@A25ma22 Hyponatremia more serious cause
1. In heart failure (activate ranin increase adh)lead low na and more work for the heart
2- low na shift fluid brain cell (nausea vomiting icp) due to decrease serum osmolarity
3- thiazid duretic cus low na
@A25ma22 Both of them are dangerous but(I think)hypomagnesemia
More common than hypermegnsium
Hypo mg lead to
1-hypo ca(tetany also prolong Qt interval)
2-hypo k(Bradycardia and PAC and PVC ARRHYTHMIA
The cause of hypo mg diarrhea and. Loop duretic
The cause of hyper mg renal failure
@A25ma22 -dopamin work b1 receptor that increase HR and contraction / norepinephrine work alpha receptor that cuz blood vessles vasoconstriction increase presure
@A25ma22 when the pt have inferior wall mi one of the complication right venticular infraction so lead do decrease blood flow going to left ventrical and we have hypotension we dont give nitrate cuz it develop vasodilation so this will progress the hypotension
@A25ma22 I think due to massive pe lead right side heart failure
Due increase pulmonary resistance. Which lead to hypotension so hypotension is a serious sign
@A25ma22 Needle decompression to make PT stable
Chest tube (definitive management)
X-ray to make sure Everything is fine like
Reinflate lung and the tube in correct side
And then treat the cause (side of injury)