Pulmonology

Electrolyte disorders

Questions discussed in this category

How has the FLUID trial, which showed no significant difference in death or readmission rates between Lactated Ringer’s solution and normal saline, influenced your approach to IV fluid management?

McIntyre et al., PMID 40503714

1 Answer available

Are there instances when you recommend central line access when treating a patient using 3% sodium chloride for management of severe hyponatremia?

2 Answers available

Do you recommend careful correction of serum sodium to avoid osmotic demyelination syndrome in patients who are found to have isoosmolar hyponatremia in the setting of an elevated BUN level?

2 Answers available

In a patient with severe hyponatremia and acute kidney injury in the setting of hypovolemic shock, would fluid resuscitation take precedence over the rate at which sodium is corrected?

3 Answers available

Are there instances when you recommend initiation of hemodialysis for patients with severe symptomatic hypercalcemia?

2 Answers available

Has your management of severe hyponatremia changed after a recent observational study described higher in-hospital mortality for sodium correction of <6 mEq/L compared to 6-10 mEq/L in the first 24 hours?

Seethapathy et al., PMID 38320180

5 Answers available

Would you recommend starting tolvaptan at 7.5 mg per day, which is half the typical starting dose, to reduce the risk of overcorrection in an inpatient with SIADH and a serum sodium level of 122 mEq/L?

3 Answers available

Do you routinely use 3% sodium chloride and desmopressin to correct hypovolemic hyponatremia in an asymptomatic patient with serum sodium of less than 120 mEq/L?

3 Answers available

What strategies do you use to prevent overcorrection of serum sodium in patients with severe hyponatremia and adrenal insufficiency when initiating glucocorticoid therapy?

1 Answer available

Do you administer calcium to patients with K > 6.5 without EKG changes?

3 Answers available

Do you use acetazolamide to aid diuresis in patients with acute on chronic respiratory acidosis with significantly elevated serum bicarbonate levels?

3 Answers available

How do you manage calcium and vitamin D supplementation in patients with sarcoidosis on chronic steroids?

1 Answer available

Papers discussed in this category

The American journal of medicine, 2016-05

Diagnosing and Treating the Syndrome of Inappropriate Antidiuretic Hormone Secretion.

Clinical journal of the American Society of Nephrology : CJASN, 2018-07-06

Risk Factors and Outcomes of Rapid Correction of Severe Hyponatremia.

Journal of critical care, 2023 May 13

Effects of correction rate for severe hyponatremia in the intensive care unit on patient outcomes.

The Journal of urology, 1992-06

Functional obstructive uropathy: a significant factor in the hyponatremia of psychogenic polydipsia?

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-04

Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia.

Kidney Med, 2020 Jan-Feb

Equivalent Efficacy and Decreased Rate of Overcorrection in Patients With Syndrome of Inappropriate Secretion of Antidiuretic Hormone Given Very Low-Dose Tolvaptan.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, 2017 Jun

Complication Rates of 3% Hypertonic Saline Infusion Through Peripheral Intravenous Access.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2018 Mar 01

Association between continuous peripheral i.v. infusion of 3% sodium chloride injection and phlebitis in adults.

American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2016 Dec

Safety of Continuous Peripheral Infusion of 3% Sodium Chloride Solution in Neurocritical Care Patients.

The Journal of emergency medicine, 2019 Feb 08

Safety of Peripheral Line Administration of 3% Hypertonic Saline and Mannitol in the Emergency Department.

Pulmonology

Electrolyte disorders

Questions discussed in this category

Papers discussed in this category

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