Renal, Endo, Metabolism 2 - free water deficit, refeeding syndrome Flashcards
1
Q
Electrolyte abnormality w/ hypoparathyroidism
A
hypocalcemia
2
Q
etiology of bronchospasm from hypocalcemia
A
tetany of bronchial smooth muscle
3
Q
Rasburicase is contraindicated in pts w/
A
G6PD deficiency
4
Q
total body water =
A
~0.5 x weight (kg)
5
Q
Total body sodium axiom
A
(current TBW) x (current Na) = (restored TBW) x (restored Na)
6
Q
restored total body water =
A
(current TBW) x (current Na) / 140
7
Q
Free water deficit =
A
restored TBW - current TBW
8
Q
qSOFA components
A
GCS <15, RR ≥22, SBP ≥100
9
Q
2 hallmarks of refeeding syndrome
A
hypophosphatemia and hypervolemia
10
Q
Mgmt for refeeding syndrome
A
Decrease tube feeds to 20 kcal/hr until Phos is stable (w/o repletion) x 3 days
