33 results
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... fractional excretion of sodium ... - Dr. ... AcuteKidneyInjury #Nephrology ... #CriticalCare
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
water retention 1) ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... #nephrology #sodium
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
(FENa) = (Urine ... / (Serum Na+ x Urine ... Cr) FEurea < 1% ... suggests ATN - Dr ... #nephrology #calculation
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Workup Step #1 ... ASanchez_PS and Dr ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... Big thanks to Dr ... #Seizure #Algorithm ... #CriticalCare # ... Neurology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
kaliuresis step 1 ... hyperkalemia #kaliuresis #management ... #criticalcare # ... diuretics #diuresis #nephrology ... #algorithm
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) Sodium ... → Increased urine ... therapy → rare - Dr ... Pathophysiology #diagnosis #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Acidosis (RTA) Type 1 ... Failure to acidify urine ... pH <5.5 - Dr ... Distal #Diagnosis #Management ... #Nephrology #Causes
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
1) Check serum ... osmolality 2) Check urine ... volume status, urine ... sodium, uric acid ... #hyponatremia #nephrology