19 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... Hypervolemic: Conn ... Workup #Algorithm #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Goal correction ... 3cc/kg/h, loop diuretics ... #rate #management ... #nephrology
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... consider adding loop diuretic ... CAREFUL for over-correction ... -> free water diuresis ... Treatment #Algorithm #Management
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients

CJASN May 2019, 14 (5)
Rate of Correction ... of Hypernatremia ... evidence that rapid correction ... #Rapid #Rate #Correction ... #Nephrology #Management
Hypernatremia Management Algorithm
Acute vs Chronic
Calculate Losses
 • Current water Deficit
 • Ongoing Free water Losses
 •
Hypernatremia Management ... Algorithm Acute vs Chronic ... Medicine @SCVMCMed #Hypernatremia ... #Management #Algorithm ... #treatment #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... liver cirrhosis, chronic ... nephrotic syndrome • Hyponatremia ... and euvolemic hyponatremia ... #Nephrology #Pharmacology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
caused by the inability ... (max rate of correction ... of chronic hyponatremia ... Diagnosis #Treatment #management ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... : • Acute or chronic ... Algorithm #Causes #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
unavailable 2) Osmotic Diuresis ... • Rapid correction ... of chronic hypernatremia ... Diagnosis #Treatment #management ... #nephrology #sodium
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... , address diuretic ... , & to correct hyponatremia ... Early nephrologv ... Fluid #Balance #management