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nephrology diagnosis algorithm hyponatremia treatment differential pharmacology acute aki anesthesia anesthesiology atopic checklist correction dermatitis dermatology diuresis diuretics epilepticus excretion
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... • Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Cirrhosis, Nephrotic syndrome ... > 30): SIADH, Medications ... Primary polydipsia, Low ... Algorithm #diagnosis #sodium
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Indications for ... Hypertonic Saline: seizure ... Demyelination Syndrome ... Correction #goal #rate #management
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... demyelination syndrome ... of symptomatic (seizures ... Diagnosis #Treatment #management ... #nephrology #sodium
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Injury (AKI) - Management ... derangements: • If low ... Diuretics • If low ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... • Hyponatremia ... • Nephrogenic ... and euvolemic hyponatremia ... #Pharmacology #Medications
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... • Give high flow ... Alternative medications ... IV Thiopental Sodium ... #Management #neurology
Atopic Dermatitis - Topical Treatment Options First Line: Topical Corticosteroids - High Potency: Betamethasone
halobetasol - Medium ... Fluticasone - Low ... products do not work ... Topical #Treatment #Medications ... #Dermatology #Management
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Check fresh gas flow ... overload / TURP syndrome ... intracranial pressure, seizure ... Checklist #Diagnosis #Management ... #Workup
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... tachycardia • Seizures ... diagnosis #nephrology #management
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