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internal medicine - acid-base and electrolytes
the absolutes
15
Health Care
Graduate
08/02/2011

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Cards

Term
correct the Na+ concentration for hyperglycemia
Definition
for every 100 above nml gluc, falsely drops Na+ 1.5 by drawing fluid extracellularly
Term
measured osm > calculated Osm
Definition
ethylene glycol, methanol, isopropyl, EtOH
Term
2 conditions that cause depletional hyponatremia (hypovolemia)
Definition
1. addisons
2. diuretics od
Term
how do CHF and Low albumin cause dilutional hyponatremia>
Definition
conditions cause low forward flow which leads to RAAS (Na+ and Water) also ADH release (pure water) = 2 waters, one sodium = silutional hyponatremia. tx = water restriction
Term
4 causes of dilutional hyo natremia:
Definition
1. SIADH 2. psychogenic polydypsia 3. CHF 4.
Term
1. LOW uric acid
2. hyo natremia
3. low serum osm
4. high urine osm
5. high urine Na+
Definition
SIADH - dilutional states only conditions to have decreased uric acid besides malnutrition bc humans don't have uricase to break down uric acid
Term
1. hyo natremia
2. hyperkalemia
3. metabolic acidosis c nml gap
Definition
addisons
Term
Conn's =
Definition
primary hyperaldosterone; hyrnatremia, hyokalemia, met alk, high urineK+, low plasma renin
Term
treatments for hyrkalemia in order of first line to last:
Definition
1. calcium gluconate
2. D50
3. bicarb
4. insulin
5. lasix
6. kayexolate
Term
electrolyte imbalance that makes you prone to dig tox
Definition
hyokalemia
Term
PE: resp acidosis or alk?
Definition
resp alk
Term
the only metabolic acidosis with alkaline urine:
Definition
RTA
Term
hyokalemia metabolic acidosis
Definition
RTA
Term
2 things that cause mixed resp alk + metabolic acidosis
Definition
1. salycilate
2. endotoxins
Term
acute respiratory failure: definition
Definition
PaO2 < 60 and PaCO2 > 50
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