MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'electrolytes'. Sat, 03 Sep 2011 02:55:15 +0100 http://www.medworm.com/index.php?rid=4813625&cid=t_226469_136_f&fid=37856&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FThePeacefulLiberal%2F%7E3%2FJFKRJHE1Yzk%2Fhappy-valentines-day-love-s-holiday.html I know it's been a while since I last posted and to be quite honest I have been busy dealing with lots of pain in my body and an abundant amount  of nausea. Part of the love that I feel so strongly for my husband is how aware he is of what is going on with my body.  He senses things that might not be right; he gets scared as most normally would in keeping his love alive or to be enjoying just one more day with her!  I am always grateful for that one more day; yes we are doing this one day at a time; we can't compound more stress than what is completely necessary.  It's very stressful for both of us.   I can't bite more than I can chew!) It's a blessing for me if I am able to get outside and experience walking around in a grocery store or even to go shopping.  ... ShoppingKharma: What comes around goes around blogs http://www.medworm.com/rss/comments.php?id=4813625 Tue, 15 Feb 2011 17:50:00 +0100 4813625 http://www.medworm.com/index.php?rid=3560194&cid=t_226469_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Feboost-pink-lemonade-25-off-for-blisstree-readers-to-fight-breast-cancer%2F Have you or someone you know been affected by breast cancer? If so, EBOOST and Blisstree understand the long road and obstacles ahead. That’s why for every box of pink lemonade that EBOOST sells, they will donate a full $10 of the proceeds to the Susan G. Komen Race for the Cure. Together, we can give hope to millions of women and their families – and help wipe out this terrible disease once and for all. The EBOOST Healthy Energy Drink contains a special blend of vitamins and minerals that activate the four vital elements of performance: ENERGY, IMMUNITY, RECOVERY, and FOCUS, delivering sustained energy that lasts. EBOOST has teamed up with Susan G. Komen for the Cure® to raise money for breast cancer awareness with an exclusive offer for Blisstree readers. A box of 20 EBO... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3560194 Wed, 12 May 2010 16:45:26 +0100 3560194 http://www.medworm.com/index.php?rid=2259908&cid=t_226469_129_f&fid=36035&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-chronic-pain%2Fa-virus-can-complicate-your-chronic-pain%2F Maybe your disease is particularly active. It happens. Maybe you’ve caught a virus to complicate life just a little bit more. Cough. Puke. Shivers and shakes. Your whole body feels like a bad science fiction movie and you’re sure you are totally dissolving into liquid? As if we don’t have a hard enough time hanging on to our sunny dispositions, life does throw us a few curved balls and occasionally one “splats” us right in the face. For many of us with chronic illness accompanied by chronic pain, the days are difficult enough; but when you throw the flu or a cold into the mix, watch out.  No one likes being ill with these very common maladies but for those of us who already know all about compromise, it is really annoying, irritating and galling. “Enough already” is our cred... Life with Chronic Pain blogs http://www.medworm.com/rss/comments.php?id=2259908 Tue, 17 Feb 2009 23:09:46 +0100 2259908 http://www.medworm.com/index.php?rid=2191150&cid=t_226469_87_f&fid=36050&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FBreastfeeding123%2F%7E3%2FXwKguVLxYsw%2F For this month’s Carnival of Breastfeeding, we are sharing tips for saving money while breastfeeding (see more entries at the end of this post). My tip is not strictly for breastfeeding, although I did share a reader’s tip yesterday on a frugal choice for a nursing bra, and I have previously written about Five Money-Saving Alternatives to Traditional Nursing Clothing, and I have several tutorials on how to make your own Hooter Hider-Type Nursing Cover, Knitted Nursing Tank Top, Pullover Crew Neck Baby Bib, Baby Bib with Neck Ties, Ring Sling, Nursing Necklace, Nursing Pads, Baby Booties, Cloth Diapers, Nursing Pillow, Nursing Shirt, Nursing Bra and Pumping Bra, Cloth Diapers, and More. Dealing with Vomiting and Diarrhea in the Baby and/or Mother My tip on how to make your own ... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=2191150 Mon, 16 Feb 2009 07:25:00 +0100 2191150 http://www.medworm.com/index.php?rid=1605759&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3630     ABG pH 7.35 pCO2 48 pO2 74 calc HCO3 25 50 year old man presents with chest pain and a recent abnormal stress test.  He has a 30-40 pack year history.  This ABG was taken on room air. Can you describe a set of circumstances that would give you these results? (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1605759 Thu, 10 Jul 2008 15:27:36 +0100 1605759 http://www.medworm.com/index.php?rid=1449200&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3581   I am current at the ACP annual meeting, and this morning heard a brilliant grand rounds on hyponatremia - given by Juan Carlos Ayus.  I have found an excellent article in the Southern Medical Journal that he co-authored on treatment of dysnatremias and also provide this Medscape link - Hospital-Acquired Hyponatremia — Why Are Hypotonic Parenteral Fluids Still Being Used? Hospital-acquired hyponatremia can be lethal. There have been multiple reports of death or permanent neurological impairment in both children and adults. The main factor contributing to the development of hospital-acquired hyponatremia is routine use of hypotonic fluids in patients in whom the excretion of free water, which is retained in response to excess arginine vasopressin (AVP), might be impaired. ... DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1449200 Sat, 17 May 2008 14:29:44 +0100 1449200 http://www.medworm.com/index.php?rid=1442618&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3576   Was It the Drinking Binge?   Solution to "Was It the Drinking Binge?"     (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1442618 Wed, 14 May 2008 15:24:43 +0100 1442618 http://www.medworm.com/index.php?rid=1409491&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3555   Yesterday’s numbers: Electrolyte panel Na 141 Cl 112 BUN 18 K 4.3 HCO3 15 creat 0.7 Blood Sugar 105 ABG pH 7.33 pCO2 25 pO2 103 calc HCO3 13   Additional information: 1. She had increased ileal output. 2. Serum albumin was 5.7 3. Urine Na 10, urine K 47 and urine Cl 72 Her anion gap is 14, which is normal given her elevated albumin Her urine anion gap is negative, consistent with sufficient ammonium (NH4+) in her urine The urine anion gap results supports increased ileal output and bicarbonate loss as the cause of the normal gap acidosis The respiratory response is appropriate.  Remember to use the calculated HCO3- when using the Winter’s formula.  The expected pCO2 thus is 27.5 and close enough to the observed pCO2 to exclude a... DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1409491 Wed, 30 Apr 2008 19:34:45 +0100 1409491 http://www.medworm.com/index.php?rid=1406673&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3553   Started rounds today and had several interesting laboratory findings.  I plan to post some patient quizzes for the next 3 days. Electrolyte panel Na 141 Cl 112 BUN 18 K 4.3 HCO3 15 creat 0.7 Blood Sugar 105 ABG pH 7.33 pCO2 25 pO2 103 calc HCO3 13   Today’s patient is well known to our service.  She is 32 and has a long history of Crohn’s disease, with an ileostomy.  Consider the differential diagnosis, and recommend tests to prove your hypothesis.  (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1406673 Tue, 29 Apr 2008 18:45:37 +0100 1406673 http://www.medworm.com/index.php?rid=1323071&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3516 To remind you: Exam reveals a markedly volume contracted 61 year old woman. Electrolyte panel Na 135 Cl 88 BUN 127 K 4.3 HCO3 14 creat 7.4 Blood Sugar 109 ABG pH 7.3 pCO2 26 pO2 70 calc HCO3 13 Her serum albumin was 4.8. Her urine creatinine was 330 with a urine sodium of 14. Her PTH level was 138. Resolution This patient had remarkable volume contraction. She had both an increased anion gap acidosis as well as a metabolic alkalosis. 1. Anion gap = 33, defining an increased anion gap acidosis. 2. Using the delta gap process, we subtract her expected gap (14 in this patient with an albumin of 4.8) from her measured gap. The difference is 19. If we add 19 to her observed bicarbonate of 14, we obtain her adjusted bicarbonate of 33. This suggests that she first developed ... DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1323071 Mon, 24 Mar 2008 19:25:38 +0100 1323071 http://www.medworm.com/index.php?rid=1316543&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3511 Here is another puzzle for acid base aficionados. The patient is a 61 year old woman admitted for severe nausea and vomiting. She states that she has had 6 days of severe nausea, vomiting and diarrhea. The diarrhea was watery. Her past medical history included “CHF with normal EF”, gout, hypertension and a previous episode [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1316543 Thu, 20 Mar 2008 13:44:50 +0100 1316543 http://www.medworm.com/index.php?rid=1277533&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3495 We made rounds on an 82 year old man today. Because his electrolyte panel revealed a bicarbonate level of 40, we order an ABG. The patient has known COPD and CHF. He was intubated until 2 days ago. He received aggressive diuresis for volume overload. Now his ABG reveals: ABG pH 7.46 pCO2 66 pO2 61 calc HCO3 46 Questions [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1277533 Tue, 04 Mar 2008 17:37:30 +0100 1277533 http://www.medworm.com/index.php?rid=1234457&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3480 Readers know that I love teaching acid base and electrolytes. For years I (and many other educators) have difficulty explaining why edematous states can lead to hyponatremia. We always have talked about ineffective intravascular volume, although when you measure the intravascular volume it measures as increased. Thus, we had a difficult concept [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1234457 Fri, 15 Feb 2008 19:58:03 +0100 1234457 http://www.medworm.com/index.php?rid=1223611&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3472 I have used this presentation for the past 30 years. It provides students a wonderful opportunity to consider the entire differential diagnosis of hypercalcemia. The answer is a surprise to many. In the presentation I fail to mention that the tachycardia persisted after volume expansion. (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1223611 Mon, 11 Feb 2008 21:24:12 +0100 1223611 http://www.medworm.com/index.php?rid=1221221&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3470 Today my team is admitting, so I made rounds in the afternoon. Our service is relatively quiet, so I took time to discuss a classic case from my residency. I previously did a podcast on this patient, but I suspended the podcast service and will have to write out the case now. This case [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1221221 Mon, 11 Feb 2008 00:51:15 +0100 1221221 http://www.medworm.com/index.php?rid=1220795&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3469 I forgot to include the calculated HCO3 in the acid base problem.  I have editted the entry to now include that number. My apologies to readers - I hope this number make the explanation more clear. (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1220795 Sun, 10 Feb 2008 19:31:46 +0100 1220795 http://www.medworm.com/index.php?rid=1219799&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3467 One of my main teaching philosophies includes understanding how to teach basics and when to move to more advanced concepts. Solving yesterday’s problem requires some more advanced concepts. The normal anion gap depends on the albumin level (albumin is the major component of the normal anion gap.) Therefore, when the albumin is decreased below [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1219799 Sat, 09 Feb 2008 12:59:08 +0100 1219799 http://www.medworm.com/index.php?rid=1217802&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3466 60 yo male with strong alcohol history is admitted for cellulitis.  On his second day in the hospital he develops delirium tremens and aspirates.  In the ICU he requires sedation for his DTs. He had the following laboratory values on the 3rd day of ICU care: Electrolyte panel Na 142 Cl 110 BUN 27 K 4.5 HCO3 17 creat 2.0 Blood Sugar 468 ABG pH 7.24 pCO2 25 pO2 126 His albumin is 3.  His serum osms are [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1217802 Fri, 08 Feb 2008 19:47:25 +0100 1217802 http://www.medworm.com/index.php?rid=1149552&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fwww.medrants.com%2Findex.php%2Farchives%2F3437 A 52-year-old Man With a Low Bicarbonate Level Enjoy - the answer will be posted next week (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=1149552 Mon, 14 Jan 2008 20:13:03 +0100 1149552 http://www.medworm.com/index.php?rid=911711&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fmedrants.com%2Findex.php%2Farchives%2F3350 The housestaff obtained this ABG on a patient presented yesterday at morning report. Your task is to explain the acid-base disorder and the oxygen level. On room air - serum bicarbonate is 44 ABG pH 7.52 pCO2 54 pO2 62 (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=911711 Fri, 28 Sep 2007 15:27:46 +0100 911711 http://www.medworm.com/index.php?rid=861303&cid=t_226469_87_f&fid=34469&url=http%3A%2F%2Fmedrants.com%2Findex.php%2Farchives%2F3328 I saw a similar patient 3 years ago. This case report is important - A case of valproate-induced hyperammonemic encephalopathy: look beyond the liver The patient was admitted to hospital for further investigations and for monitoring with video electroencephalography. In the first 48 hours after admission, her level of consciousness fluctuated. Subsequent tests revealed an [...] (Source: DB's Medical Rants) DB's Medical Rants blogs http://www.medworm.com/rss/comments.php?id=861303 Tue, 11 Sep 2007 13:29:37 +0100 861303