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management diagnosis hyponatremia treatment nephrology causes clamp ddavp fatigue hypernatremia hypertension hypertonic ibd saline screening secondary table workup
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
The target for correction ... hypertonic saline correction ... FE Urate post correction ... Volume • Consider correction ... • Calculate correction
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
hours. 2) Serum sodium ... Increase in sodium ... first 5 hours. 4) Correction ... Treatment #management #protocol
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... and avoid rapid correction ... (max rate of correction ... /L/day) Rapid correction ... management #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - Differential ... The differential ... • Rapid correction ... maximum rate of correction ... management #nephrology #sodium
DDAVP Clamp Protocol in Hyponatremia • Stop any maintenance fluids. • Start DDAVP 2 mcg IV
DDAVP Clamp Protocol ... day • Monitor sodium ... Once the sodium ... rate to achieve correction ... #DDAVP #Clamp #Protocol
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... Receptor (sTfR) to differentiate ... fatigue after correction ... modifications Algorithm ... #Fatigue #IBD #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... standardized conditions (correction ... Oral sodium loading ... #Hypertension #Differential
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