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diagnosis differential hyponatremia nephrology causes management table algorithm diuresis diuretics excretion heatstroke hypotonic illness medications pharmacology physiologic renal rhabdomyolysis stroke
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
: • ADH ON (UOsm ... : Hypovolemia, Heart ... Cirrhosis, Nephrotic syndrome ... salt wasting • ADH ... Algorithm #diagnosis #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
majority of cases, ADH ... 2) Is ADH elevated ... demyelination syndrome ... of symptomatic (seizures ... management #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... : SIADH, Renal Sodium ... renal perfusion (Heart ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... depletion - Heart ... - Cirrhosis Syndrome ... Inappropriate ADH ... Table #Causes #Sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Illnesses and ... Dehydration - Loss of sodium ... conditions - Neurogenic ... illness → Hypernatremia ... consciousness, Coma/seizure
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Hyperthermia/Heat ... exhaustion, Heat ... exertion/training - Seizures ... Aldolase ↑ • LDH ... Hyperuricemia • Hyponatremia
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... • Hyponatremia ... • Nephrogenic ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Restriction for all • Heart ... give specific treatment ... Wilkinsonjonny #Hyponatremia ... #sodium
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