G Fluid/acid/base HY JWM
Last Modified: 2016-03-08
Rx with 0.9% saline
(more of a gain in water than Na+)
expansion of ECF and ICF
expansion of ICF and ECF
tx = calcium gluconate -> insuline w glucose -> loop diuretic
chronic bronchitis, ARDS, barbituate poisoning, paralysis diaphragms
Pulm embolus, anxiety, early bronchial asthma, restrictive lung dz
loop/thiazide diuretics, vomiting, primary aldosteronism
kidneys = most susceptible, especially straight portion of proximal tubule
Increased LVEDP and PVR
- decompression sickness = release of N2 gas w rapid ascent; ischemic damage
- dyspnea, chest pain underwater = PE
- dyspnea, chest pain on ascent = spontaneous pneumothorax
Caused by decr. CO(and activation of RAA system), or primary renal dz
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