4215646
Na+
- HYPO
- HYPERvolumic
- CHF
NEPHROTIC
CIRROHSIS
- CHF
NEPHROTIC
CIRROHSIS
- EUVOLUMIC
- pseudo->
hyperglycemia
- SIADH
- pseudo->
hyperglycemia
- HYPOvolumic
- Urine Na+
- >20
- renal
addison
diuretics
- renal
addison
diuretics
- <10
- extrarenal
GIT - 3rd
space
- extrarenal
GIT - 3rd
space
- >20
- Urine Na+
- RX
- MILD (No Sx)
- MODERATE (minimal confusion)
- SEVERE (lethargy- seizures-coma)
usually with post-op water
intoxication, happens rapidly
- Hypertonic saline 3% or 5%
2-4 ml/kg push until aborting
convulsions
- Hypertonic saline 3% or 5%
2-4 ml/kg push until aborting
convulsions
- NS + LOOP Diuretics
- SEVERE (lethargy- seizures-coma)
usually with post-op water
intoxication, happens rapidly
- restrict fluids
- MODERATE (minimal confusion)
- MILD (No Sx)
- HYPERvolumic
- HYPER
- means free water loss
- rapid
- DIURETICS
- D.I.
- + Sx (NEURO)
- Rx D5+0.5NS
or D5W
- Rx D5+0.5NS
or D5W
- DIURETICS
- slow over days
- only Sx of water delpletion
- replace water rapidly +
replace tonicity slowly
- D5+ 0.5NS (Hypotonic)
- D5+ 0.5NS (Hypotonic)
- replace water rapidly +
replace tonicity slowly
- only Sx of water delpletion
- rapid
- means free water loss
- correction
- Deficit
- (Desired Na+ - Lab Na+) x 0.6 x wt
- (Desired Na+ - Lab Na+) x 0.6 x wt
- Maintainence
- 2-4 MEQ/kg/day
- 2-4 MEQ/kg/day
- Deficit
- N 135-145
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