n engl j med ;1 January 1, Review Article Hypernatremia always indicates hypertonicity. .. the full text of this article at ) fore, hypernatremia invariably denotes hypertonic hy- At the Journal’s site on the World Wide Web (http://ww ) you can search an. Hypernatremia is most often due to unreplaced water that is lost from the gastrointestinal tract (vomiting or osmotic diarrhea), skin (sweat).

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Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures. Why the heck not? We are the EMCrit Projecta team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM. Sorry, your blog cannot share posts by email. Financial Disclosures Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures.

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By subscribing, you can Accessed on June […]. Scott, you may not think hypernatremia is a sexy topic but I do and I am glad you talked about it. Correct Quickly if Na got high superrapid-style Idiots drinking a quart of soy sauce.

hypernatremla This is mostly so I have a place to go to look all of this up. But I’ve seen a bunch of less than ideal management of hypernatremia, so I figured it is time to put out a podcast about it.

Spammers probably work for the Joint Commission.

Published on November 28, Subscribe to our email list to keep informed on all of the Resuscitation and Critical Care goodness. Cite this post as: Probably the best way to go is to calculate with the AM-formula, resend a sodium every 2 hours for the first few hours and then recalculate with each new sodium level. Play in new window Download So we’ve discussed hyponatremia a ton on the blog site. We never spam; we hate spammers!

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MedCalc: Hyponatremia & Hypernatremia

If you enjoyed this post, you will almost certainly enjoy our others. Subscribe Now If you enjoyed this post, you will almost certainly enjoy our others. Accessed on December 31st Like Us on Facebook. My bud, Graham Walker, has updated his amazing mdcalc site to include the effects of various fluids on the sodium in hyper and hypo natermia:.

Hypernatremia.

Not so with sodium that is too high. Podcast — Hypernatremia Uggggh!

Dosage is highly variable; titrated based on serum and urine sodium and osmolality in addition to fluid balance and urine output Continuous I. That’s because hyponatremia has become a little bit sexy. The treatment of it is done so very, very wrong so often that I really, really appreciate you brought it up.