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nephrology diagnosis hyponatremia algorithm differential management treatment anticoagulation cerebral comparison low pathophysiology saltwasting toxicity toxicology uricacid workup
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Urine Osmolarity 3) ... Urine Sodium 4) ... Low Uric Acid → SIADH
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Salt Wasting vs SIADH ... Pathophysiology 1) ... Neurological event 2) Sodium ... from tubules 3) ... #hyponatremia #
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... administration Step 3. ... EUVOLEMIC • SIADH ... 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 ... post-obstructive 3) ... ([Na] / 140) - 1) ... #sodium
Citrate Anticoagulation Toxicity Hypernatremia (HyperNa): - Citrate solutions may have ↑ sodium content and should be paired
Toxicity Hypernatremia ... solutions may have ↑ sodium ... paired with a lower sodium ... accumulate as: - 1 ... Citrate → 3 HCO3
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Options 1. ... purposes, restrict to 1 ... hospitalization) 3. ... promoting passive sodium ... #Management #hyponatremia
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