Advances in Biology and Therapy of Multiple Myeloma: Volume

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Language: English

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Not likely to show on the exam but can happen in clinical practice is when a phlebotomist draws blood at the antecubital fossa when D5W is running at a distal hand IV site, showing hyponatremia (diluted) and hyperglycemia (from the dextrose). * “Real” hyponatremia is lab hyponatremia (from a basic metabolic panel) with low osmolality. * Hyponatremia with high osmolality (hyperglycemia), hyponatremia with normal osmolality (high lipids or protein), and hyponatremia with low osmolality (true hypoglycemia, multiple causes). * First step in determining why a patient is hyponatremic is determining the osmolality.

Pages: 322

Publisher: Springer; 2013 edition (November 15, 2012)

ISBN: 1461446651

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