Explore tweets tagged as #hyperNA
How to treat? 🤔. The easiest way to treat HyperNa+ is just to give free water💧. But the free water deficit is 10 L !. Given severe volume overload, we were not keen on giving 10 L of water. A more difficult-to-achieve strategy is to remove sodium 🧂! . 5/10
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So here's a case of hyperNa for discussion. 90♀️.Admitted on 4 Sep for pneumonia, started Augmentin.Changed to Pip-tazo since 6 Sep.Concurrent 0.45% NaCl/2.5% D5 Q8H, urine output 1-1.5L/day.Usual amlodipine stopped since admission, no other medications. Any thoughts?
When I see hypernatremia, I look for pip-tazo on the drug list.It's almost always there . Is it just me?🧐
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Na sieving when dextrose dialysate is used . Early in dwell there is a higher fraction of peritoneal aquaporins contributing to UF. This means more Na free H20 removal contributing to Net UF. So short fast dwells lead to hyperNa, thirst + viscous cycle of high fluid intake
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From the vocab ya anonza I can conclude ukuthi yena and her circle ba hyperna ngombhedo “ Mamkhulu” “Hier” #AskAMan
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Hold up…🤚🤚🤚 1. 52 pts & u r gonna state something “NOT recommended?” (Your caps, not mine). C’mon SCCM. 2. Powered for 75% ⬇️, for real? 3. Powered for 200pt, enrolled 52. If 200, p-value for the observed 9% ⬇️ would be 0.17. Not bad. 4. More hyperNa…Yeah, that’s the point.
Double blinded study showed that Hypertonic Saline solution is NOT recommendED in patients undergoing damage control laparotomy. The trial protocol was registered in (identifier: NCT02542241).
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Lmao who's actually selling HyperNA at this point.
Samsung Electronics has cut back on plans to buy new High NA and Hyper NA EUV lithography equipment from ASML, media report, citing unnamed sources, part of Samsung Vice Chairman Young-hyun Jun’s plan to turn around the semiconductor division. The new plan is to purchase the.
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@prashantnephro @ajaynephro @VijayKher8 @kidney_boy @LeticiaRolonMD @VelezNephHepato @NephroMD @raja_1980 @nephdrkishan @priti899 @vjha126 @AnnaGaddy @arvindcanchi @drgirishns Also, WATER is not volume. PO water or IV Water is NOT volume. It is water. Water is primarily intracellular, volume goes everywhere. Give them water (and ideally PREVENT HyperNa).
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@ThailandMedicaX HyperNa is easy, give them water. Every cell everywhere, needs water. HyperNa should never exist inpatient. HypoNa is beautiful in CHF, it never lies. CHF w/ HypoNa:.- Check UOsm + ULytes.- Diurese w/ 3% + Lasix until.- UOsm <300.- UNa >100.
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@MICHAELALANKRA1 AMEN!!!! . OMG kidneys will hang on through SO MUCH SHIT. If you're saying they're "the first to quit" you have no fucking idea how to evaluate kidneys. Guarantee that patient was Hypo or Hypertensive, Hypo or HyperNa, Acidotic, probs HypoK. Jesus. .
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@DrRJWebb 3 tolerate low dose of vasopressor or mild hyperNa.4 trial 1-2 doses of 20% HAS to see if aids diuretic tolerance but I’m not sure I believe the old school oncotic effects of HAS.5 if not tolerated then just wait and go slow. No one died from peripheral oedema.
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@BJegorovic Once the Sodium is improving you can consider gentle diuresis but only after Sodium is fixed. HyperNa is detrimental to all tissues. You can see AKI, Transaminitis, Trop leaks, everything. Every function of our cells need water :).
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Maintenance fluids are the worst thing medicine picked up from surgery. Aside from a few discrete problems (TLS, hyperNa, cyclophosphamide, etc) they really have no place on the wards.
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