ICU Vivas · Electrolytes
Monitoring viva — trending and titrating an electrolyte correction
A monitoring viva on the bedside surveillance of an active electrolyte correction — the frequency of sampling, the urine osmolality and output as the over-shoot warning, the ionised calcium and magnesium as the actionable fractions, and the correction-rate tracking that defends the brain.
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Prompt
A monitoring viva on the bedside surveillance of an active electrolyte correction — the frequency of sampling, the urine osmolality and output as the over-shoot warning, the ionised calcium and magnesium as the actionable fractions, and the correction-rate tracking that defends the brain.
The question
"Describe your monitoring strategy for a patient whose severe hyponatraemia you are actively correcting, and the alarms that would make you change course."[2]
References3ShowHide
- [1]Adrogué HJ, Madias NE. Hyponatremia. New England Journal of Medicine, 2000.PMID 10824078
- [2]Kovesdy CP. Management of hyperkalaemia in chronic kidney disease. Nature Reviews Nephrology, 2014.PMID 25223988
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.