✔️Hyperosmolality
✔️Lactic acidosis
✔️Alterations in neuronal pH
✔️Increase in excitatory Amino Acids
Wednesday, March 9, 2016
FACTORS CAUSING FLUID AND ELECTROLYTE DISTURBANCES IN THE NEUROSURGICAL PATIENT
✅POOR ORAL INTAKE LEADING TO DEHYDRATION DUE TO
🔖 Decreased conscious level
🔖 Vomiting
🔖 Bulbar dysfunction
🔖 Pending surgery
✅FLUID OVERLOAD DUE TO
🔖overzealous intravenous rehydration
✅DRUGS
🔖osmotic or loop diuretic therapy as part of the management of raised ICP
✅DISORDERS OF SODIUM-WATER BALANCE ASSOCIATED WITH THE NEUROLOGICAL PATHOLOGY/ SURGERY
🔖Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
🔖Cerebral salt wasting (CSWS)
🔖Diabetes insipidus
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