63 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Utilizing Uric Acid ADH ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... differential #diagnosis #table ... #sodium #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... acid: - Urine sodium ... low, uric acid ... and uric acid low ... #Differential #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... underlying cause (CHF ... • UOsm > 300 - ADH ... - Appropriate ADH ... diagnosis #nephrology #sodium
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hyponatremia: • ADH ... salt wasting • ADH ... Primary polydipsia, Low ... #diagnosis #sodium
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
Patients with CHD ... q1-2 minutes (add ... Give IV sodium bicarbonate ... saturation is very low ... Peds #Pediatrics #CHD
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
the total body sodium ... osmolality, urine sodium ... stimulated in states of low ... activated in states of low ... Measured urine sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Inappropriate ADH ... Reduced GFR, AKI/CRF ... 100 mmol/kg - ADH ... Differential #Diagnosis #Algorithm
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... CHF, Cirrhosis ... status turns off ADH ... Hyponatremia #Treatment #Algorithm
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... blood pressure; HF ... intravenous; SGLT2‐I, sodium–glucose ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive