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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

HEMORRHAGIC SHOCK THE THOR WAY

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domingo, 15 de julio de 2018

Hypernatremia

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emDocs - July 14, 2018 - Author: Ramzy M - Edited by: Koyfman A and Long B

Pearls:
  1. Resuscitate: Correct volume deficits and hypoperfusion. Do not lower more than 0.5 mEq/L/h or 10 to 12 mEq over 24 hours. If the patient is not hypovolemic, use D5W.
  2. Investigate: Address the underlying cause of hypernatremia. Consider electrolyte imbalances, sarcoidosis, nephrogenic or central diabetes insipidus.
  3. Rehydrate: Use Adrogue Madias’ formula to understand how much each infusate affects the patient’s sodium and adjust treatment course with frequent checks.