41: Drugs for Hypo/Hypernatremia Flashcards
first and second fluid barriers in body fluid regulation
- capillary membranes
2. cell membranes
quick estimate for plasma osmolality
2 x [Na]plasma
five IV solutions and whether they expand ICF, ECF, or both
- isotonic NaCl (0.9%): ECF
- 0.45% NaCl: mostly ECF, some ICF
- 3% or 5% NaCl: ECF, shrinks ICF
- 5% albumin: plasma volume
- 5% dextrose: ECF and ICF
recommended NaCl intake per day
3.8 grams
normal value range for plasma osmolality
285-295
three things that increase ADH
increased plasma osmolarity, decrease blood volume, decreased BP
three drugs that increase ADH
morphine, nicotine, cyclophosphamide
three drugs that decrease ADH
alcohol, clonidine, haloperidol
MC electrolyte abnormality in clinical practice
hyponatremia
major treatment for nephrogenic diabetes insipidus
thiazide diuretics
treatment for nephrogenic diabetes insipidus caused by Lithium
amiloride