Nutrition
Treatment of Hyponatremia
As a critical care pharmacist, your help will be needed to manage hyponatremia , the most common electrolyte disorder. Hyponatremia is linked to increased mortality and even minor hyponatremia is associated with mental status changes and falls. Emergent Hyponatremia Use 3% NaCl for SEVERE symptoms (coma, seizure, etc), no matter if h…
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Nutrition
Errors when using IV fluids to treat HYPERnatremia
As a critical care pharmacist, you should take care from electrolyte disorders in adult patients in the intensive care unit (ICU). Errors continue to occur when using IV fluids to treat HYPOvolemic HYPERnatremia. Jump to IV fluids instead of enteral replacement if these patients are hemodynamically unstable or NPO, or have severe symptoms (seizure, etc). Follow these…
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Nutrition
Stay alert to drugs that cause hyponatremia
Questions are coming up about medications-induced hyponatremia. Low sodium levels are the most common electrolyte disturbance. Symptoms are rare with mild drops below 135 mEq/L that develop over time. But severe or rapid drops in sodium below 125 mEq/L can cause coma or seizures. Plus, chronically low sodium in older patients is linked with cognitive impairment, …
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Nutrition
Best approach for treating HYPOnatremia
What is the best approach for teating hyponatremia? ㅡ Usually focus on the symptoms more than the sodium level. We know to immediately treat SEVERE symptoms such as seizure and coma with hypertonic saline to prevent brain herniation and death. But other cases of hyponatremia aren't as clear cut. Consider a single bolus of 100 to 150 mL …
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