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Can central pontine myelinosis be caused in an emergency setting? |
in an emergency setting, where a patient has lost too much blood, can HYPONATREMIA be overlooked during the rapid infusion of blood/fluids (to prevent hypovolemic shock) and thus cause CENTRAL PONITNE MYELINOSIS? i guess my question is if elecrtrolytes are measured first before placing the patient on IV fluids? because in the case of a hyponatremic patient, infusing him too rapidly would lead to central pontine myelinosis. If it's a true emergancy situation like you described, I doubt anyone's going to take time to check a sodium level before they start an IV infusion. I don't know of any IV fluids that would be infused rapidly in an emergency situation that wouldn't contain sodium. Therefore, in infusing the fluids, the hyponatremia would be corrected. I may not have a complete understanding of electrolytes, but that's what my experience and education would tell me. |
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