Causes of cerebral salt wasting
[DOC File]Rajiv Gandhi University of Health Sciences
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Cerebral Salt Wasting Syndrome. CSW means that the body is excreting salt in the urine. Salt has a high osmotic action so carries water with it. This results in a large diuresis in addition to a low serum sodium. The patient will be dehydrated, confused, hypotensive and deteriorating.
[DOC File]Hyponatraemia in Primary Care
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Causes include delayed cerebral ischaemia (DCI), hydrocephalus, cerebral oedema, fevers, seizures and electrolyte abnormalities. The onset of symptoms is typically seen between 3 and 14 days post-SAH, but not usually earlier.
[DOC File]Neurological assessment of head injuries using the Glasgow ...
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The various fonns of 21 hydroxylase deficiency are by far the most common cause of of congenital adrenal hyperplasia. Clinical manifestations include excessive androgen production with masculization of the extemal genitalia and various degrees of salt wasting, depending on the fonn of the deficiency. d. side chain cleavage enzyme deficiency
[DOC File]Fluid and Electrolyte Therapy in Children
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Causes: Decreased intake or absorption (malnutrition, malabsorption, diarrhea, NG aspiration) Increased excretion (hypercalcemia, osmotic diuresis, hyperparathyroidism) Drugs (loop diuretics, aminoglycosides, amphotericin, cisplatin, cyclosporine, alcohol, pentamidine)
[DOC File]OCR Document .edu
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Chronic hypomagnesemia causes potassium wasting. GI losses (diarrhea, emesis, NG suction, ileostomy drainage, etc.) Alterations in serum [K+] unrelated to I & O are the result of : Rapid changes in pH “Alkalosis drives K into cells” “Acidosis pulls K out of cells.” In general, a 0.1 unit change in pH yields a 0.6 mEq/L change in serum [K+].
[DOC File]SALT SYNDROMES - Stony Brook Medicine
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This "cerebral salt-wasting syndrome" clears over the course of 1 to 2 weeks and, in the setting of SAH, should not be treated with free-water restriction as this may increase the risk of stroke (see below). LABORATORY EVALUATION AND IMAGING (FIG. 349-14) The hallmark of aneurysmal rupture is blood in the cerebrospinal fluid (CSF).
Cerebral Salt Wasting - an overview | ScienceDirect Topics
Adrenal insufficiency (hyponatremic salt wasting) – cerebral salt wasting. Decr pit fx with decr ACTH (cortisol normally suppresses ADH) Therapy. Watch VS/UOP/USG/lytes. Fluid restriction to insensibles + output. Seizures sec to decr Na ( give 3% NaCl (513 meq/L) corrected to a sodium of 125 (½ in first 10 minutes, ½ in 2 hrs) CPM. Too ...
[DOC File]Harrison's Principles of Internal Medicine - 16th Ed
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Cerebral salt wasting. Extra Renal loss; D&V. Burns. Bowel obstruction. Pancreatitis. Hypothyroid. Addison’s* SiADH. Admission may be required. Stop causative medications. Rehydrate and cause specific treatment. Admit if symptomatic or severe. Treat with fluid restriction. Urgent referral to endocrinology . Treatment is cause specific
[DOC File]notebook facts- for PALM - Stanford Medicine
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Non-traumatic causes: Ruptured aneurysm (85%) Less common causes: Mycotic aneurysms . Arteriovenous malformations. Bleeding disorders ... Rarely associated with a focal deficit. Complications: Hydrocephalus. Cardiac & respiratory complications. Spasm. Cerebral salt wasting. Rebleeding. Workup: CT head (90% sensitive) Lumbar puncture ...
[DOC File]LEEDS TEACHING HOSPITALS TRUST
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o Salt-wasting nephropathy. o Cerebral salt-wasting syndrome seen in patients with traumatic brain. injury, aneurismal subarachnoid hemorrhage, and intracranial surgery. o Prolonged exercise in a hot environment, especially in patients who. hydrate aggressively with …
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