12 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Kidney stones caused ... Tolvaptan) • Treatment ... and euvolemic hyponatremia ... #Nephrology #Pharmacology ... #Medications #Table
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... administration • Osmotic diuresis ... mannitol, glucosuria Low ... #Nephrology #Differential ... #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... consumption • Low ... Alkalosis: Emesis, Diuretics ... differential #potassium #nephrology ... #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, K-sparing diuretics ... only if no clear cause ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Cirrhosis - Correct K ... K-opoid agonists ... #Management #algorithm ... #treatment #sodium
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... • Hypovolemia: Diuretics ... #diagnosis #causes ... #nephrology #sodium ... #low
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... syndrome • Triggers: Diuretics ... Pulm: Hypoxia, dyspnea ... values: Elevated K, ... , Elevated Cr, Low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Hyperuricemia • Hyponatremia ... per day until stable ... Loop diuretics for ... #treatment #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... excreted using diuretics ... the determined cause ... #differential #algorithm ... #table #foamed