7 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #nephrology #sodium
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... of Hyponatremia ... Assessment of volume status ... history #Diagnosis #EM ... #Differential #Algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... volume loss - diuretics ... Diagnosis #Workup #Algorithm ... #Nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... - MH/CCF/CWRU EM ... Management #Seizure #Algorithm ... #CriticalCare # ... Neurology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... , & to correct hyponatremia ... high aldosterone states ... Early nephrologv ... Balance #management #criticalcare
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... • Hypovolemia: Diuretics ... MH/CCF/CWRU EM ... #Differential #Algorithm ... diagnosis #causes #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... are excellent at evaluating ... excreted using diuretics ... #differential #algorithm ... heartfailure #chf #criticalcare