10 results
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients

CJASN May 2019, 14 (5)
Rate of Correction ... evidence that rapid correction ... for mortality, seizure ... #Rapid #Rate #Correction ... #Nephrology #Management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Hypertonic Saline: seizure ... Goal correction ... #rate #management ... #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... DrEricStrong #Hypernatremia ... #Management #Algorithm ... #Sodium #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... of symptomatic (seizures ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... • Rapid correction ... maximum rate of correction ... Diagnosis #Treatment #management ... #nephrology #sodium
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
circulation: MCA ACA ... Reversible course Differential ... • Magnesium correction ... Syndrome #diagnosis #management ... #neurology
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
Clamp Protocol in Hyponatremia ... Once the sodium ... rate to achieve correction ... Clamp #Protocol #Hyponatremia ... #management #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... causes #treatment #nephrology
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... diabetes insipidus Differential ... , Urine Sodium ... Polydipsia #diagnosis #management ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... ratio 0.5%) Differential ... tachycardia • Seizures ... Syndrome #diagnosis #nephrology ... #management #pathophysiology