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nephrology diagnosis treatment differential sodium hyponatremia diuretics hyperkalemia table workup 2 3 barre causes correction criticalcare di excretion goal guillain
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
kaliuresis step 1 ... determine response to diuretic ... hyperkalemia #kaliuresis #management ... #diuresis #nephrology ... #algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #nephrology #sodium
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... -> free water diuresis ... ) 1° polydipsia ... #Management
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... volume loss - diuretics ... Diagnosis #Workup #Algorithm ... #Nephrology
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... , Dehydration: neurologic ... unavailable 2) Osmotic Diuresis ... ([Na] / 140) - 1) ... Diagnosis #Treatment #management
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... #Management #Algorithm ... #Sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... nephrotic syndrome • Hyponatremia ... Lithium-induced nephrogenic ... and euvolemic hyponatremia ... #Nephrology #Pharmacology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... normal volume-based algorithm ... +K / serum Na >1 ... table #sodium #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
1. ... correction of 0.5-1 ... 3cc/kg/h, loop diuretics ... Correction #goal #rate #management ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... VBG (acidosis), CK ... clear cause) Management ... 5-10U reg IV + 1- ... Treatment #potassium #nephrology
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