New to Meducation?
Sign up
Already signed up? Log In
view moderators

FluidTherapy

Category

Preview
0
498

A Practical Approach to Hypercalcemia - American Family Physician

Hypercalcemia is a disorder commonly encountered by primary care physicians. The diagnosis often is made incidentally in asymptomatic patients. Clinical manifestations affect the neuromuscular, gastrointestinal, renal, skeletal, and cardiovascular systems. The most common causes of hypercalcemia are primary hyperparathyroidism and malignancy. Some other important causes of hypercalcemia are medications and familial hypocalciuric hypercalcemia. An initial diagnostic work-up should include measurement of intact parathyroid hormone, and any medications that are likely to be causative should be discontinued. Parathyroid hormone is suppressed in malignancy-associated hypercalcemia and elevated in primary hyperparathyroidism. It is essential to exclude other causes before considering parathyroid surgery, and patients should be referred for parathyroidectomy only if they meet certain criteria. Many patients with primary hyperparathyroidism have a benign course and do not need surgery. Hypercalcemic crisis is a life-threatening emergency. Aggressive intravenous rehydration is the mainstay of management in severe hypercalcemia, and antiresorptive agents, such as calcitonin and bisphosphonates, frequently can alleviate the clinical manifestations of hypercalcemic disorders.  
aafp.org
over 4 years ago
Preview
1
30

Critical Care

Fluid administration is a first-line therapy for acute kidney injury associated with circulatory failure. Although aimed at increasing renal perfusion in these patients, this intervention may improve systemic hemodynamics without necessarily ameliorating intrarenal flow distribution or urine output. We used Doppler techniques to investigate the effects of fluid administration on intrarenal hemodynamics and the relationship between changes in renal hemodynamics and urine output. We hypothesized that, compared to systemic hemodynamic variables, changes in renal hemodynamics would better predict increase in urine output after fluid therapy.  
ccforum.com
over 4 years ago
6
0
17

Lab Case 62 – Interpretation

Management of this patient includes fluid therapy, correcting hypoglycaemia in the first instance and then Insulin/dextrose infusion until ketosis resolves. Care must be taken to avoid further hypoglycaemia.  
emergucate.com
about 4 years ago
Preview
0
3

Guiding Fluid Therapy in High-Risk Thoracic Surgery

In 2009 the institutional guidelines changed for perioperative fluid therapy in patients undergoing extrapleural pneumonectomy. This study assesses the consequences of those changes.  
medscape.com
almost 4 years ago
Preview
0
13

Fluid Management: Buffered Crystalloid No Benefit vs Saline

Among patients in the ICU receiving crystalloid fluid therapy, use of a buffered crystalloid compared with saline did not reduce the risk for acute kidney injury in a randomized trial.  
medscape.com
almost 4 years ago
Preview
0
13

The SPLIT Trial: Saline vs Plasma-Lyte Fluid Therapy - R.E.B.E.L. EM - Emergency Medicine Blog

What is the best fluid to give to our patients who need fluid resuscitation? The answer to this question is not known, but another step in finding the answer was taken with the release of the SPLIT trial  
rebelem.com
almost 4 years ago
Preview
1
2

Intravenous fluid therapy in adults in hospital | Guidance and guidelines | NICE

It contains recommendations about general principles for managing IV fluids, and applies to a range of conditions and different settings. It does not include recommendations relating to specific conditions.  
nice.org.uk
almost 4 years ago
Preview
1
3

Acute diarrhoea in children: racecadotril as an adjunct to oral rehydration | relevance-to-nice-guidance-programmes | Advice | NICE

Racecadotril was not considered appropriate for a NICE technology appraisal and is not currently planned into any other NICE work programme.  
nice.org.uk
almost 4 years ago
Preview
0
2

Intravenous fluids in children and young people: summary of NICE guidance

Careful assessment and monitoring of body weight, fluid balance, and fluid status are essential during intravenous fluid therapy in children, as is the correct choice of fluid, to avoid serious complications including death and neurological injury  
feeds.bmj.com
almost 4 years ago
Preview
0
2

Intravenous fluids in children and young people: summary of NICE guidance

Careful assessment and monitoring of body weight, fluid balance, and fluid status are essential during intravenous fluid therapy in children, as is the correct choice of fluid, to avoid serious complications including death and neurological injury  
feeds.bmj.com
almost 4 years ago
Preview
0
6

Intravenous fluids in children and young people: summary of NICE guidance

Careful assessment and monitoring of body weight, fluid balance, and fluid status are essential during intravenous fluid therapy in children, as is the correct choice of fluid, to avoid serious complications including death and neurological injury  
feeds.bmj.com
almost 4 years ago
Preview
0
2

Intravenous fluids in children and young people: summary of NICE guidance

Careful assessment and monitoring of body weight, fluid balance, and fluid status are essential during intravenous fluid therapy in children, as is the correct choice of fluid, to avoid serious complications including death and neurological injury  
feeds.bmj.com
almost 4 years ago
Preview
0
0

A Rational Approach to Fluid Therapy in Sepsis

A conservative approach to fluid therapy in patients with sepsis would likely improve the outcome of this disease.  
medscape.com
over 3 years ago
Preview
0
1

An apple juice a day? – Don't Forget the Bubbles

Pippi, aged 3, has been a little bit unwell of later.  Most of her family have had viral gastroenteritis and she has now got it too.  She’s been vomiting for the last 24 hours and is struggling to keep anything down.  Her parents are concerned that she is becoming dehydrated so they bring her into the ED.  She gets a sublingual ondansetron wafer and tries some oral rehydration solution.  “Yeuch!” she says as she spits it out, “That tastes disgusting.” You wonder if there is anything else you can try.  
dontforgetthebubbles.com
over 3 years ago