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Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... Repeat the sodium ... HYPERVOLEMIC • CHF ... #Diagnosis #Workup ... #Algorithm #Nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... in addition) of volume ... low, uric acid ... and uric acid low ... #Differential #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... mechanism 2) Volume ... • Euvolemic (Low ... Matthew Ho, MD PhD ... #sodium
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypovolemic - Give volume ... UnremarkableLab #Hyponatremia ... diagnosis #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... Hypothyroidism, Low ... #Hyponatremia # ... algorithm #diagnosis ... #sodium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... can be high or low ... Primary polydipsia), Low ... diagnosis #table #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Primary polydipsia, Low ... solute intake, ... #Algorithm #diagnosis ... #sodium #nephrology
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status Four principles
Patients with CHD ... bronchiolitis on their volume ... Anxiolysis to improve work ... Give IV sodium bicarbonate ... saturation is very low
Enema Selection / Comparison Table A short guide for choosing which enema to order depending on the
Sodium Phosphate ... onset (if safe), low ... : CKD (phos ↑), ... irritant - Notes: Low ... Contraindications: SIADH, Hyponatremia
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