63 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
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... Step 2. ... administration Step 3. ... • nephrotic syndrome
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm 1) ... renal mechanism 2) ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
disease, water ... unavailable 2) ... post-obstructive 3) ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... demyelination syndrome ... vaptans (HF/liver disease ... #nephrology #sodium
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... , Anaphylaxis, Neurogenic ... Failure, Valvular Disease ... Pulmonary embolism 2) ... Nitroprusside, Nesiritide 3)
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
Syndrome caused ... appear in 1-2 days ... 1. ... resuscitation 3. ... vs Neurogenic Shock
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... GAS in 30% of cases ... IVIG 1g/kg on day 1, ... + 3 BIDMC Infectious ... #treatment #management
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Encephalopathy 1) ... L in the first 1- ... sodium should be ... Saline #Treatment #management ... #protocol #hyponatremia