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diagnosis differential sodium treatment hypernatremia table diuretics excretion high hyperkalemia k low medications pharmacology physiologic polyuria potassium rhabdomyolysis
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... water Extrarenal hypotonic ... perspiration Renal ... • Osmotic diuresis ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The ... time you have a case ... of hypotonic hyponatremia ... normal volume-based algorithm ... table #sodium #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... • Hypovolemia: Diuretics ... Syndrome, Chronic Renal ... #diagnosis #causes ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... losses, Diuretic ... Ketonuria, Osmotic diuresis ... #Causes #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... 300 mmol/kg • Hypertonic ... administration • Osmotic diuresis ... #Nephrology #Differential ... #Causes
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... /min) Osmotic Diuresis ... Recovery from Acute Renal ... #Polyuria #Nephrology ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential ... #Causes
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal ... irrigation • Management ... Kidney stones caused ... and euvolemic hyponatremia ... #Diuresis #Nephrology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Failure - Add Diuretics ... Add Diuretics, Consider ... considerations: Addison's, Renal ... #Management #algorithm
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