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hyponatremia diagnosis sodium differential low treatment causes hypotonic physiologic table volume
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Heart failure, Cirrhosis ... , Nephrotic syndrome ... OFF (UNa > 30): SIADH ... HyponatremiaAlgorithm by Satya Patel ... #sodium #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... EUVOLEMIC • SIADH ... • nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... Heart failure, Cirrhosis ... , Nephrotic syndrome ... failure Satya Patel ... #algorithm #diagnosis
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... underlying cause (CHF, cirrhosis ... , nephrotic syndrome ... , SSRIs) - SIADH ... #diagnosis #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... Heart failure, Cirrhosis ... , Nephrotic syndrome ... table #sodium #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Contraindicated in cirrhosis ... effects Satya Patel ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... • Euvolemia: SIADH ... Failure, Liver Cirrhosis ... , Nephrotic Syndrome ... diagnosis #causes #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Contraindicated in cirrhosis ... output Satya Patel ... #Management #hyponatremia ... #nephrology #treatment
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