12 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Utilizing Uric Acid ADH ... Osmolarity 3) Urine Sodium ... Differential #Diagnosis #Algorithm ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... Salt Wasting • ADH ... differential #diagnosis #table ... #sodium #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hyponatremia: • ADH ... salt wasting • ADH ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Inappropriate ADH ... insufficiency ADH ... Differential #Diagnosis #Table ... #Causes #Sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... • UOsm > 300 - ADH ... - Appropriate ADH ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Insensible losses Sodium ... Insipidus (Decr ADH ... Insipidus (Incr ADH ... Differential #Diagnosis #Table
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Heart Failure - Add ... Add Diuretics, Consider ... Hyponatremia #Management #algorithm ... #treatment #sodium
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Heart Failure (ADHF ... presenting with ADHF ... suspected to be in ADHF ... #differential #algorithm ... cardiology #treatment #table
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic Algorithm ... osmolality 3) ADH ... status, urine sodium ... Hyponatremia #Diagnosis #Algorithm
Algorithm for Diagnosis and Management of Resistant Hypertension in CKD
Pseudoresistant Hypertension - Reduce barriers to adherence:
Algorithm for Diagnosis ... Modifications • Low sodium ... Add loop diuretic ... under dry weight →Add ... Hypertension #CKD #Algorithm