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GAF, The Global Assessment of Functioning Scale

In precepting med-surg and step-down, Ive seen the best outcomes when nurses use a simple framework: confirm hypotonic hypernatremia, estimate the free-water deficit, choose fluids that match the physiology (DI vs dehydration vs osmotic diuresis), and correct slowly to avoid cerebral edema

The constant used in this last equation (0.029 kg/mg/24 h) was derived from individuals without renal disease 234 and should be reevaluated for ESRD patients

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Those of you looking to bulk up and need potential energy to carry heavy weight lifting or a longer workout can consider combining BCAA and Creatine

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