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hyponatremia nephrology table differential algorithm adh causes constipation diuresis diuretics drugs ebv enema excretion fleet gastroenterology hypotonic hypovolemia impaction inopressors
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... OFF (UNa > 30): SIADH ... Reset osmostat, Cerebral ... #Algorithm #diagnosis ... #sodium #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Renal losses, Cerebral ... uric acid <4 • SIADH ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... ADH secretion (SIADH ... osmostat - Cerebral ... Table #Causes #Sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
restriction alone in SIADH ... , Renal Sodium loss ... Insufficiency, Cerebral ... #differential #diagnosis ... #table #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Diabetes Insipidus: neurogenic ... patients at risk for cerebral ... #Treatment #management ... #nephrology #sodium
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
approaches to the diagnosis ... osmolality and urinary sodium ... the patient has SIADH ... or cerebral salt ... #Diagnosis #Hyponatremia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... body water in comparison ... consequence of cerebral ... True hyponatremia ... EBV #potomania #SIADH
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
, Anaphylaxis, Neurogenic ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... nephrotic syndrome • Hyponatremia ... and euvolemic hyponatremia ... Diuresis #Nephrology #Pharmacology
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