11 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... #Management #Algorithm ... #Sodium #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... #hyponatremia # ... comparison
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... Diagnosis #Treatment #management ... #nephrology #sodium
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Vasoactive Drugs 1) ... , Anaphylaxis, Neurogenic ... Pulmonary embolism 2) ... Nitroprusside, Nesiritide 3) ... #comparison #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Dopamine, low 1- ... #Pharmacology # ... Effect #Management ... #Comparison #Inotropes
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... 1) Is it hypotonic ... 2) Is ADH elevated ... Diagnosis #Treatment #management ... #nephrology #sodium
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
Clamp Protocol in Hyponatremia ... • Start DDAVP 2 ... NaCl (1-1.5 ml/ ... every 2 hours initially ... #management #nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treatment Options 1. ... hospitalization) 3. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... tissue perfusion 2. ... altered mentation 3. ... due to loss of sodium ... warm #wet #dry #table
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Hyperuricemia • Hyponatremia ... obstruction 3. ... output: 200 ml/hr 3. ... per day until stable