Rate at which Hypernatremia should be corrected?
2-3 mEq/hour
Otherwise can cause cerebral edema and lead to pontine herniation
Hyponatremia correction
Free water restriction if a symptomatic Normal saline +\- loop diuretics in moderately symptomatic Hypersonic Saline (3%) if <115 and a seizure risk
CORRECT AT RATE OF <10 mEq/ DAY
How much does one unit of pRBCs raise Hgb/Hct?
Hgb: 1 g/dL
Hct: 3%
Ethylene glycol poisoning treatment
Bicarbonate and fomepizole
Post Op Fever timeline and causes
1-3: Atelectasis/PNA 3-5: UTI 4-8: DVT/PE 5-7: wound infection 10-14: worry about abscess infections
Malignant Hyperthermia
Caused by reaction to anesthesia
Give Dantrolene