的疾病 的疾病
1Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th floor, Suite 200, Baltimore, MD 21201, USA.
Emergency medicine clinics of North America
|September 27, 2023
概括
不正常的血清水平,包括高血和低血,在急诊室很常见. 本综述涵盖了它们的原因,风险以及关键患者护理的基本治疗策略.
科学领域:
- 内部医学 内部医学
- 紧急医疗 紧急医疗
- 临床生物化学 临床生物化学
背景情况:
- 血清异常常见于急诊室 (ED) 的入院.
- 高 (高卡血量) 和低 (低卡血量) 的水平都可能导致危及生命的情况.
- 了解各种病因对于及时干预至关重要.
研究的目的:
- 为了提供超血和低血的全面概述.
- 概述乱的常见和关键原因.
- 详细说明相关风险和基于证据的治疗方法.
主要方法:
- 对血清异常的急性和慢性原因的文献综述.
- 综合目前关于风险分层和风险管理的指导方针.
- 紧急部门治疗方案的摘要.
主要成果:
- 确定了许多急性和慢性疾病,导致高胆固醇血和低胆固醇血.
- 突出了与未经治疗的不平衡相关的显著发病率和死亡率.
- 概述了关键的诊断和治疗干预措施.
结论:
- 在紧急情况下,迅速识别和管理血清障碍至关重要.
- 一种系统的方法来识别原因并开始治疗可以改善患者的治疗结果.
- 本摘要作为管理这些常见但严重的电解质干扰的临床资源.
相关概念视频
Antihypertensive Drugs: Potassium-Sparing Diuretics
612
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
612
Roles of Electrolytes: Sodium and Potassium
465
Sodium plays a crucial role in maintaining fluid and electrolyte balance and overall bodily homeostasis. Sodium balance is primarily regulated by kidney function, which adjusts sodium elimination to match dietary intake and maintain proper electrolyte levels. Sodium is the most abundant cation in the extracellular fluid (ECF) and is found in salts such as sodium chloride (NaCl) and sodium bicarbonate (NaHCO3). Although cellular plasma membranes are relatively impermeable to sodium, its role in...
465
Ionic Bonds
118.6K
Overview
When atoms gain or lose electrons to achieve a more stable electron configuration they form ions. Ionic bonds are electrostatic attractions between ions with opposite charges. Ionic compounds are rigid and brittle when solid and may dissociate into their constituent ions in water. Covalent compounds, by contrast, remain intact unless a chemical reaction breaks them.
Opposing Charges Hold Ions Together in Ionic Compounds
Ionic bonds are reversible electrostatic interactions between ions...
When atoms gain or lose electrons to achieve a more stable electron configuration they form ions. Ionic bonds are electrostatic attractions between ions with opposite charges. Ionic compounds are rigid and brittle when solid and may dissociate into their constituent ions in water. Covalent compounds, by contrast, remain intact unless a chemical reaction breaks them.
Opposing Charges Hold Ions Together in Ionic Compounds
Ionic bonds are reversible electrostatic interactions between ions...
118.6K
Regulation of Sodium and Potassium
580
The regulation of sodium and potassium ion concentrations in the human body is a complex process governed primarily by hormones such as aldosterone, antidiuretic hormone (ADH), and atrial natriuretic peptide (ANP).
Sodium Regulation
Sodium ions make up approximately 90% of extracellular cations, with a normal blood plasma concentration of 136–148 mEq/L. A decrease in blood volume and pressure triggers the release of renin from granular cells in the juxtaglomerular complex (JGC), primarily...
Sodium Regulation
Sodium ions make up approximately 90% of extracellular cations, with a normal blood plasma concentration of 136–148 mEq/L. A decrease in blood volume and pressure triggers the release of renin from granular cells in the juxtaglomerular complex (JGC), primarily...
580
Disorder of Water Balance
440
Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
440
Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers
1.0K
Class III antiarrhythmic drugs are a group of medications that can prolong action potentials in the heart. They achieve this by blocking potassium channels or enhancing inward currents from sodium channels. However, these drugs have a unique property of "reverse use-dependence," which is most pronounced at slower heart rates and can lead to torsades de pointes—a specific type of arrhythmia. However, it is essential to note that excessive QT interval prolongation—a measure of...
1.0K


