13 results
nephrology diagnosis management sodium differential treatment causes table workup comparison enema evaluation fleet gastroenterology hypernatremia hypotonic impaction low mineraloil pharmacology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... uric acid <4 • SIADH ... failure Satya Patel ... #Hyponatremia # ... algorithm #diagnosis
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... polydipsia, Low solute ... HyponatremiaAlgorithm by Satya Patel ... #Algorithm #diagnosis
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... • extra-renal volume ... EUVOLEMIC • SIADH ... Diagnosis #Workup #Algorithm
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... Fluid restriction SIADH ... indicated Any form of volume ... #Treatment #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypovolemic - Give volume ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
than the normal volume-based ... algorithm Urine ... poor response to volume ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Inappropriate - Consider: SIADH ... polydipsia, Low solute ... #differential #algorithm
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... Step 3: Assess volume ... tests Step 5: If SIADH ... Workup #Evaluation #Algorithm
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... insufficiency, SIADH ... thecurbsiders #Hyponatremia ... Differential #Diagnosis #Algorithm
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... This can cause volume ... output Satya Patel ... #Management #hyponatremia
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