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Terms in this set (10)
What are the four types of shock?
Why do patients with liver disease get Hyponatremia?
Body itself has lots of fluid, but it's not being used to perfuse the kidneys (it's stuck in the belly d/t splanchnic vasodilation) so the kidneys think they're starving and hold on to lots of free water in an attempt to increase perfusion, driving down Na+ conc.
What is beer-drinker's potomania?
Poor conc. gradient so ability to resorb is diminished
d/t shitty food intake
How much should you correct Hyponatremia by?
No more than 8mEq per 24h
Esp. if alcoholic, liver failure, <105mEq, Malnutrition, Hypokalemia
If none of above risk factors, up to 12mEq per day is OK, no more than 16mEq in 48h
Should you lower the sodium if you overcorrect?
This decreases risk of ODS
Decreases damage of microglia
What is the HL of Amiodarone?
What are black box warnings AE of Amiodarone?
ARDS. Hypersensitivity Pneumonitis
Worsening of Arrhythmias
What good is Milrinone?
What good is Levophed?
1st line Pressor
What causes low anion gap?
Presence of unmeasured Cations (opposite of High AG)
e.g. Extra Light-Chains (Multiple Myeloma, + charge proteins), other things with positive charge (Mg2+)
Or lack of Anions (Mainly Albumin)
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