hyponatremia dka - Oclearyssparks

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BrianGilberti Apr 13 shared via Twitter
- Other complications seen: DKA, hyponatremia (?SIADH) - They desat rapidly once RSI paralytics are in. There is a 15 sec window to pop a tube in. Use a LMA to bag the patient if required between attempts. Use in-line viral filters. 5/n


RN_raazan Apr 15 shared via Twitter
وفي حالات Electrolyte disturbance , metabolic acidosis sush as DKA , mild hyponatremia it has a use as a priming solution for various procedures (e.g., hemodialysis procedures) and to initiate and terminate blood transfusions 🩸(only fluid used for blood administration) and shock


GoodishIntent 8 May 2018 shared via Twitter
Actual question from hospital coder regarding my patient with wicked DKA, pH 6.9: 'You didn't document the reason for patient's weakness and fatigue. We noted the patient had hyponatremia, was that the cause?' Where to start. Omfg.


IHadWootCannow Mar 1 shared via Twitter
Okay. Yes, challenges arise. But hyperkalemia, hyponatremia, and DKA can kill. You better take them all seriously.


jmugele 27 Nov 2019 shared via Twitter
On my shift tonight I took care of patients with -DKA and pneumonia -GI bleed and renal failure requiring intubation -finger/tendon laceration -fecal impaction causing urinary retention -kidney stone -hyponatremia -cholecystitis And so much more. Why I love emergency medicine


USMLEStepStudy 15 Oct 2010
Type 1 DM with DKA: abd pain, polyuria, tachypnea, SOB, +ketones U/A, high serum K+ and glucose, hyponatremia (gluc follows K+)


Ah, wait, I lied. We do get it. It’s been a while since I got consulted for hyponatremia that didn’t have a semi-obvious cause (recent neurosurgery, adrenal insufficiency, DKA, etc), so I didn’t think about it. 😅


😳😳😳😳😳😳 either he has hyponatremia, DKA, hypoglycemia, TBI, Brain tumor or that's Joe Biden's brother🤔🤔🤔😂😂😂😂😂😂😂😂😂😂


DSamargandy May 22
DKA+dialysis+symptomatic hyponatremia


alexjestrella May 17
That’s it the next time I have to think about DKA I’m using this model # salt - relative hyponatremia 2/2 hyperglycemia # fat - ketone production from fat 2/2 lack of insulin # acid - anion gap metabolic acidosis - watch for falsely closed gap 2/2 hyperchloremic acidosis


MdSheryl May 7
The worst is when they try to get me to code “hyponatremia” for low Na in a patient admitted for DKA with crazy high glucose. They can correct for glucose too if they really feel like pestering me. The onus is not on me to prove that their request is incorrect. Waste of time.


1888cat May 2
thanks to ur a&e/wd7 staff & specialist nurses, bro recv’d treatment he required for DKA, asthma & hyponatremia 👏🏻👏🏻👏🏻👏🏻As says, the NHS remains open for non-Covid issues. Pls use it if required. Without interventions, my bro wldn’t be alive today


Yes. Lots of DKA. Also new onset afib, new onset renal failure, hyponatremia, CVA, MI, DVT, PE, myocarditis, encephalitis. Sometimes other seemingly unrelated entities like hip fracture. COVID PLUS.


MSHAS_ Mar 9
Large shifts in sodium (<119 mmol/L) and water balance in the brain arising from systemic medical disorders (e.g. DKA, HHS) and hyponatremia from any cause (e.g. water intoxication, SIADH) can lead to convulsions and coma. Hyperosmolar coma occurs at >350 mosmol/L. /11


DARKkSHADOWw Jan 11
BPPV, DKA เด็ก, symptomatic hyponatremia, PU perforate, staphylococcal pneumonia, 1st ANC


phuqyouall Jan 11
DKA, bacterial pneumonia ANC f/u เรื่อยๆ เป็น barts BPPV PUP Symptomatic hyponatremia


McMooney2017 19 Dec 2019
It’s DKA causing the hyponatremia. Insulin is the fix. Lots of it. Insulin = impeachment.


lisazelang 9 Nov 2019
Mindblown moment when i diagnosed patient with a long list of problems 1) fluid overload 2ry to decompensated CCF 2) Sepsis 2ry to HAP 3) CVA with left sided hemiparesis 4) hypervolemic hyponatremia 5) uncontrolled DM, not in DKA, TRO HHS Medical tengok, impression 1) AGE 🤣


katiewiskar 7 Nov 2019
General Internist’s pulse: CHF exacerbation: 50 DKA: 55 Hyponatremia of 110: 60 95-year old full code with multiple medical comorbidities: 90 TB, syphillis, lupus, paraneoplastic, or lymphoma left off the DDx: 160


AlyaaZagzoog 30 Aug 2019
MCQ 8: Risk factors: reduced intake as protein energy malnutrition, reduced absorption as malabsorpation syndrome, increased loss as diarrhea, and intracellular redistribution as DKA. a. Hypocalcemia b. Hypomagnesemia c. Hyponatremia d. Hypophosphatemia


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