When diagnosed with hyponatremia treatment usually immediately begins. Treatment must be a restriction of both salt and water (Gheorghita et. al 2010). Hyponatremic patients must receive a slow increase in sodium with a restriction of liquids. Intravenous hypertonic saline solution of 3% NaCl can be administered to patients who have been diagnosed with hyponatremia. There is a precise formula that is used in determining the quantity of NaCl that is used in increasing sodemia and the rate at which it should be administered (Gheorghita et. al 2010).
Hyponatremia treatment that occurs too rapidly is associated with the formation of demyelinating lesions in the pons known as CPM. These lesions lead to permanent neurological damage (Gheorghita et. al 2010). Physicians and patients should not fail to treat severe hyponatremia in an effort to avoid CPM development. Failure to treat hyponatremia may lead to severe brain damage, coma, or even death (Schuster et. al 2009 and Gheorghita et. al 2010). Symptoms of CPM have been seen to improve with time which plays the most critical role. Even treating hyponatremia with a hypertonic saline solution still raises the most important risk of developing CPM but a good neurological outcome has been seen in several cases when enough time and one of the above therapies are done.
Campos and colleagues believed that there is no cure or treatment for CPM nor is there any definitive therapy (Campos et al. 2011). However, there are medications and even vitamins that have been supportive treatments for patients with CPM. The supportive treatments include cortical hormone vitamins and even serum replacement but their exact roles remain unknown. Less than a year after determining that there was no cure or...
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...be beneficial it must occur as early as possible after extensive hyponatremia correction (Kengne et. al 2009).
Prevention (change heading or take out???)
Since there is no definitive cure or treatment for CPM, the best measures to take are preventative. To prevent development of severe neurological lesions associated with CPM sudden changes in the serum sodium levels should be avoided and instead slow correction of hyponatremia should be favored. Immunosuppressive agents’ concentrations should be controlled carefully in order to prevent neurotoxicity in all individuals. When a patient undergoes a LT bleeding during the surgery should be kept to the minimum to reduce the risk of electrolyte fluctuations. When a LT must be done the best effort to avoid CPM is performing the transplant at the earliest stage possible of the hepatic disease (Campos et. al 2011).
The normal core temperature in adults ranges between 36.5°C and 37.5°C and hypothermia can be defined as core body temperature less than 36°C.(ref 1)
Epinephrine can be added to NE if needed to maintain acceptable BP, or substituted if necessary. Vasopressin (0.03 units/min) can be used as an adjunct to increase MAP,or to lower NE dose; it should not be used as a single agent. Dopamine can be used as an alternative to NE, but only in patients meeting criteria due to risk of arrhythmias; low dose dopamine not to be used for renal protection. Phenylephrine not recommended in most cases; can be utilized if NE leads to serious arrhythmias, CO is known to be high yet BP continues to be low, or as salvage therapy when MAP target is not achieved by other means. An arterial cath should be placed ASAP in patients who require vasopressors. Inotropes can be added to vasopressors or used alone, with a doubatmine trial of up to 20 mcg/kg/min as an option if myocardial dysfunction is suspected by elevated cardiac filling pressures and low CO, or if hypoperfusion is still evident although intravascular volume and MAP are at goal. Bicarbonate should not be used in patients with pH greater than or equal to
Once the paramedics retrieve Marc, he will have a high concentration of salt in his blood and fluids. This means that the paramedics would treat him with the half normal saline. This is the solution with the lowest percentage of solutes (0.45% NaCl).this will increase his concentration of water throughout this body and will return his cells to their normal size. However, if the paramedics were to keep him on the half normal saline for too long, his water concentration would be too high and his solute concentration would become too low. This would mean that the paramedics would then need to switch Marc to the normal isotonic saline solution (0.9% NaCl). This would balance out both the concentration of water and solutes so that they are now equal. This would set his balance and homeostasis back to normal, thereby helping his recovery. (Johnson
Hypothyroidism is a chronic disease that is part of the endocrine system. Hypothyroidism is due low or lack of tri-iodothryonine (T3) and tetraiodothyronine (T4) thyroid hormones being produced by the thyroid gland. The lack of thyroid hormones could be due to iodine or thyroid stimulating hormone (TSH) deficiency or underactive thyroid gland (Sherwood, 2012). Thyroid hormones T3 and T4 are involved in almost every part of the body. It is ten times more prevalent in female than male, which affects about 4.6% of U.S population (Lellis-Santos et al, 2011). In the most cases, the symptoms are cold intolerance, fatigue, bradycardia and weight gain. Depending on the cause on hypothyroidism, a goiter may develop, which is the enlargement of the thyroid gland. In most cases taking thyroid hormone supplement is an effective treatment.
The thyroid is the energy generator of the body. All of us experience fatigue at some time in our lives because of lack of sleep, overwork, or stress. For individuals with hypothyroidism, fatigue is a way of life. There never seems to be enough energy. But, you don’t have to feel this way. For those who suffer from hypothyroidism, there is HOPE.
Actually the nature of body, itself indicate the dehydration condition by regulate self mechanism. The thirst is body’s ways of telling that it needs the fluid. The thirst is the craving for fluids which is the sign of dehydration, resulting in the basic instinct of animals to drink. It is a mechanism involved for regulation of body in water balance. It arises when the water volume of the body falls below a certain threshold level. Because of that osmolite concentration becomes too high and the message go to the nervous system which cause the thirst is triggered. When the 2% body is hydrated that time thirst occurs and the mouth become dry. But in view of the fact that severe dehydration also not affect on the body but also mild dehydration also serious causes on the body. As thirst sense more slowly, it is difficult to understand the dehydrated situation. Furthermore sensation of thirst is gradually decreasing as raise the dehydration situation. This mild dehydration too effect on body by decreasing performance, energy level, consciousness, person’s mood. One of the lead scientists ...
During the nineteenth century a variety of alternative medical traditions became popular in the United States. There was a shift in how people began to view their physical, mental, and emotional health. A type of alternative medicine that quickly became popular in the United States and Europe was the tradition of hygeiotherapy. This form of treatment included hydropathy a type of water-cure treatment and combined that with exercise, dietary reform, sexual restraint, and any behaviors that were viewed as unhealthy.
The Autonomic Nervous System is responsible for the functions of the body that are not thought about to control. When this system dysfunctions, it can cause havoc on the human body. One example of this would be Dysautonomia. Dysautonomia is a rare but serious disease that affects the autonomic nervous system, has many symptoms, and offers few treatment options.
Unpleasant breathlessness that comes on suddenly or without expectation can be due to a serious underlying medical condition. Pneumonia can impact the very young and very old, asthma tends to affect young children, smokers are at greater risk of lung and heart disease and the elderly may develop heart failure. However, medical attention always needed by all these conditions as it can affect any age group and severe breathlessnes. There are short and long term causes of dyspnea. Sudden and unexpected breathlessness is most likely tend to be caused by one of the following health conditions. There is accumulating evidence that in many patients, dyspnea is multifactorial in causes, and that in most patients, there is no single, all-encompassing explanation for dyspnea.
... glucose measurements. Continuation into the immediate postoperative period remains important as well. Once in a steady state, treatment ought to be converted to a subcutaneous BBI regimen. For conversion from intravenous to subcutaneous insulin, a transition protocol should be employed 124.
administered to prevent clots and perhaps continues post-op. If such a patient is not given
Hypertrichosis, which is also known as Ambras Syndrome or Werewolf Syndrome, is excess growth of hair on parts of the body. Hypertrichosis can either be generalized meaning it covers the whole body or localized meaning it is only on a certain area. There are three different hair types that may be involved. They include Lanugo (long and silky), Vellus (replace Lanugo after birth except on the scalp and eyebrows), and terminal (course, thick, and pigmented). Generalized can include all three types while acquired usually involves vellus that turn into terminal. Along with being generalized or localized, Hypertrichosis is also separated into congenital or acquired classifications. Congenital means that this disorder was present at birth and may have been caused by mutations in the genes. While acquired means that it became present over time. The cause for congenital is typically genetics while the cause for acquired is influence by medical conditions such as metabolic disorders, cancer or even oral and topical drug treatments. Congenital Hypertrichosis Lanuginosa is thought to be caused by mutations on the eighth chromosome or spontaneous gene mutations. The main sign of Hypertrichosis is excess hair growth, especially in places that hair does not typically grow in. Symptoms of Hypertrichosis may be present because of underlying conditions or chemical imbalances and the side effects of some medications. When a patient is being diagnosed with Hypertrichosis, a Doctor will determine if this was congenital or acquired. Congenital has no cure but acquired are typically triggered by factors that can be reversed or lessened so the Doctor could try to find these triggers. Hypertrichosis can cause cosmet...
is characterized by “deterioration in the level of consciousness, with lethargy, decrease in arousal and headache. The timing of the development of cerebral edema is variable, within most cases occurring 4 to 12 hours after starting treatment. Several case reports showed the presence of cerebral edema before the initiation of therapy. A method of clinical diagnosis based on bedside evaluation of a neurological state in DKA have been developed” (Pandey).
...epending on the patient’s dehydration, therefore also affecting the patient’s tonicity. The patient would also be losing water insensibly, in an unperceived way through their skin and lungs (Martini). This could be combative with the patient experiencing shortness of breath, in order to preserve some water from evaporating. In order to maintain proper osmolarity, the intercellular fluid would loose water to the extracellular fluid. This patient would need the replace the fluids he has lost by drinking water, or through intravenous isotonic crystalloid. I would suggest intravenous isotonic crystalloid since it would restore the body to homeostasis much quicker than through drinking. It is important that fluid balance, membrane transport, and overall homeostasis be maintained, for the longer the body is out of homeostatic range, the more detrimental the effects will be.
The thyroid gland is part of the endocrine system, and it is controlled by the pituitary which is known as the “master gland” of the endocrine system. The pituitary controls the thyroid by producing Thyroid Stimulating Hormone (TSH) which stimulates the production of thyroid hormones. . The thyroid gland secretes two main hormones: Thyroxine (T4) and Tri-Iodothyronine (T3). These hormones increase metabolic rate, heat production, oxygen consumption, appetite, growth hormone secretion, alertness and quicker reflexes. The thyroid gland is located in the anterior portion of the neck, beneath the Adam’s apple. It is divided in two lobes on either side of the windpipe: right lobe and left lobe. These lobes create what looks like a butterfly shape. The gland is essential to the contribution of maintaining the homeostasis of the body. It plays a role in monitoring the body’s expenditure of energy and running the body’s metabolism.