Renal replacement therapy: Fluid Management
Renal replacement therapy: Fluid Management
Category Medical Specialty
Ethanol Intoxication, Abuse and Dependence
Ethanol (ethyl alcohol) is an aliphatic alcohol, C2H5OH. The primary effect of ethanol is CNS depression, which is additive with other CNS depressants
High-dose Insulin Euglycaemic Therapy
High-dose Insulin Euglycaemic Therapy (HIET) is primarily used in the therapy of severe calcium channel blocker toxicity. HIET can also be used for severe beta blocker toxicity and potentially other toxicities/ presentations requiring inotropic support
Amphetamine Toxicity
Sympathomimetic syndrome with potential for life-threatening vascular complications (ischemia, dissection and haemorrhage). Note: ecstasy is also associated with hyponatraemia
End-Stage Renal Failure
End-stage renal failure has multiple implications for ICU management
Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
Drug Withdrawal States in ICU
Drug withdrawal in ICU is more common than generally appreciated.
Haemoperfusion
Haemoperfusion: Renal replacement therapy (RRT) using an adsorbent cartridge to remove circulating toxins
Extracorporeal Elimination in Toxicology
Extracorporeal Elimination recommended for the following intoxications: methotrexate, procanamide, lithium, metformin, ethanol, methanol, ethylene glycol, salicylates, theophylline, sodium valproate.
Gastrointestinal Decontamination
The role for digestive tract decontamination depends on: severity of poisoning; time from ingestion; risk of intervention
Ultrasound Case 069
A 26 year old woman describes sudden severe left iliac fossa pain late in the evening prior to presentation. On the morning of presentation she complained of bilateral shoulder tip pain and had a presyncopal episode on standing up. She is not pregnant.
SARS, MERS and the Coronaviruses
Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) are novel coronaviruses that cause severe viral pneumonia in humans
Most coronavirus infections are mild respiratory tract infections