hypertonic um... throat muscles?
hypertonic um... throat muscles?
60 ml of 23% is equivalent to ~500 ml 3%, so this article makes no coherent sense
best approach: figure out the sodium change you want and calculate the hypertonic dose
math sets you free from dozens of contradictory consensus statements #EMIMCC
60 ml of 23% is equivalent to ~500 ml 3%, so this article makes no coherent sense
best approach: figure out the sodium change you want and calculate the hypertonic dose
math sets you free from dozens of contradictory consensus statements #EMIMCC
#CCR26 | @criticalcarereviews.com
#CCR26 | @criticalcarereviews.com
Hypertonic Saline vs Joey Chesnut’s 70 hot dog consumption containing over 55 grams (!) of sodium
Which dissociates better: Ketamine vs Blitzy’s explanation of ilioinguinal nerve irritation from a renal stone caught at the pelvic inlet
Because the blank stare I got was fairly epic
Hypertonic Saline vs Joey Chesnut’s 70 hot dog consumption containing over 55 grams (!) of sodium
Sodium appetite causes a 'sign change' in the taste of hypertonic NaCl solutions. We've previously shown that generation of the appetite recruits phasic dopamine to the taste of NaCl; here we show the 'derecruitment' process during satiation.
Sodium appetite causes a 'sign change' in the taste of hypertonic NaCl solutions. We've previously shown that generation of the appetite recruits phasic dopamine to the taste of NaCl; here we show the 'derecruitment' process during satiation.
If you are going to use hypertonic saline - for example, in conjunction with a proactive DDAVP strategy as discussed above - there is evidence to show that recurrent boluses are superior to a slow continuous infusion.
pubmed.ncbi.nlm.nih.gov/33104189/
If you are going to use hypertonic saline - for example, in conjunction with a proactive DDAVP strategy as discussed above - there is evidence to show that recurrent boluses are superior to a slow continuous infusion.
pubmed.ncbi.nlm.nih.gov/33104189/
Retrospective study w/ 216 administrations of 3% by PIV + only 8 minor complications
Bottom line: don’t delay 3% hypertonic administration for placement of a central line
youtube.com/shorts/M5AyB...
#EMIMCC
Retrospective study w/ 216 administrations of 3% by PIV + only 8 minor complications
Bottom line: don’t delay 3% hypertonic administration for placement of a central line
youtube.com/shorts/M5AyB...
#EMIMCC
I want to set the record straight on this, I was wrong
NS & LR are *functionally* isotonic
to affect sodium concentration, you'd need to give an impossibly massive volume
full discussion here: emcrit.org/ibcc/fluid/#...
I want to set the record straight on this, I was wrong
NS & LR are *functionally* isotonic
to affect sodium concentration, you'd need to give an impossibly massive volume
full discussion here: emcrit.org/ibcc/fluid/#...
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)