Na+

hawra isa
Mind Map by hawra isa, updated more than 1 year ago More Less
hawra isa
Created by hawra isa about 4 years ago
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sodium
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Na+
1 HYPO
1.1 HYPERvolumic
1.1.1 CHF NEPHROTIC CIRROHSIS
1.2 EUVOLUMIC
1.2.1 pseudo-> hyperglycemia
1.2.2 SIADH
1.3 HYPOvolumic
1.3.1 Urine Na+
1.3.1.1 >20
1.3.1.1.1 renal addison diuretics
1.3.1.2 <10
1.3.1.2.1 extrarenal GIT - 3rd space
1.4 RX
1.4.1 MILD (No Sx)
1.4.1.1 MODERATE (minimal confusion)
1.4.1.1.1 SEVERE (lethargy- seizures-coma) usually with post-op water intoxication, happens rapidly
1.4.1.1.1.1 Hypertonic saline 3% or 5% 2-4 ml/kg push until aborting convulsions
1.4.1.1.2 NS + LOOP Diuretics
1.4.1.2 restrict fluids
2 HYPER
2.1 means free water loss
2.1.1 rapid
2.1.1.1 DIURETICS
2.1.1.2 D.I.
2.1.1.3 + Sx (NEURO)
2.1.1.3.1 Rx D5+0.5NS or D5W
2.1.2 slow over days
2.1.2.1 only Sx of water delpletion
2.1.2.1.1 replace water rapidly + replace tonicity slowly
2.1.2.1.1.1 D5+ 0.5NS (Hypotonic)
3 correction
3.1 Deficit
3.1.1 (Desired Na+ - Lab Na+) x 0.6 x wt
3.2 Maintainence
3.2.1 2-4 MEQ/kg/day
4 N 135-145
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