GI Bleed Differential neurology algorithm management hyponatremia sodium classification high low chloride

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9 results

True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum

Differential Algorithm ... low, uric acid ... high in hypovolemic ... low in euvolemic ... #Nephrology

Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid
ADH promotes Urea/uric acid excretion along with water

Hyponatremia Differential ... Diagnosis Algorithm ... Acid → SIADH - High ... #nephrology #sodium ... #low #uricacid

Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High

water loss, Serum Sodium ... >145 mmol/L High ... mannitol, glucosuria Low ... access to water GI ... #Nephrology #Differential

Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
• Tea and Toast Syndrome, Beer Potomania - Low solute

Hyponatremia - Differential ... Beer Potomania - Low ... Treat with a high ... Hypovolemic - GI ... #causes #nephrology

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Differential Diagnosis ... Workup Algorithm ... Hypovolemic (H2O loss): GI ... • Euvolemic (Low ... #nephrology #sodium

Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
• Kidney loss of Cl-

Algorithm Cl- ... alkalosis • Normal/low ... the excretion of sodium ... #urine #Algorithm ... #nephrology #differential

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

normal volume-based algorithm ... : SIADH, Renal Sodium ... diuresis can be high ... #differential # ... #nephrology

Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting

areas, back of thigh ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #diagnosis #management ... #criticalcare #differential

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