Just saw 2 ICU hyperNa cases, so here's a #medsky #nephsky🧵 on why...
🤨 Out: Solute-free H2O clearance
😎 In: Electrolyte-free H2O clearance
🫘 1st was recovering from AKI -->⬆️ filtered urea load as the BUN ⬇️
🥩 2nd was receiving very high protein tube feeds -->⬆️ filtered urea load with stable BUN
