SlideShare ist ein Scribd-Unternehmen logo

Electrolyte Free Water Clearance

•Als PPT, PDF herunterladen•
•
Joel Topf
Joel Topf

this is an 18 slide subset of the way too long lecture on sodium called Hyponatremia Dreadnaught

Gesundheit & MedizinBusinessTechnologie
1 von 18
True hyponatremia ,[object Object]
True hyponatremia ,[object Object],Negative salt balance causes hypovolemia
[object Object],Causes of hyponatremia: Increased intake ,[object Object],clearing
Water clearance ,[object Object],[object Object],[object Object],[object Object]
Free water clearance and soup ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In regards to sodium all that matters is the free water component
Free water clearance 0.5 liter free water Solute component (plasma osmolality 284 mOsm/kg) Use clearance to calculate the osmolar clearance 1 liter 142 mOsm/Kg 0.5 liter 284 mOsm/Kg
Free water clearance Solute component (Solute Clearance) ? 0.5 liter Zero mOsm/Kg Free water component (Free water Clearance) The free water component equals urine volume minus the solute component 1 liter 142 mOsm/Kg 0.5 liter 284 mOsm/Kg
Free water clearance 0.5 liter 568 mOsm/Kg 1 liter 284 mOsm/Kg -0.5 liter 568 mOsm/Kg
Free water clearance Solute component (plasma osmolality 284 mOsm/kg) Use clearance to calculate the osmolar clearance 1 liter 284 mOsm/Kg 0.5 liter 568 mOsm/Kg
Free water clearance Solute component (Solute Clearance) ? Free water component (Free water Clearance) 0.5 liter 568 mOsm/Kg – 0.5 liter Zero mOsm/Kg 1 liter 284 mOsm/Kg
Free water clearance: Implications Dilute urine increases serum osmolality Concentrated urine de-creases serum osmolality Dilute urine Solute free water Concentrated urine Negative free water Na + Na +
Free water clearance: The math
Free water clearance: Math Examples
Electrolyte free water clearance ,[object Object],[object Object]
Electrolyte free water clearance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrolyte free water clearance ,[object Object],[object Object],[object Object],Free water clearance Electrolyte free water clearance
Electrolyte free water clearance: CHF vs. SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology of hyponatremia ,[object Object],[object Object],Ingestion > EFW clearance

Empfohlen

Proteinuria in adults
Proteinuria in adultsProteinuria in adults
Proteinuria in adults
Buddhika Illeperuma
 
Hyperkalemia
HyperkalemiaHyperkalemia
Hyperkalemia
samirelansary
 
Syndrome of inappropriate anti diuretic hormone secretion (siadh)
Syndrome of inappropriate anti diuretic hormone secretion (siadh)Syndrome of inappropriate anti diuretic hormone secretion (siadh)
Syndrome of inappropriate anti diuretic hormone secretion (siadh)
DJ CrissCross
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
DrGerardVinodh
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
Simon Prince
 
Potassium disorders , comprehensive & practical approach .
Potassium disorders , comprehensive & practical approach . Potassium disorders , comprehensive & practical approach .
Potassium disorders , comprehensive & practical approach .
Yasser Matter
 
Hyponatremia and hypernatremia
Hyponatremia and hypernatremiaHyponatremia and hypernatremia
Hyponatremia and hypernatremia
Dr-Hasen Mia
 
Hyponatremia and hypernatremia 2015
Hyponatremia and hypernatremia 2015Hyponatremia and hypernatremia 2015
Hyponatremia and hypernatremia 2015
samirelansary
 

Empfohlen

Proteinuria in adults
Proteinuria in adultsProteinuria in adults
Proteinuria in adults
Buddhika Illeperuma
 
Hyperkalemia
HyperkalemiaHyperkalemia
Hyperkalemia
samirelansary
 
Syndrome of inappropriate anti diuretic hormone secretion (siadh)
Syndrome of inappropriate anti diuretic hormone secretion (siadh)Syndrome of inappropriate anti diuretic hormone secretion (siadh)
Syndrome of inappropriate anti diuretic hormone secretion (siadh)
DJ CrissCross
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
DrGerardVinodh
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
Simon Prince
 
Potassium disorders , comprehensive & practical approach .
Potassium disorders , comprehensive & practical approach . Potassium disorders , comprehensive & practical approach .
Potassium disorders , comprehensive & practical approach .
Yasser Matter
 
Hyponatremia and hypernatremia
Hyponatremia and hypernatremiaHyponatremia and hypernatremia
Hyponatremia and hypernatremia
Dr-Hasen Mia
 
Hyponatremia and hypernatremia 2015
Hyponatremia and hypernatremia 2015Hyponatremia and hypernatremia 2015
Hyponatremia and hypernatremia 2015
samirelansary
 
Biomarker for Acute kidney injury
Biomarker for Acute kidney injuryBiomarker for Acute kidney injury
Biomarker for Acute kidney injury
Manan Shah
 
Hypernatremia - Stepwise Practical Approach - Dr. Gawad
Hypernatremia - Stepwise Practical Approach - Dr. GawadHypernatremia - Stepwise Practical Approach - Dr. Gawad
Hypernatremia - Stepwise Practical Approach - Dr. Gawad
NephroTube - Dr.Gawad
 
Renal handling of sodium
Renal handling of sodiumRenal handling of sodium
Renal handling of sodium
Devlop Shrestha
 
Anemia
AnemiaAnemia
Anemia
ABDULLAH SEDAGHAT
 
Sodium homeostasis
Sodium homeostasisSodium homeostasis
Sodium homeostasis
ANGAN KARMAKAR
 
Dialyzable drugs
Dialyzable drugsDialyzable drugs
Dialyzable drugs
Dinesh Kumar
 
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementDisorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Abdullah Ansari
 
Renal failure history and examination
Renal failure history and examinationRenal failure history and examination
Renal failure history and examination
Ahmed Redwan
 
Approach to a patient with hyponatremia (2) (1)
Approach to a patient with hyponatremia (2) (1)Approach to a patient with hyponatremia (2) (1)
Approach to a patient with hyponatremia (2) (1)
Mohit Aggarwal
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
Sun Yai-Cheng
 
Hypernatremia
HypernatremiaHypernatremia
Hypernatremia
Sun Yai-Cheng
 
Approach to Hypokalemia
Approach to Hypokalemia Approach to Hypokalemia
Approach to Hypokalemia
shanmuga sundaram
 
Approach to edema
Approach to edemaApproach to edema
Approach to edema
Dr ABU SURAIH SAKHRI
 
Renal anemia guidelines
Renal anemia guidelinesRenal anemia guidelines
Renal anemia guidelines
Shaikhani.
 
Diuretic resistance- Pharmacology
Diuretic resistance- PharmacologyDiuretic resistance- Pharmacology
Diuretic resistance- Pharmacology
Trishna Kisiju
 
Proteinuria how to approach final
Proteinuria how to approach finalProteinuria how to approach final
Proteinuria how to approach final
Sachin Verma
 
Chronic Kidney Disease-Mineral Bone Disease
Chronic Kidney Disease-Mineral Bone DiseaseChronic Kidney Disease-Mineral Bone Disease
Chronic Kidney Disease-Mineral Bone Disease
Waleed El-Refaey
 
A Practical Approach to Anemia
A Practical Approach to AnemiaA Practical Approach to Anemia
A Practical Approach to Anemia
Dr ABU SURAIH SAKHRI
 
Anemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIseaseAnemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIsease
Vishal Golay
 
Diabetes insipidus
Diabetes insipidusDiabetes insipidus
Diabetes insipidus
Pratap Tiwari
 
Sodium dreadnaught
Sodium dreadnaughtSodium dreadnaught
Sodium dreadnaught
Joel Topf
 
Hyperkalemia, an update
Hyperkalemia, an updateHyperkalemia, an update
Hyperkalemia, an update
Joel Topf
 

Weitere ähnliche Inhalte

Was ist angesagt?

Proteinuria how to approach final
Proteinuria how to approach finalProteinuria how to approach final
Proteinuria how to approach final
Sachin Verma
 
Anemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIseaseAnemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIsease
Vishal Golay
 

Was ist angesagt? (20)

Biomarker for Acute kidney injury
Biomarker for Acute kidney injuryBiomarker for Acute kidney injury
Biomarker for Acute kidney injury
 
Hypernatremia - Stepwise Practical Approach - Dr. Gawad
Hypernatremia - Stepwise Practical Approach - Dr. GawadHypernatremia - Stepwise Practical Approach - Dr. Gawad
Hypernatremia - Stepwise Practical Approach - Dr. Gawad
 
Renal handling of sodium
Renal handling of sodiumRenal handling of sodium
Renal handling of sodium
 
Anemia
AnemiaAnemia
Anemia
 
Sodium homeostasis
Sodium homeostasisSodium homeostasis
Sodium homeostasis
 
Dialyzable drugs
Dialyzable drugsDialyzable drugs
Dialyzable drugs
 
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & ManagementDisorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
Disorders of Sodium (Hyponatremia& Hypernatremia) : Approach & Management
 
Renal failure history and examination
Renal failure history and examinationRenal failure history and examination
Renal failure history and examination
 
Approach to a patient with hyponatremia (2) (1)
Approach to a patient with hyponatremia (2) (1)Approach to a patient with hyponatremia (2) (1)
Approach to a patient with hyponatremia (2) (1)
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
Hypernatremia
HypernatremiaHypernatremia
Hypernatremia
 
Approach to Hypokalemia
Approach to Hypokalemia Approach to Hypokalemia
Approach to Hypokalemia
 
Approach to edema
Approach to edemaApproach to edema
Approach to edema
 
Renal anemia guidelines
Renal anemia guidelinesRenal anemia guidelines
Renal anemia guidelines
 
Diuretic resistance- Pharmacology
Diuretic resistance- PharmacologyDiuretic resistance- Pharmacology
Diuretic resistance- Pharmacology
 
Proteinuria how to approach final
Proteinuria how to approach finalProteinuria how to approach final
Proteinuria how to approach final
 
Chronic Kidney Disease-Mineral Bone Disease
Chronic Kidney Disease-Mineral Bone DiseaseChronic Kidney Disease-Mineral Bone Disease
Chronic Kidney Disease-Mineral Bone Disease
 
A Practical Approach to Anemia
A Practical Approach to AnemiaA Practical Approach to Anemia
A Practical Approach to Anemia
 
Anemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIseaseAnemia in Chronic Kidney DIsease
Anemia in Chronic Kidney DIsease
 
Diabetes insipidus
Diabetes insipidusDiabetes insipidus
Diabetes insipidus
 

Andere mochten auch

Renal Function Iin ICU
Renal Function Iin ICURenal Function Iin ICU
Renal Function Iin ICU
shivabirdi
 

Andere mochten auch (8)

Sodium dreadnaught
Sodium dreadnaughtSodium dreadnaught
Sodium dreadnaught
 
Hyperkalemia, an update
Hyperkalemia, an updateHyperkalemia, an update
Hyperkalemia, an update
 
Renal Function Iin ICU
Renal Function Iin ICURenal Function Iin ICU
Renal Function Iin ICU
 
Block1 pgy451-renal-awayda
Block1 pgy451-renal-awaydaBlock1 pgy451-renal-awayda
Block1 pgy451-renal-awayda
 
09.30.08(a): Physiology of Water Metabolism
09.30.08(a): Physiology of Water Metabolism09.30.08(a): Physiology of Water Metabolism
09.30.08(a): Physiology of Water Metabolism
 
Urinary system
Urinary systemUrinary system
Urinary system
 
Osmolar Gap
Osmolar GapOsmolar Gap
Osmolar Gap
 
Internal Medicine Board Review - Nephrology Flashcards - by Knowmedge
Internal Medicine Board Review - Nephrology Flashcards - by Knowmedge Internal Medicine Board Review - Nephrology Flashcards - by Knowmedge
Internal Medicine Board Review - Nephrology Flashcards - by Knowmedge
 

Ähnlich wie Electrolyte Free Water Clearance

Water electrolyte balance
Water electrolyte balanceWater electrolyte balance
Water electrolyte balance
Ashley Santos
 
Fluids And Electrolytes July1
Fluids And Electrolytes July1Fluids And Electrolytes July1
Fluids And Electrolytes July1
Joel Topf
 

Ähnlich wie Electrolyte Free Water Clearance (20)

Introduction to Body fluids Analysis
Introduction to Body fluids AnalysisIntroduction to Body fluids Analysis
Introduction to Body fluids Analysis
 
Kideney & body fluids
Kideney & body fluidsKideney & body fluids
Kideney & body fluids
 
fluid and electrolyte
fluid and electrolyte fluid and electrolyte
fluid and electrolyte
 
Water and electrolyte balance
Water and electrolyte balanceWater and electrolyte balance
Water and electrolyte balance
 
Disturbances of fluid and electrolyte balance
Disturbances of fluid and electrolyte balanceDisturbances of fluid and electrolyte balance
Disturbances of fluid and electrolyte balance
 
Disorder of water handling: Hypernatremia for residents.pptx
Disorder of water handling: Hypernatremia for residents.pptxDisorder of water handling: Hypernatremia for residents.pptx
Disorder of water handling: Hypernatremia for residents.pptx
 
Sodium
SodiumSodium
Sodium
 
Water electrolyte balance
Water electrolyte balanceWater electrolyte balance
Water electrolyte balance
 
Fluids And Electrolytes July1
Fluids And Electrolytes July1Fluids And Electrolytes July1
Fluids And Electrolytes July1
 
Fluid and electrolytes
Fluid and electrolytesFluid and electrolytes
Fluid and electrolytes
 
FLUIDS AND ELECTROLYTE IMBALANCE
FLUIDS AND ELECTROLYTE IMBALANCEFLUIDS AND ELECTROLYTE IMBALANCE
FLUIDS AND ELECTROLYTE IMBALANCE
 
hyponatremia hypernatremia
hyponatremia hypernatremiahyponatremia hypernatremia
hyponatremia hypernatremia
 
water and electrolyte (2).pptx Body is composed of about 60-70% water Distr...
water and electrolyte (2).pptx Body is composed of about 60-70% water Distr...water and electrolyte (2).pptx Body is composed of about 60-70% water Distr...
water and electrolyte (2).pptx Body is composed of about 60-70% water Distr...
 
Water, Electrolyte and acid-base balance.pptx
Water, Electrolyte and acid-base balance.pptxWater, Electrolyte and acid-base balance.pptx
Water, Electrolyte and acid-base balance.pptx
 
Body fluids
Body fluids Body fluids
Body fluids
 
Different Type of Intravenous fluids
Different Type of Intravenous fluids Different Type of Intravenous fluids
Different Type of Intravenous fluids
 
Water and electrolyte balance
Water and electrolyte balanceWater and electrolyte balance
Water and electrolyte balance
 
Excretion 2015
Excretion 2015Excretion 2015
Excretion 2015
 
WATER AND ELECTROLYTE BALANCE in normal and abnorm'
WATER AND ELECTROLYTE BALANCE in normal and abnorm'WATER AND ELECTROLYTE BALANCE in normal and abnorm'
WATER AND ELECTROLYTE BALANCE in normal and abnorm'
 
Fluid and electrolyt balance
Fluid and electrolyt balance Fluid and electrolyt balance
Fluid and electrolyt balance
 

Mehr von Joel Topf

Herbal toxins grand rounds feb 2014
Herbal toxins grand rounds feb 2014Herbal toxins grand rounds feb 2014
Herbal toxins grand rounds feb 2014
Joel Topf
 
Creatine supplements
Creatine supplementsCreatine supplements
Creatine supplements
Joel Topf
 
Imaging in Acute Kidney Injury, how not to harm patients
Imaging in Acute Kidney Injury, how not to harm patientsImaging in Acute Kidney Injury, how not to harm patients
Imaging in Acute Kidney Injury, how not to harm patients
Joel Topf
 
AKI Lecture 2010
AKI Lecture 2010AKI Lecture 2010
AKI Lecture 2010
Joel Topf
 
The Two Faces of Geriatric Kidney Disease
The Two Faces of Geriatric Kidney DiseaseThe Two Faces of Geriatric Kidney Disease
The Two Faces of Geriatric Kidney Disease
Joel Topf
 
Electrolyte Vignette
Electrolyte VignetteElectrolyte Vignette
Electrolyte Vignette
Joel Topf
 
The Kidney and HIV
The Kidney and HIVThe Kidney and HIV
The Kidney and HIV
Joel Topf
 
HIV and the Kidney 2009
HIV and the Kidney 2009HIV and the Kidney 2009
HIV and the Kidney 2009
Joel Topf
 
Hypernatremia Hypercalcemia Case Vignette
Hypernatremia Hypercalcemia Case VignetteHypernatremia Hypercalcemia Case Vignette
Hypernatremia Hypercalcemia Case Vignette
Joel Topf
 
Diabetic Nephropathy
Diabetic NephropathyDiabetic Nephropathy
Diabetic Nephropathy
Joel Topf
 

Mehr von Joel Topf (20)

Diabetic kidney disease
Diabetic kidney diseaseDiabetic kidney disease
Diabetic kidney disease
 
Low anion gap
Low anion gapLow anion gap
Low anion gap
 
Herbal toxins grand rounds feb 2014
Herbal toxins grand rounds feb 2014Herbal toxins grand rounds feb 2014
Herbal toxins grand rounds feb 2014
 
Acute Kidney Injury 2013
Acute Kidney Injury 2013Acute Kidney Injury 2013
Acute Kidney Injury 2013
 
Prescribing an app
Prescribing an appPrescribing an app
Prescribing an app
 
Creatine supplements
Creatine supplementsCreatine supplements
Creatine supplements
 
Social Media in Health Care
Social Media in Health CareSocial Media in Health Care
Social Media in Health Care
 
Imaging in Acute Kidney Injury, how not to harm patients
Imaging in Acute Kidney Injury, how not to harm patientsImaging in Acute Kidney Injury, how not to harm patients
Imaging in Acute Kidney Injury, how not to harm patients
 
AKI Lecture 2010
AKI Lecture 2010AKI Lecture 2010
AKI Lecture 2010
 
Uric Acid, Fructose and Hypertension
Uric Acid, Fructose and HypertensionUric Acid, Fructose and Hypertension
Uric Acid, Fructose and Hypertension
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
Diabetic Nephropathy 2009
Diabetic Nephropathy 2009Diabetic Nephropathy 2009
Diabetic Nephropathy 2009
 
The Two Faces of Geriatric Kidney Disease
The Two Faces of Geriatric Kidney DiseaseThe Two Faces of Geriatric Kidney Disease
The Two Faces of Geriatric Kidney Disease
 
Whats New In Potassium
Whats New In PotassiumWhats New In Potassium
Whats New In Potassium
 
Lead Time Bias
Lead Time BiasLead Time Bias
Lead Time Bias
 
Electrolyte Vignette
Electrolyte VignetteElectrolyte Vignette
Electrolyte Vignette
 
The Kidney and HIV
The Kidney and HIVThe Kidney and HIV
The Kidney and HIV
 
HIV and the Kidney 2009
HIV and the Kidney 2009HIV and the Kidney 2009
HIV and the Kidney 2009
 
Hypernatremia Hypercalcemia Case Vignette
Hypernatremia Hypercalcemia Case VignetteHypernatremia Hypercalcemia Case Vignette
Hypernatremia Hypercalcemia Case Vignette
 
Diabetic Nephropathy
Diabetic NephropathyDiabetic Nephropathy
Diabetic Nephropathy
 

Kürzlich hochgeladen

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
GENUINE ESCORT AGENCY
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
TANUJA PANDEY
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
hotbabesbook
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
chandars293
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
narwatsonia7
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
parulsinha
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Dipal Arora
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
khalifaescort01
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
 
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
narwatsonia7
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Dipal Arora
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
GENUINE ESCORT AGENCY
 

Kürzlich hochgeladen (20)

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 

Electrolyte Free Water Clearance

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Free water clearance 0.5 liter free water Solute component (plasma osmolality 284 mOsm/kg) Use clearance to calculate the osmolar clearance 1 liter 142 mOsm/Kg 0.5 liter 284 mOsm/Kg
  • 7. Free water clearance Solute component (Solute Clearance) ? 0.5 liter Zero mOsm/Kg Free water component (Free water Clearance) The free water component equals urine volume minus the solute component 1 liter 142 mOsm/Kg 0.5 liter 284 mOsm/Kg
  • 8. Free water clearance 0.5 liter 568 mOsm/Kg 1 liter 284 mOsm/Kg -0.5 liter 568 mOsm/Kg
  • 9. Free water clearance Solute component (plasma osmolality 284 mOsm/kg) Use clearance to calculate the osmolar clearance 1 liter 284 mOsm/Kg 0.5 liter 568 mOsm/Kg
  • 10. Free water clearance Solute component (Solute Clearance) ? Free water component (Free water Clearance) 0.5 liter 568 mOsm/Kg – 0.5 liter Zero mOsm/Kg 1 liter 284 mOsm/Kg
  • 11. Free water clearance: Implications Dilute urine increases serum osmolality Concentrated urine de-creases serum osmolality Dilute urine Solute free water Concentrated urine Negative free water Na + Na +
  • 13. Free water clearance: Math Examples
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.