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A change of 12 per 24 hours is urgent. If nothing else, change the trend ... increased insensible losses with tachypnea, persistent fevers, or diaphoresis ...
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10 DAYS fch, HOME DELIVERY, ADMITTED ON DAY 10, POOR feeding, lethargy, FTT wt: ... Often iatrogenic. The circulating volume is preserved at the expense of the ...
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... (diabetes insipidus) Solute diuresis (diabetes mellitus) Diuretic therapy Assessment Two important questions: What is the patient's volume status?
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... chest pain with small troponin elevation and progressive T wave changes on ECG. ... Hypovolemic hypernatremia is the most common cause of hypernatremia ...
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Thus a diuretic is an agent which inhibits tubular Na reabsorption ... This alleviates the hypernatremia that accompanies DI. 22. Potassium-Sparing Diuretics ...
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Infant botulism is a rare but serious disease that can affect ... Guillain-Barr syndrome. Tick paralysis. Metabolic derangements. Hypocalcemia. Hypernatremia ...
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SARS is a new disease and our concepts of how it should be ... Nosocomial sepsis. Rate. Organisms. Biochemistry and fluid balance. Hypernatremia. Barotrauma ...
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The Holliday-Segar Formula. Case #1. An 32 kg girl is admitted for elective surgery and ... The Holliday-Segar Formula. First 10 kg 100 ml/kg/day x 10 = 1000 ml ...
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Heart rate to be elevated by about eight beats per minute. Cardiac output to decline by 1 L/min ... most runners drink less than about 500 mL of fluid per hour. ...
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DI is a disorder resulting from deficiency of anti-diuretic hormone (ADH) or its ... It must be differentiated from other polyuric states such as primary polydipsia ...
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Organ donation is increasing and we need to maintain the donors in optimal state before organs are retrieved.
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Acute intermittent porphyria. Subarachnoid hemorrhage or subdural hematoma ... Acute Symptomatic Hyponatremia (duration 48 hours) ...
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Difference is determined by the substances ability to be freely ... Bronchogenic Ca. Pulmonary disease i.e. Pneumonia. Neuropsychiatric disease. Postoperative ...
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... canned fish are high in calcium (I think of the bones in canned fish to remember ... Blood administered through too small of a needle ...
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Fluids and Electrolytes David A. Listman, MD St. Barnabas Hospital Pediatric Emergency Medicine
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ELECTROLYTE ABNORMALITIES BY: Anthony M. Letizio D.O.
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Diagnosis and Management of Common Electrolyte Disorders Eric I. Rosenberg, MD, MSPH, FACP Rev 11/06 electrolytes1106 Objectives To discuss diagnostic and therapeutic ...
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Describe water balance in health and disease ... Interstitial Fluid. 9L. ICF. 2/3 TBW. 24L. ECF = 1/3 TBW. 12L. Normal Exchange of ...
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Renal Replacement Therapy Children s Healthcare of Atlanta Renal Replacement Therapy What is it? The medical approach to providing the electrolyte balance, fluid ...
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PRINCIPLES OF SURGERY NOVEMBER 2003. FLUID AND ELECTROLYTE BALANCE ... Preoperative serum sodium 134 mmol/L (135-145). Postoperatively had frequent vomiting. ...
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Renal Pathophysiology III : Diseases that affect the kidney and urinary tract Acute and chronic renal failure Plumbing Problems Kidney Stones Calcium Cystine Struvite ...
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Oral rehydration therapy Solutions containing glucose and electrolytes. ... Excessive diaphoresis. Wound Drainage. NPO. CHF. Low salt diet. Renal Disease. Diuretics ...
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Electrolyte Imbalance and Acid-Base disorders Victor Politi, M.D., FACP, Medical Director, St. John s University Dr. Andrew J. Bartilucci Center College of Pharmacy ...
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Atrial systole (0.1sec) Ventricular systole (0.3sec) Quiescent period (0.4sec) ... Frank-Starling law. Factors Affecting Stroke Volume (2) Afterload ...
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What test would you order? Case Study #4 Differential diagnosis Polyuria 1) ... +urea/2.8+glucose/18 Serum osmolarity is 280-300 mOsm/L 280-300 mOsmol/L- Isotonic ...
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Fluid and electrolyte problems can be challenging, but can ... In the trauma room, he develops generalized tonic-clonic seizures. He is loaded with phenytoin. ...
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Title: 1 Author: user Last modified by: iLLuSioN Created Date: 5/8/2005 5:49:15 PM Document presentation format ...
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... acetate ... succinylcholine is contraindicated - avoid K+ containing solutions ex. lactated ringers - avoid metabolic acidosis and ...
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Na concentration = Amount of Na 137-143 meq/L. Volume of water ... Myeloma/Amyloid. HIV. NSAIDs 6 6. Signs and Symptoms of Hyperkalemia. Muscle weakness (rare) ...
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Metabolic Abnormalities Surgical Fundamentals Lecture Asha Bale, MD 8/06/10 Overview Symptoms, Etiology, Treatment Sodium Potassium Magnesium Calcium Glucose ...
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Title: Cellular Paramedicine Subject: Cellular Paramedicine Author: POLHEMUS Keywords: Acid Base Fluids Electrolytes Last modified by: Marilynm Created Date
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Fluids and Electrolytes They re important when they re important Charles Hobson MD MHA Surgical Critical Care NF/SG VAMC * * Hypokalemia Serum K+
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Pharmacology 7 2a Calcium Chloride Class: Electrolyte MOA: Essential component for functional integrity of nervous and muscular systems Enhances automaticity Positive ...
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Electrolytes Part 1 Regulation of potassium The kidneys are important in the regulation of K+ balance. Initially, the proximal tubules reabsorb nearly all the K+.
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The chapter 27 power point released with Anatomy and Physiology by Rod R Seeley 6th edition
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... for nearly a week and has been taking only sips of water to ease his throat pain. ... our patient had a 10 meq/L gap to reach a normal sodium concentration ...
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Electrolyte Disorders Resident Rounds Aric Storck February 26, 2004 Case 1 75 yo woman orthostatic presyncope x 2 days diarrhea x 1 week drinking 2-3 litres of tea a ...
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... (POsm280, hyperglycemia, hypertonic infusions like mannitol) Correct underlying disorder ... excess intake with TPN, Excess use of laxatives or antacids Sx ...
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Title: Author: omer Last modified by: Eslam Created Date: 9/24/2005 4:27:27 PM Document presentation format
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Present in intra & extracellular body fluids. Consists of: ... carbonic acid (H2CO3) for strong bases. NaOH H2CO3 NaHCO3 H2O. Phosphate Buffer System ...
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... Infarction Substance Abuse Seizure Dehydration Chemical Aspiration Intestinal Perforation Transfusion Reaction Pancreatitis Cirrhosis Autoimmune Disorders ...
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Fluid, Electrolyte and Acid-Base Balance By Linda A. Martin, EdD, MSN APRN, BC, CNE What Do You See? Anorexia Apathy Confusion Cyanosis Hypotension Loss of reflexes ...
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Lactated Ringer's is Superior to Normal Saline in the Resuscitation of ... Lactate metabolized by gluconeogenesis (30%) or oxidation(70%) OH- excess pH ...
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Hemodynamically unstable - alternative to CVVH ... GERD. Pregnancy. Access. Semirigid (Cook) catheter. Can be done at bedside without surgeon ...
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DIURETICS Diuretics are drugs which increase the excretion of sodium and water from the body by an action on the kidney. Their primary effect is to decrease the ...
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Fluid and Electrolyte Management of the Surgical Patient Hashmi ANATOMY OF BODY FLUIDS Total Body Water Intracellular Fluid Extracellular Fluid Osmotic Pressure Total ...
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Standard II - Formulate a patient-specific plan for anesthesia care ... Trousseau's sign. Dysrhythmias. Prolonged QT interval. Treatment of Hypocalcemia ...
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Aspirin, probenecid, and butazolidin may potentiate penicillin's effects. Penicillin may potentiate coumadin and tandearil effects. Contraindications: ...
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Renal Replacement Therapy Children s Healthcare of Atlanta
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Fluids & Electrolytes * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Disorders ...
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intestines caused by viruses, bacteria or their toxins and ... Heat labile enterotoxin causes inhibition of Na reabsorbtion through adenyl cyclase activation ...
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Bolus with 10-20 units/kg. Infuse heparin at 10-20 units/kg/hr ... Bolus with 10-20 units/kg Infuse at 10-20 units/kg/hr. Adjust post filter ACT 180-200 secs ...
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Care of the Client with Cranial Surgery Kathleen Ohman, RN, CCRN, EdD Developed in cooperation with Kim Scott, RN, MS Indications for Cranial Surgery Intracranial ...
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SALICYLATE POISONING www.anaesthesia.co.in anaesthesia.co.in@gmail.com Aspirin Therapeutic dose 325-650mg 4 hrly adults (50kg) max 390mg/day ...
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Fluid and electrolytes Daily fluid requirements is 2-3 liters Insensible losses: respiratory tract (500 to 700 mL/d) the skin (250 to 350 mL/d), feces (100 mL/d).
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No net fluid shift occur between isotonic solutions because the solutions are ... Isotonic: Lactacted Ringers (L/R or R/L) Contains Na, K , Calcium and chloride. ...
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