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diagnosis differential hypernatremia protocol 3 ascites clamp di hepatology hyperkalemia hypertonic insipidus physiologic potassium refractory saline siadh table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Na >1 is predictive ... : SIADH, Renal Sodium ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... augmentation with DDAVP ... #management #nephrology ... #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline ... for Treatment of ... 1) 100 ml bolus ... L in the first 1- ... #Treatment #management
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diagnosis Algorithm ... Workup Step #1 ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology
DDAVP Clamp Protocol in Hyponatremia • Stop any maintenance fluids. • Start DDAVP 2 mcg IV
in Hyponatremia ... 2 mcg IV q8h • ... Start 3% NaCl (1- ... every 2 hours initially ... #management #nephrology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Cirrhosis - Correct K ... give specific treatment ... #Management #algorithm ... #treatment #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... water unavailable 2) ... ([Na] / 140) - 1) ... #management #nephrology ... #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
: • Calcium 2- ... 5-10U reg IV + 1- ... 2 amps D50W ... Use gtt, NOT hypertonic ... #nephrology #K
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Options 1. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia # ... nephrology #treatment
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented Diuretic Resistant:
Re-appearance of grade 2 ... both for at least 1 ... <125mmol/L • K: ... Ascites #diagnosis #management ... #algorithm #treatment
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