6, 8 Serum potassium levels have a U-shaped curve association with morbidity and mortality. 6, 7 Patients with an abnormal potassium level on admission (adjusted odds ratio = 1.49 95% CI, 1.26 to 1.75) and patients with hyperkalemia (adjusted OR = 1.44 95% CI, 1.11 to 1.87) requiring admission to a cardiac intensive care unit have an elevated risk of mortality. 5 The inpatient prevalence of hyperkalemia and hypokalemia ranges from 6.9% to 12.3% and 2.9% to 7.4%, respectively. 4, 5 In patients with chronic kidney disease (CKD), the prevalence of hyperkalemia is 18%. 1 – 3 The prevalence of hyperkalemia in the general population is 3.3%, and hypokalemia is 1.9% however, in the emergency department, the prevalence is 3.6% and 5.5%, respectively. Homeostasis maintains a normal range of serum potassium defined as 3.5 to 5.0 mEq per L. Long-term management of potassium disturbances includes correcting underlying conditions, dietary counseling, and adjusting causative medications. Sodium polystyrene sulfonate is associated with serious gastrointestinal adverse effects. Patiromer and sodium zirconium cyclosilicate are newer potassium binders and may be used in chronic or acute hyperkalemia. Dialysis may be considered in the presence of end-stage renal disease, severe renal impairment, or ongoing potassium release. Acute treatment may include intravenous calcium, insulin, sodium bicarbonate, diuretics, and beta agonists. Emergent treatment is recommended for patients with clinical signs and symptoms (e.g., muscle weakness, paralysis) or if electrocardiography abnormalities are present. Electrocardiography identifies cardiac conduction disturbances but may not correlate with serum potassium levels. Hyperkalemia is caused by impaired renal excretion, transcellular shifts, or increased potassium intake. An oral route is preferred if the patient has a functioning gastrointestinal tract and a serum potassium level greater than 2.5 mEq per L. The underlying cause should be addressed, and potassium levels replenished. Severe features of hypokalemia that require urgent treatment include a serum potassium level of 2.5 mEq per L or less, electrocardiography abnormalities, or neuromuscular symptoms. Hypokalemia is caused by decreased intake, renal losses, gastrointestinal losses, or transcellular shifts. The World Health Organization recommends a potassium intake of at least 3,510 mg per day for optimal cardiovascular health. Hypokalemia and hyperkalemia occur when serum potassium levels are less than 3.5 mEq per L or greater than 5.0 mEq per L, respectively.
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Tank Char - can use heart of steal to be more tanky Melee strength char - can use tentacle as a physical range Originally posted by The_K00lDude:it seems that polymorph is a support skill line, somthing you don't need but can be usefull in certain situations kind of thing. I don't find Polymorph any worse than Warfare for instance, you simply have to be more creative with Polymorph to make good use of it if you focus on it.Īs for the Spears as every type of weapon it's quite luck based, the Act 1 isn't super generous in good unique Spear but you can still have the chance to get an Epic quality one that kicks butts and hopefully there will be more unique Spears that are stronger later on. It can be beneficial to have a character or two that are much more flexible and can react to any type of situation and don't rely too heavily on one precise strategy. I don't think that being master of none is a bad thing as long as it makes sense in your overall party. None other school allows for so much flexibility which does mean that anyone can spend points in Polymorph to learn what they want to be more effective at what they do or that you can have one character jack of all trades but master of none. If you think about it, even in the current version (which doesn't have all spells available obviously) you have very varied options available: damage from a distance, bleed-charge, best mobility with wings, invisiblity, heavy tanking (which will become a source spell so don't rely too much on it, I mean graft skin), chicken transform and I probably forget one or two. I think that a pure Polymorph could be an interesting gameplay actually. We should really be able to make a "DEX-fighter" like in good old AD&D times. nice, but I always dropped these because there is no use for them. Sidenote: The spear we get from Withermoore and the one we find in the stronghold are. The additiobal stat point lets me afford a point or two in STR, so that the tentacle lash will be more efficient over time.įrom what I read on this forum, your statements and my experiences, I think that a "pure" polymorph ( at least as it is in it's current state) would not be as viable as a hybrid of I find it pretty useful for a rogue as example because of that invisibility skill. Originally posted by imminence:After the first attempts I did exactly what you wrote. Having a few Spear-based abilities would have been really neat (like magic jalevin throw, super jump, a big piercing charge forward going through armor etc.) I wish Spears had more uses and didn't felt like after-thought shoe-horned into the game. (like going for Fighter, Knight or Inquisitor if you want a close-range fighter with polymorph skills, pick a ranger, wayfarer if you want a ranged one etc). I recommend picking the type of build you want and then put points in Polymorph when your character levels up. Technically you could play a dextrous spear-using Polymorph but forcing it on is really annoying and is a big waste of attributes for any other build you want to go for. I personally strongl recommend to never use the Polymorph archetype as the choices made for it are really stupid. Combine any Geomancer Skill book and any Polymorphing Skill book.I sadly think Polymorph is counted as Dextrous only because it would even the number of classes in each categories and those categories aren't super relevant anyway as the Battlemage is litterally in-between two categories and present in only one.Īs for why the Metamorph starts with a spear and dexterity I think it's because none other archetype uses spears so they put it here by default because it wouldn't fit anywhere else.Poisonous Skin is a Polymorph Skill in Divinity Orginal Sin 2. You get immunity to poison and earth, but lowered resistance to air. Platform height is adjustable in 3" increments. 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However, there are other non-WWE games on the platform that fills the void in Wrestling Empire and Retromania Wrestling. WWE 2K has not released a new simulation wrestling game on the Nintendo Switch for years, outside of the arcade-based WWE 2K Battlegrounds that was released in 2020. The newest edition of the WWE franchise will be available for both old and current-gen Xbox and PlayStation consoles, and for PC users. WWE 2K22, as of the title’s release announcement, will not be available for the Nintendo Switch. Let’s tell you what we know about this question. The follow-up title, WWE 2K23, was released on. Thanks to new information released by 2K Sports, we have an answer. It was released on March 11, 2022, for PlayStation 4, PlayStation 5, Windows, Xbox One, and Xbox Series X/S. With WWE 2K22 right around the corner on March 11, many Nintendo owners may be wondering if the drought will end in 2022. That title was the only one in the WWE 2K franchise to be released for the Nintendo Switch. Outside of the release of a non-simulation game, a new WWE 2K game has not gone live on the platform since 2017 with the release of WWE 2K18. Software description provided by the publisher.It’s been quite some time since a WWE 2K game has been released for the Nintendo Switch. Own once and forever with no micro-transactions or added costs - even as the concept continues to evolve.Tag in up to 4 friends at ANY time for old school multiplayer on the same screen.Design matches & arenas before your very eyes with the most intuitive setup process in wrestling.Interactive tutorial makes wrestling easy to play yet satisfying to master.Enjoy the action from different camera angles to suit any playing style.Unique animation system allows any move to transition into any other at any moment for mind-blowing spots that you'll want to catch on camera!. Door-to-door interactivity trusts you to make your own entrance AND walk back through the curtain. 4:14 AM -08:00 UTC WWE 2K23 Nintendo Switch - Release Date & Everything we know Nintendo fans won't be entering the ring any time soon By Matthew Francis WWE 2K23 has been.Gaming's most engrossing simulation of life as a wrestler - from contract negotiations to weekly news reports. The PlayStation 5 held strong as the best selling console in 2023, despite the Nintendo Switch toppling it for the month of May 2023.
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