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Cerebral Salt-Wasting Syndrome: Background, Pathophysiology, Eti…
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 ...
cerebral salt wasting treatment

[DOC File]Hyponatraemia in Primary Care - North Bristol NHS Trust
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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.
causes of cerebral salt wasting

[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 syndrome

[DOC File]Neurological assessment of head injuries using the Glasgow ...
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Important to differentiate between SIADH (water retention) and CSW (cerebral salt wasting) in hyponatraemic patients. Diagnosis requires: U&S, serum/urine osmolality, spot urine U&E, 24hr urine U&E. SIADH – need endocrine review, fluid restriction
cerebral salt wasting urine sodium

[DOC File]Policy
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A salt wasting syndrome associated with cerebral disease. Transactions of the Association of American Physicians 1950; 63: 67-64 Pickard JD, Murray GD, Illingworth R, Shaw MD, Teasdale GM, Foy PM, Humphrey PR, Lang DA, Nelson R and Richards P et al. Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage ...
cerebral salt wasting pathophysiology

[DOC File]Harrison's Principles of Internal Medicine - 16th Ed
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Cerebral salt wasting (euvolemic or hypovolemic; moderate-high urine output) fludrocortisone 0.1-0.2mg PO/NGT BID. Normal saline to match urine output. If serum sodium < 130mEq/L, use 3% saline . Rate dependent upon degree of hyponatremia and volume status. Must be …
cerebral salt wasting syndrome symptoms

[DOC File]LEEDS TEACHING HOSPITALS TRUST
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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
what is cerebral salt wasting

[DOC File]A to Z of Neurosurgery
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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 …
cerebral salt wasting icd 10

DEPARTMENT OF SURGERY
Cerebral edema can be severe, rarely life-threatening. Infants and young children most often present with seizures; older patients more often obtunded or comatose. Hypertension and bradycardia are inconsistent findings, especially in infants who may only have hypertension as ICP rises secondary to cerebral …
cerebral salt wasting treatment

[DOC File]Rajiv Gandhi University of Health Sciences
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Which of the following is the most likely diagnosis: 1) diabetes insipidus. 2) syndrome of inappropriate antidiuretic hormone (SIADH) 3) cerebral salt wasting. 4) high-output renal failure . The most common organism associated with overwhelming post-splenectomy sepsis is? haemophilus influenzae. streptococcus pneumonia. meningococus . babecia ...
causes of cerebral salt wasting

Cerebral salt wasting diagnosis