PBL 3 session 3
by Mohammed Haneef
1. Step 9
1.1. Review session 2
1.2. mechanism flow chart
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. goal of management
2.1.1.1. keep patient alive
2.1.1.2. restore normal kidney function
2.1.1.3. treat and prevent further complications
2.1.1.4. assure adequate hydration
2.1.2. Initial management
2.1.2.1. evaluate for dialysis
2.1.2.2. treat hyperkaloemia
2.1.2.2.1. decrease potassium intake
2.1.2.2.2. use potassium binding resisns
2.1.2.2.3. Beta 2 agonist
2.1.2.2.4. Insulin + glucose
2.1.2.2.5. dialysis?
2.1.2.2.6. calcium
2.1.2.3. assess volume depletion
2.1.2.3.1. IV fluid
2.1.2.4. MetabolicAcidosis
2.1.2.4.1. Sodium bicarb
2.1.2.4.2. dialysis
2.1.2.4.3. GRADUAL
2.1.2.5. Diet
2.1.2.5.1. restriction of salt
2.1.2.6. Hypothermia
2.1.2.6.1. warm blanket
2.1.2.7. Subscapular injury
2.1.2.7.1. consult orthopedic for surgery
2.1.3. late management