12 results
nephrology diagnosis differential sodium management treatment low cancer evaluation hypotonic oncology physiologic table volume workup
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... HyponatremiaAlgorithm by Satya Patel ... #Algorithm #diagnosis
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Inappropriate - Consider: SIADH ... #differential #algorithm ... #causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... insufficiency, SIADH ... thecurbsiders #Hyponatremia ... #causes #nephrology
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... tests Step 5: If SIADH ... considered likely, the cause ... Workup #Evaluation #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... bolus of 0.9% NS ... effects Satya Patel ... SatyaPatelMD #SIADH ... #Management #hyponatremia
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Treat underlying cause ... of SIADH: Pain, ... output Satya Patel ... #Management #hyponatremia
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... failure Satya Patel ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... normal volume-based algorithm ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Normalizes in SIADH ... • IF SIADH — ... look for cause ... #Management #algorithm
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