... #hyponatremia #
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
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
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
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... correction (max rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... day • Can be difficult ... promoting passive sodium ... #hyponatremia # ... nephrology #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Calculate correction rate ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm ... #treatment #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 ... causes #treatment #nephrology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Drugs/Toxins: - Propofol ... toxic alcohols, Sodium ... HIV, Malaria, Late ... Difficult to diagnosis