n engl j med ;1 January 1, Review Article Hypernatremia always indicates hypertonicity. .. the full text of this article at ) fore, hypernatremia invariably denotes hypertonic hy- At the Journal’s site on the World Wide Web (http://ww ) you can search an. Hypernatremia is most often due to unreplaced water that is lost from the gastrointestinal tract (vomiting or osmotic diarrhea), skin (sweat).
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So we’ve discussed hyponatremia a ton on the blog site. That’s because hyponatremia has become a little bit sexy. Not so with sodium that is too high.
MedCalc: Hyponatremia & Hypernatremia
But I’ve seen a bunch of less than ideal management of hypernatremia, so I figured it is time to put out a podcast about it. This is mostly so I have a place to go to look all of this up.
Correct Quickly if Na got high superrapid-style Idiots drinking a quart of soy sauce. Probably the best way to go is to calculate with the AM-formula, resend a sodium every 2 hours for the first few hours and then recalculate with each new sodium level.
Dosage is highly variable; titrated based on serum and urine sodium and osmolality in addition to fluid balance and urine output Continuous I.
My bud, Graham Walker, has updated his amazing mdcalc site to include the effects of various fluids on the sodium in hyper and hypo natermia:. Play in new window Download Podcast — Hypernatremia Uggggh! Published on November 28, Accessed on December 31st hypernagremia Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures.
Podcast – Hypernatremia (Uggggh!)
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Scott, you may not think hypernatremia is a sexy topic but I do and I am glad you talked about it. The treatment of it is done so very, very wrong so often that I really, really appreciate you brought it up.
Accessed on Hypernatremka […]. We are the EMCrit Projecta team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.
Cite this post as: Financial Disclosures Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures.
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