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[DOC File]www.LeedsNeurosurgery.com | Welcome To LeedsNeurosurgery
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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
cerebral salt wasting urine output

A challenging coexistence of central diabetes insipidus ...
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 syndrome diagnosis

[DOC File]Hyponatraemia in Primary Care - North Bristol NHS Trust
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c) Cerebral Salt Wasting is due to excess natriuresis. Low serum Na+. Low-normal serum osmolality Treat by sodium replacement. Coughing, restlessness and fighting the ventilator. These all raise the ICP and should be avoided by the use of adequate levels of sedation and, if required, paralysis (8). Patients should not be routinely paralyed.
florinef for cerebral salt wasting

[DOC File]Neurological assessment of head injuries using the Glasgow ...
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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 . NaCl 1g tabs; 1-2 tabs PO/NGT BID-QID. OR. 3% saline infusion. Rate dependent upon degree of hyponatremia and volume status. Must be given through central line or ...
cerebral salt wasting labs

[DOC File]LEEDS TEACHING HOSPITALS TRUST
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Treatment: 1) Surgical removal of offending lesion. 2) Control of arterial blood pressure. 3) Corticosteroids - stabilize membranes. 4) Osmotherapy - mannitol (1 g/kg); lasix 0.7 mg per kg; glycerol 1 g/kg. 5) Control of ICP - carbonic anhydrase, DMSO. References: Harrigan MR, Cerebral salt wasting syndrome. Neurosurgery 38: 152-160, 1996
causes of cerebral salt wasting

[DOC File]Harrison's Principles of Internal Medicine - 16th Ed
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The treatment includes; fluid restriction, sodium replacement, diuretics, treat reversible causes. Low sodium should be gradually increased over days as rapid correction can cause pontine demyelination. 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.
cerebral salt wasting syndrome

[DOC File]BBB/Cerbral Edema
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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]NEUROLOGICAL SUPPORT
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Hyponatremia: treatment strategies. Acute, severe, symptomatic, hyponatremia: Usually seen when serum Na < 115 mEq/L; develops rapidly, in an euvolemic pt. with access to free water. Cerebral edema can be severe, rarely life-threatening. Infants and young children most often present with seizures; older patients more often obtunded or comatose.
cerebral salt wasting management

[DOC File]Policy
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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 urine output

[DOC File]Policy
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Cerebral salt wasting. Rebleeding. Workup: CT head (90% sensitive) Lumbar puncture (Xanthoxhromia) CT angiogram. Formal angiography. Treatment: ABC. Fluids. Nimodipine. CPP = ICP-MAP. Analgesia. Stop any anti-coagulants! Definitive treatment: Coiling / stenting. Clipping. Spontaneous resolution. Classification: Hunt and Hess grading system
cerebral salt wasting syndrome diagnosis

Cerebral salt wasting treatment