TX Flashcards
hypovolemic hypotonic hyponatremia tx?
- 9% NaCl
* ** vaptan contraindicated
euvolemic hypotonic hyponatremia tx?
water restriction
democlocycline
loop diuretics
vaptan
SIADH
- NaCl w/ loop diuretic
- demeclocycline
- vaptans
- -tolvaptan (PO)
- -conivaptan (IV)
hypervolemic hypotonic hyponatremia tx?
sodium restriction
water restriction
loop diuretics
captain
hypovolemic hypernatremia tx?
0.9% NaCl
euvolemic hypernatremia tx?
D/T diabetes insipidus
-Central DI; desmopressin (ADH analog)
-nephrogenic DI;
hydrochlorothiazide
hypervolemic hypernatremia tx?
loop diuretic
hemodialysis
hyperkalemia tx?
abnormal ECG changes:
- IV calcium-calcium gluconate
- Bicarb(acidotic pt) and insulin(brings potassium into cell)
- sodium polystyrene sulfonate (exchange resins) and loop diuretics like furosemide
asymptomatic patient:
- exchange resins: sodium polystyrene sulfonate
- loop diuretics: furosemide
hypokalemia tx?
asymptomatic gets oral supplementation
IV potassium is limited to severe hypokalemia
- potassium chloride
- postassium phosphate
- potassium bicarbonate
***if magnesium is low, it must be corrected
hypomagnesemia tx?
supplementation
hypermagnesemia tx?
asymptomatic tx
-0.9% sodium chloride w/ loop diuretic
symptomatic
-calcium gluconate (IV), protects the heart
hypercalcemia tx?
symptomatic and life threatening
- normal saline
- calcitonin
symptomatic not life threatening
- normal saline
- loop diuretic
hypocalcemia tx?
calcium gluconate
calcium chloride
*need to correct hypomagnesemia if present
hypercalcemia tx?
symptomatic and life threatening
- normal saline
- calcitonin
symptomatic not life threatening
- normal saline
- loop diuretic
hypocalcemia tx?
give calcium
- calcium gluconate
- calcium chloride
- **correct hypomagnesemia
hypophosphatemia tx?
sodium phosphate
potassium phosphate