Urinary Electrolytes
Urinary Electrolytes: used in the diagnosis of a number of electrolyte disturbances in ICU (especially when intake of electrolytes is known and relatively controlled)
Urinary Electrolytes: used in the diagnosis of a number of electrolyte disturbances in ICU (especially when intake of electrolytes is known and relatively controlled)
Syndrome Of Inappropriate ADH secretion (SIADH) is hyponatraemia due to an increase in concentration of ADH inappropriate to the current osmotic or volume status. The differential diagnosis includes ADH analogues
Hypophosphataemia: Phosphate - important intracellular anion; 85% is stored in bone as hydroxyapapitie crystals, 14% in soft tissues, 1% in blood
Hyponatraemia: common problem in ICU (30% of patients have a Na < 134mmol/L)
Hypokalaemia: the most common electrolyte abnormality in hospitalised patients; mostly caused by drugs and GI disease
Hypocalcaemia: Reduced intake; redistribution and increased output
Hypernatraemia can be caused by a number of critical illnesses: water depletion (decreased intake, hypotonic fluid loss – renal/non-renal); solute excess (Na+ or other)
Hyperkalaemia is a life-threatening emergency. Basic overview of hyperkalemia management
Ca2+ exists in the extracellular plasma two states: (1) free ionized state and (2) bound to other molecules (mostly albumin, rest – beta-globulins, phosphate, citrate)
ionized Ca2+ concentration is inversely related to pH -> an increase in pH results in a decrease in ionized Ca2+
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Funtabulously Frivolous Friday Five 143 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF, introducing the Funtabulously Frivolous Friday Five 144 Question 1 What do Inuits avoid…