Archive

Medical Category: Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Core Cast 125.0 – Hyperkalemia

Take Home Points Always obtain an EKG in patients with ESRD upon presentation Always obtain an EKG in patients with hyperkalemia as pseudohyperkalemia is the number one cause If the patient with hyperkalemia is unstable or has significant EKG changes ...

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Endocrine, Metabolic, Fluid, and Electrolytes

The SQuID Protocol: SQ Insulin in DKA?

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. Mild to moderate DKA represents a subgroup of ...

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Review 107: D5, D10, & D20 Made Simple

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REBEL Reviews

REBEL Core Cast 88.0 – Hypocalcemia

Take Home Points Severe hypocalcemia can cause hypotension and QTc prolongation leading to Torsades de Pointes.  Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Core Cast 87.0 – Hypercalcemia

Take Home Points Patients with severe hypercalcemia (> 14 mg/dL) are at risk for severe cardiac dysrhythmias and cardiac collapse Treatment centers on volume repletion with normal saline with consideration for the addition of loop diuretics AFTER volume reexpansion is ...

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Endocrine, Metabolic, Fluid, and Electrolytes

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