Absorption of irrigation fluidsUrine osmolality <250 mOsm/kgSerum hyponatremiaVariably presentObservationHyperglycemiaCommonDiabetes mellitusStress hyperglycemiaSteroid administrationGlucosuriaPseudohyponatremiaHypokalemiaAcidosis (DKA)↑osmolality (HHNK)Insulin, potassium supplementationMannitolOccasionalReduction of intracranial pressure (ICP), renal protection during rhabdomyolysisSerum hyponatremia, increased osmolality, hypokalemia; rarely hyperkalemiaSelf-limitedPost-obstruction…

Caution in renal failure owing to renally eliminated metabolite (normeperidine), but small doses probably safe.Contraindicated with monoamine oxidase inhibitorsMorphine0.5 mg IV q 5 minutes (max 2.5 mg)μ-receptor agonistNot as efficacious…

Figure 33.1 Algorithm for determining the cause of postoperative paresthesia. Postoperative neuropathy When a patient complains of pain, weakness, or numbness/paresthesia, the first question is whether the symptom began before…

Figure 32.1 Corneal abrasion. Corneal abrasion management: Although prevention is preferable to treatment, most corneal abrasions heal spontaneously within 48 hours without sequela. Ophthalmological treatment may consist of antibiotic drops…

Figure 30.1 Common skin abnormalities of the early postoperative period. Diffuse rashes Red man syndrome: Red man syndrome results from vancomycin administration. The incidence increases at higher doses (>1 g)…

Figure 29.1 Diagnostic and treatment algorithm for postoperative crying or tearing. Management: Postoperative crying has not been associated with adverse outcome or increased perioperative risk. Specifically, it is not known…

Figure 26.1 Algorithm for treatment of early postoperative delirium. If a treatable underlying cause for early postoperative delirium is not identified, non-pharmacological interventions are indicated. Calm reassurance and orientation may…

Figure 24.1 Differential diagnosis of postoperative rigidity. Malignant hyperthermia The incidence of MH is 1 per 100,000 general anesthetics delivered in hospitals and 0.31 per 100,000 anesthetics delivered in ambulatory…

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 23 Limb paralysis James W. Heitz Post-Anesthesia Care: Symptoms, Diagnosis, and Management, ed. James W. Heitz. Published by Cambridge University Press. © Cambridge University Press…

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 21 Weakness Donald Baumann Post-Anesthesia Care: Symptoms, Diagnosis, and Management, ed. James W. Heitz. Published by Cambridge University Press. © Cambridge University Press 2016. Diffuse…