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

CJASN May 2019, 14 (5)
Rate of Correction ... of Hypernatremia ... evidence that rapid correction ... #Rapid #Rate #Correction ... #Nephrology #Management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Goal correction ... #Correction #goal ... #rate #management ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
and avoid rapid correction ... (max rate of correction ... /L/day) Rapid correction ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
• Rapid correction ... • The maximum rate ... of correction should ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... rate for Na • ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm ... #treatment #sodium
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
Clamp Protocol in Hyponatremia ... NaCl infusion rate ... to achieve correction ... Clamp #Protocol #Hyponatremia ... #management #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 ... promoting passive sodium ... #hyponatremia # ... nephrology #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Hyperuricemia • Hyponatremia ... Differential #Diagnosis #Management ... causes #treatment #nephrology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome - Summary ... Guillain-Barre Pathophysiology ... Weakness: mild difficulty ... /constipation, hyponatremia ... Syndrome #diagnosis #management
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... heat illness → Hypernatremia ... Collapse: • Pathophysiology ... Decreased pulse rate ... - Athlete - difficulty