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Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... hyponatremia ... Helbert Rondon, MD @NephroMD ... #hypotonic # ... hyponatremia #nephrology
Differential Diagnosis and Evaluation of Hyponatremia #Diagnosis #EM #IM #Nephro #Hyponatremia #Algorithm #VolumeStatus #Differential #Ddxof
Differential Diagnosis ... Evaluation of Hyponatremia ... #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #VolumeStatus #Differential
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... administration #Hypernatremia ... #Differential # ... Diagnosis #Causes #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
HypoNatremia Algorithm ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology ... #Differential # ... Hypotonic
Differential Diagnosis and Evaluation of Hypernatremia #Diagnosis #EM #IM #Nephro #Hypernatremia #Algorithm #VolumeStatus #Differential #DiabetesInsipidus #Ddxof
Differential Diagnosis ... Evaluation of Hypernatremia ... #Diagnosis #EM ... #IM #Nephro #Hypernatremia ... #VolumeStatus #Differential
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic Hyponatremia ... Hyponatremia: ... Hyponatremia: Hyperglycemia ... MH/CCF/CWRU EM
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... Evaluation of Hyponatremia ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... Pseudohyponatremia #Differential
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Indications for Hypertonic ... Overcorrection of Hyponatremia ... MH/CCF/CWRU EM ... MetroHealth_EM #Hyponatremia
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... 300 mmol/kg • Hypertonic ... Hyperventilation #Hypernatremia ... #Nephrology #Differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The ... hyponatremia, give ... #Hyponatremia # ... differential #diagnosis ... table #sodium #nephrology