Rejected
at 5:25 p.m. Oct, 25, 2024 ]
by
andrewmathias8
Author:
andrewmathias8
Type of change:
Other
Rationale for change
In the interest of conciseness and uniformity, I suggest changing these electrolyte disturbances to simply state the word that describes the abnormality, rather than redundantly saying the same thing in two different ways
Rejection reason
Per slack vote
Current
Suggested
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Extra
- Elevated serum glucose → osmotic shift of water from ICF to ECF → dilution of serum sodium → hyponatremia
- Patients with DKA/HHS can have true hyponatremia due to hyperglycemia; however, must also calculate corrected serum sodium to adjust for dilution caused by hypertonicity (i.e., hyponatremia may be less severe than it actually appears on initial labs and may not require treatment)
- Corrected sodium concentration = Na+ + 2 mEq/L for every 100 mg/dL glucose over 100 mg/dL
- Patients with DKA/HHS can have true hyponatremia due to hyperglycemia; however, must also calculate corrected serum sodium to adjust for dilution caused by hypertonicity (i.e., hyponatremia may be less severe than it actually appears on initial labs and may not require treatment)
- Corrected sodium concentration = Na+ + 2 mEq/L for every 100 mg/dL glucose over 100 mg/dL
Lecture Notes
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Pathoma
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Watch Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycemic State (HHS)






Watch Osmolality & Sodium Disorders



Watch Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycemic State (HHS)







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Bootcamp
Watch associated Bootcamp video - Endocrine Hyponatremia
Watch associated Bootcamp video - Diabetic Ketoacidosis
Watch associated Bootcamp video - Hyperosmolar Hyperglycemic State
Watch associated Bootcamp video - Diabetic Ketoacidosis
Watch associated Bootcamp video - Hyperosmolar Hyperglycemic State
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