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Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... : • Causes can ... Free water restriction ... Induces osmotic water ... SatyaPatelMD #SIADH #Management
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... Free water restriction ... • All food has water ... administered • This can cause ... SatyaPatelMD #SIADH #Management
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... inability to excrete water ... vast majority of cases ... the underlying cause ... Diagnosis #Treatment #management
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... SIADH — look for cause ... • Calculate water ... hourly • Identify Cause ... #Hyponatremia #Management
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Excess free water ... • No access to water ... GI loss • Watery ... Diagnosis #Algorithm #Causes
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Guidelines for Crises ... other, more common causes ... 10 ml.kg-1 iced water ... replacement therapy later ... Checklist #Diagnosis #Management
Chemical Eye Injury: Pathogenesis and clinical findings Exogenous chemical to the eye and/or adnexa • Ammonia, sodium
EMERGENCY: immediate management ... thoroughly with water ... following initial management ... Acidic injuries cause ... Alkali injuries cause
Hypernatremia Management Algorithm Acute vs Chronic Calculate Losses • Current water Deficit • Ongoing Free water Losses •
Hypernatremia Management ... Losses • Current water ... • Ongoing Free water ... Ongoing Urinary Water ... Hypernatremia #Management
Intern Pocket Cards - Inpatient Bowel Regimen Guide Osmotic agents (draws water into bowel, thereby loosening stool
agents (draws water ... Polyethylene glycol - Nausea ... Magnesium citrate - Watery ... absorbs excess water ... distension: • Tap water
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... Diagnosis Inadequate water ... Lack of access to water ... Differential #Diagnosis #Causes
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