Campbells 38 & 39 - Renal Phys And Htn

Front 1

At what rate should hyponatremia be corrected if acute? What about if chronic? What can happen if symptomatic hyponatremia us corrected too quickly?

Back 1

- acute: 25 mEq/L in the first 48 hours at a rate of no more than 2 mEq/L/hr
- chronic: 8 to 12 mmol/L/day
- cerebral demyelination syndrome

Front 2

HCTZ associated with ______calcemia?

treat that with

Back 2

Hyper

Loop diuretics

Front 3

the electrolyte abnormalities associated with the use of stomach

Back 3

hypokalemic, hypochloremic metabolic alkalosis. Lethargy, respiratory depression, seizures, arryhtmias. Proton pump inhibitors or H2 blockers will prevent

Front 4

the electrolyte abnormalities associated with the use of jejunum

Back 4

hyponatremic, hyperkalemic, hypochloremic metabolic acidosis. Lethargy, vomiting, dehydration, fever. Tx with IVF, salt repletion, correct acidosis

Front 5

the electrolyte abnormalities associated with the use of ileum/colon

Back 5

hypokalemic, hyperchloremic metabolic acidosis. Tx with sodium bicarb or sodium citrate plus citric acid to correct acidosis plus potassium repletion

Front 6

What to postoperative conditions can stimulate nonphysiologic release of ADH and therefore contribute to hyponatremia?

Back 6

pain, nausea