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This is an Acute Symptomatic Hypernatremia due to CENTRAL DI due to a pre-existing CNS lesion and traumatic head injury, compounded by iatrogenic dehydration ...

... ECF cation (90% of cations present) determines osmolarity of ECF Regulation Aldosterone ADH ANP Homeostatic imbalances Hyponatremia - muscle weakness, coma Hypernatremia ...

Too little leads to hypernatremia, dehydration BPD: Need more calories but fluids are usually restricted: hence the need for “rocket fuel”. If diuretics are used, w/f ...

... mEq/L) MOST FREQUENTLY OCCURRING CATIONS SODIUM (Na+) Most abundant extracellular cation Helps regulate water distribution Helps transmit nerve impulses Hypernatremia ...

... in renal patients Patients with liver disease cannot metabolize lactate Lactate is converted into bicarb by liver D 5 W Uses Fluid loss and dehydration Hypernatremia ...

Cushing’s Syndrome Jason McClune AM Report 2/6/2008 This patient had Ectopic ACTH Syndrome Non-pituitary tumor secreting either ACTH or CRH causing bilateral ...

Hypernatremia (>145mEq/L) GU – Dec. urine output. Inc. specific gravity Skin – Dry, flaky skin. Edema r/t fluid volume changes. Hypernatremia (>145mEq/L ...

Commonest cause of hypernatremia is failure to drink fluid when water depleted. Note that increased ADH during hypernatremia prevents excessive urine loss of water but ...

... device in clinical studies of delirium Evaluation (3) Investigating medical etiologies: Fluid and electrolyte disturbances (dehydration, hyponatremia and hypernatremia ...

Arial Wingdings Symbol Default Design Electrolytes (“Lytes”) Sodium Hypernatremia Hyponatremia Potassium K+ and pH changes Hyperkalemia Hyperkalemia ...

Palevsky, P. M. et. al. Ann Intern Med 1996;124:197-203 Primary Diagnoses of Patients with Hypernatremia Brain Response to Hypernatremia Neurons respond to elevated ...

... Rough dry tongue, firm skin turgor Intense thirst Edema, oliguria to anuria Restlessness, irritability [cerebral DHN] ELECTROLYTES FLUIDS and ELECTROLYTES Hypernatremia ...

Hyperkalemia Michael Levin, D.O. Medical Resident PGY II P.C.O.M Daily Requirements 1 meq/kg/day 1 meq of K+ per inch of banana If the average person weighs 70 kg ...

Hypokalemia CR, 51 y/o woman Na+ 139 K+ 2.7 Cl- 97 CO2 33 Creat 1.0 SC, 33 y/o woman Na+ 138 K+ 3.1 Cl- 98 CO2 27 Creat 0.8 Hypokalemia can only occur for four ...

Hyponatremia By James Yost, MD, MS, MBA Emory Family Medicine Hyponatremia Example: a 60 kg women with a plasma sodium of 110 meq/L Formula: ΔSNa = {[Na + K]inf ...

... Hypocalcemia – reduced ionic calcium depresses the heart Hypercalcemia – dramatically increases heart irritability and leads to spastic contractions Hypernatremia ...

Treatment Abnormalities Hypernatremia Polyuria Dilute urine High serum osmolality DI Treatment: Acute: Vasopressin infusion Chronic ...

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