Wednesday, October 12, 2016

Hyponatremia In Etoh Abuse In The Elderly

SEMPA 2014 Electrolyte Emergencies
When do you use hypertonic saline for Hyponatremia? – Especially in the elderly with • Chronic ETOH or Malnutrition • Decreased Intake • Increased losses • Intracellular Shift –Urine • Non K, Non Mag Sparing Diuretics ... Retrieve Full Source

Patient Discharge Planning - RN Case Manager
UTMB HANDBOOK OF OPERATING PROCEDURES Section 9 Clinical Policies Subject 9.1 Admissions, Transfers, and Discharges Policy 9.1.14 Patient Discharge Planning ... Read More

Slide 1
Endocrine Board Review Marlaina Norris Review from Tintinalli Section 17 Endocrine Emergencies pp 1283-1318 Section 3 Fluids & Electrolyte Problems pp 168-174 ... Access Doc

Non Diabetic Endocrine Emergencies - Calgary Emergency Medicine
Mortality 15% Predictors Age temp < 34 HR < 40 large amounts of T4 iv Investigation Hyponatremia Blood glucose N to Autoimmune Iatrogenic Elderly Obese Females Subclinical Disease Myxedema Coma Medications associated Denies any drug or EtOH abuse. “I Can’t Move ... Read Content

Alcohol Withdrawal Syndrome - Wikipedia, The Free Encyclopedia
Alcohol withdrawal syndrome is a set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use. Alcohol abuse; Drug rehabilitation; Neurological disorders; Pharmacology; Symptoms and signs: Cognition, perception, ... Read Article

Most Commonly Used Categories Of Drugs In The Clinical Setting
*Change position slowly-especially with elderly to prevent orthostatic changes *Monitor for decreased WBC hyponatremia, hypomagnesemia *Obtain BP before administering-hold if reaches this level or is malnourished or abuse of ETOH more likely to be toxic *Monitor liver labs (AST ... Retrieve Here

Neurology Review - School Of Medicine - LSU Health New Orleans
Flushing, fever, n/v, ↑DTR’s, myoclonus Tardive Dyskinesia Seen in elderly female schizophrenics delerium/dementia Chronic EtOH abuse Hepatic or renal sedative /hypnotic medications and drugs heavy metals, hyper/hypoglycemia, DKA hyponatremia, IEM’s, renal ... Return Doc

Advanced Practice Provider Academy
• Toxins: EtOH, Opiates, Cocaine afebrile elderly patients with AMS were positive Shah, Journal of Emergency Medicine 2007. 3/31/2014 11 Substance Abuse and Neurotoxicology. In: Savitz SI and Ronthal M (eds.), Neurology Review for ... View This Document

Www.anes.ucla.edu
(hyper/hyponatremia), infection, hyperthermia, vitamin deficiency states (vitamin D), alterations in Premed with benzodiazepine in elderly (paradoxical No studies demonstrate effectiveness as sole agent apart from delirium 2/2 EtOH/benzodiazepine withdrawal . Used to ... Fetch Doc

First Do No Harm - Emory University Department Of Medicine
Highest Quality Care for the Hospitalized Elderly The OA. Ibuprofen prn. Social Hx: lives alone; no tob/ETOH Case #1: Inappropriate PE leuk est or nitrite. EKG: NSR, 96. Micro: urine culture growing gram+ cocci Case #3: Non-specific Hospital Day #1: 1) Hyponatremia. Appears ... Return Doc

Electrolyte Emergencies UTSW 4.4.13 [Read-Only]
Electrolyte Emergencies Corey M. Slovis, M.D. When do you use hypertonic saline for Hyponatremia? Hypercalcemia is best treated by? • Chronic Diarrhea or Laxative Abuse • Hyperventilation or Metabolic Alkalosis 5 ECG Changes Hypokalemia ... Retrieve Document

Medical Stability & Substance Use Emergencies
Particular caution in examination of patients with histories of sexual abuse- “All but limited examination of such patients Hyponatremia- SSRI’s. Hypernatremia- dehydration High index of suspicion in patients with history of ETOH abuse. BZD misuse also likely in patients on opioids ... Fetch This Document

Emergency Medical Services Partners
Substance abuse. Was there an aura? ♦ Infants – Hyponatremia ♦ Older Children—Epilepsy ♦ Adults—Alcoholism ♦ Elderly—Vascular disease . CONTACT US: Any questions or suggestions about EMS? Look-ing for patient follow-up? ... Read More

Diabetic Ketoacidosis - THD Internal Medicine Training Program
She lost 25lbs for the past 6months. PMH: none Allergy: nkda Meds: none FHx: no DM, HTN, CAD SHx: cig(-), ETOH(-), illicit drug(-) higher mortality rates observed in elderly patients and those with concomitant life volume depletion-> decreased GFR Hyponatremia U/A ... Doc Retrieval

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Constipation, euphoria, anticholinergic effects Interactions: Nsg Actions: Assess for s/s dehydration, electrolytes, abuse Medical other HTN, fentanyl, ETOH, lithium Nsg Actions Tachycardia, hypokalemia, hyponatremia, sulfa allergy, ototoxicity ... Read Full Source

Critical Temperature-Related Illnesses
EtOH, elderly, mountain climbing) Secondary: due to metabolic depletion Flu-like symptoms: Hyperthermia(>36oC), muscle cramps, nausea, malaise, tachycardia Hypernatremia (sweating)/Hyponatremia ( excessive water heart failure, EtOH/drug abuse often comorbid ... Retrieve Here

Hyponatremia - Wikipedia, The Free Encyclopedia
Euvolemic hyponatremia, wherein the increase in ADH is secondary to either physiologic but excessive The disorder is more frequent in females, the elderly, and in people who are hospitalized. The incidence of hyponatremia depends largely on the patient population. A hospital incidence of ... Read Article

Organism - University Of Kentucky
No reaction w/ EtOH. Very slow onset; good for elderly & subs abuse Zolpidem (Ambien) Non-Benzodiazepine Abuse Ketamine Dissociative Anesthetic (Glu/NMDA receptor antagonist) (Sigma receptor agonist) Hyponatremia Similar to TCAs, ↓ Absorption, Bound ... Return Doc

Evaluation And Treatment Of Mood Disorders
Childhood abuse/neglect. Elderly (over 65) Marital factors (single, separated Hyponatremia/SIADH (rare) Vivid Cl conductance to a point…plus BZD=potentiation ie. 1+1=10 not 2)… barbs (prolong opening of channel 4-5x) and ETOH (enhance GABAa receptor fcn) don’t require ... Read Content

Moderate Drinking - The Alcoholism Home Page
In the elderly, moderate drinking has been reported to stimulate appetite, promote regular bowel function, and improve mood (7). Cardiovascular benefits of moderate drinking. National Institute on Alcohol Abuse and Alcoholism. Previous Features. Related Articles. What Is a Safe Level of ... Read Article

Intro
Differential Considerations Syncope Hyperventilation syndrome Prolonged breathholdling toxic and metabolic disorders ETOH abuse/withdrawal hypoglycemia other and metabolic acidosis hyperazotemia/hypokalemia/hyponatremia hyperglycemia followed by fever/infection elderly: ... Read Full Source

Delirium - Yale School Of Medicine | Yale University
Delirium in the Elderly ammonia Delirium: Management Pharmacological Therapy Benzodiazepines Primarily indicated in EtOH or benzodiazepine withdrawal delirium Adjunct to neuroleptics in treatment of severe After a 3 week hospital course complicated by delirium, hyponatremia ... Return Document

Approach To Altered Mental Status - Calgary Emergency Medicine
Approach to Altered Mental Status. Sean Wilde. MargrietGreidanus. March 29 2012. Outline: Acute Hyponatremia (<125) N&V, malaise, dizziness, fatigue. EtOH abuse. Poor intake. Increased demand (EtOH metabolism) GI surgery ... Access This Document

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