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Hyponatremia in the ED Four questions to ask yourself: Is the patient symptomatic from their hyponatremia (confusion, nausea/vomiting, ams, seizures, etc)? If not, outpatient followup (unless super low) Is the patient having severe neurologic symptoms from their hyponatremia? (seizures, AMS) If yes, treat with hypertonic saline (3%) Is the patient going to be admitted from […]

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CAUTION: THESE NOTES CONTAIN SPOILERS!! Case Introduction You are working a shift at EM Clerkship General when you are called to the waiting room by the charge nurse for a seizing patient. Initial Vitals Temp 99.0F HR 97 RR 16 BP 120/80 O2 90% Critical Actions Perform airway maneuvers to clear obstruction Administer IV Benzodiazepines […]