Adventures in Medicine

This information is not intended for patient care without your own professional and critical interpretation. Older posts cannot be guaranteed to be up to date. No post is a substitute for good clinical judgement

Friday, April 24, 2009

Day #289 - Hypernatremia

Today we talked about a patient with decreased level of consciousness from hypernatremia.

This a great review of the topic.

The key in management is to provide free water at a rate that allows the serum sodium to decrease 10mmol/L/24h. This is usually accomplished after treating any severe ECF volume contraction with normal saline.
Posted by tcl at 13:29

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Blog Archive

  • ▼  2009 (86)
    • ►  June (12)
    • ►  May (18)
    • ▼  April (13)
      • Day #293 - Advanced ETOH Cirrhosis
      • Day #292 - Meningoencephalitis
      • Day #289 - Hypernatremia
      • Day #288 - Fulminant Hepatitis from Hepatitis B
      • Day #287 - Massive Splenomegaly
      • Day #280 - Anion Gap Metabolic Acidosis in an Alco...
      • Day #279 - Cirrhosis and Possible Myxedema Coma
      • Day #278 - Cavitary Lung Lesion
      • Day #273 - Autoimmune Haemolytic Anemia (AIHA)
      • Scenario Rounds - Severe Asthma and Severe Hypothe...
      • Day #267 - Seizure
      • Day #266 - Febrile Neutropenia
      • Day #265 Hypertensive Emergency
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