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C19<br />

Acid Base and Electrolyte Problems in the Critically Ill 1<br />

Mitchell H. Rosner MD<br />

10:00-11:30<br />

Wednesday, February 15<br />

Educati<strong>on</strong>al Objectives:<br />

1. Understand the treatment of patients with severe hyp<strong>on</strong>atremia<br />

2. Recognize overcorrecti<strong>on</strong> of hyp<strong>on</strong>atremia and how to manage this problem<br />

3. Understand the c<strong>on</strong>cept of free water clearance and how to apply this to patient care.<br />

4. Understand the treatments for severe hyperkalemia in the patient with kidney disease<br />

C<strong>on</strong>tent Descripti<strong>on</strong>:<br />

This sessi<strong>on</strong> will focus <strong>on</strong> comm<strong>on</strong> electrolyte problems encountered in patients admitted to the intensive care<br />

unit. The sessi<strong>on</strong> is case-based and interactive with presentati<strong>on</strong> of cases that cover such problems as hyp<strong>on</strong>atremia,<br />

hyperkalemia, and acid-base abnormalities. In all cases, a practical approach is stressed that is based<br />

up<strong>on</strong> physiological principles that can be applied to other cases that the clinician may encounter in the ICU setting.<br />

Suggested Reading:<br />

1. Mohmand et al, CJASN 2:1110-1117, 2007<br />

2. Gankam Kengne, F. Kidney <str<strong>on</strong>g>Internati<strong>on</strong>al</str<strong>on</strong>g> 2009;76:614-621<br />

3. All<strong>on</strong> et al. Kid Int 1990; 38: 869-872<br />

4. Blumberg et al. Kid Int 1992; 41: 369<br />

5. Wats<strong>on</strong> et al Clin J Am Soc Nephrol 2010; 5: 1723<br />

6. Sterns RH et al. J Am Soc Nephrol 2010; 21: 733<br />

97

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