By Alluru S. Reddi
Written in a succinct query and resolution layout, this accomplished source covers all parts of nephrology and customary scientific eventualities. approximately a thousand questions with special solutions supply nephrology fellows, practising nephrologists and clinicians a greater figuring out of nephrology and reduction arrangements for nephrology and inner medication forums. Absolute Nephrology overview positive aspects the most recent proof and directions whereas gratifying a severe desire in the nephrology community.
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Additional resources for Absolute Nephrology Review: An Essential Q & A Study Guide
Disorders of calcium: Hypocalcemia. In Reddi AS. Fluid, Electrolyte, and Acid-Base Disorders. Clinical Evaluation and Management. New York, Springer, 2014, pp. 201–213. 48. A 70-year-old man was admitted for a suspicious lung mass. 2 mg/dL (eGFR 60 mL/min). An EKG is also normal. He had an MRI of his chest, which showed a well-demarcated mass. 5 mg with normal PO4 and albumin. The patient is asymptomatic. Which one of the following choices is CORRECT regarding the evaluation of his hypocalcemia?
Continue normal saline Ringer’s lactate Free water by mouth Half-normal saline Half-normal saline and D5W The answer is C The patient requires free-water repletion. In a mentally alert patient, oral ingestion of water is strongly advised. In other patients, IV administration of D5W is preferred. 45 % (half-normal saline) is preferable. The rate of correction (decrease) should not exceed 6–8 mEq/L/24 h. Therefore, serum [Na+] should be lowered from 167 to 160 mEq/L in a 24 h period. Full correction requires 2–3 days.
A. L-Lactic acid B. Pyroglutamic acid 1 Fluids, Electrolytes, and Acid–Base Disorders 39 C. D-Lactic acid D. Methanol E. Topiramate The answer is C Except for topiramate, all other causes generate high AG metabolic acidosis. Topiramate causes non-AG metabolic acidosis due to inhibition of carbonic anhydrase. Serum L-lactate is normal; therefore, L-lactic acidosis is excluded. Also, methanol intoxication is excluded based on normal osmolal gap. There is no history of medication (Tylenol or Tylenol-containing narcotics) or antibiotic use.
Absolute Nephrology Review: An Essential Q & A Study Guide by Alluru S. Reddi