14 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... Assess volume status ... Diagnosis #Workup #Algorithm ... #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... , confusion, seizures ... Assessment of volume status ... cardiac, liver, renal ... #Differential #Algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... epilepticus which may cause ... epilepticus may cause ... #Management #Neurology ... #Algorithm #PulmCrit
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mOsm/kg - Implies renal ... mechanism 2) Volume Status ... , Ingestion Renal ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Assess volume status ... of symptomatic (seizures ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... among the possible causes ... asymptomatic to seizures ... in renal failure ... in the renal tubules
Causes of Prolonged Emergence - Anesthesiology

Prolonged Drug Action:
• Overdose 
• Hypothermia (< 33 C) 
• Incr
hepatic — renal ... imbalance: — hyponatræmia ... • Alcohol Neurologic ... ischæmia • Seizure ... — post-ictal state
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 ... Sodium loss (diuretics ... diagnosis #table #sodium ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Syndrome, Chronic Renal ... #Differential #Algorithm ... #diagnosis #causes ... #nephrology #sodium
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... ADVANCED AIRWAY MANAGEMENT ... is available or seizure ... #neurology #seizures