ABCs - address pulmonary edema, dysrhythmias
Volume overload: furosemide IV
Hyponatremia:
Hypertonic saline only if severe neuro manifestations (e.g. seizures) AND serum osmolality <260
Goal to raise Na+ by 10-12mmol over 24h
Rapid increase in Na+ not concerning (as may occur with glycine metabolism) UNLESS there is sudden change in osmolality
Seizure
Benzodiazepines +/- AEDs
Consider magnesium (NMDA receptor stabilization)
Hypocalcemia- replete
Monitor hemoglobin, transfuse pRBCs PRN
May require dialysis in severe cases
Hypertonic saline only if severe neuro manifestations (e.g. seizures) AND serum osmolality <260
Goal to raise Na+ by 10-12mmol over 24h
Rapid increase in Na+ not concerning (as may occur with glycine metabolism) UNLESS there is sudden change in osmolality
Benzodiazepines +/- AEDs
Consider magnesium (NMDA receptor stabilization)
TURP syndrome
Acute cystitis
Bladder trauma
Pyelonephritis
Ureter trauma
Interstitial cystitis
Hydrocele
Hydrocele 