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Algorithm for Management of SIADH with Fluid Restriction and Urea by Helbert Rondon, MD @NephroMD #SIADH #Management #algorithm
Algorithm for Management ... of SIADH with Fluid ... @NephroMD #SIADH ... #Management #algorithm
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Inappropriate - Consider: SIADH ... #differential #algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Low Uric Acid → SIADH ... Differential #Diagnosis #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Diagnostic Evaluation Algorithm ... tests Step 5: If SIADH ... Workup #Evaluation #Algorithm
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... Fluid restriction SIADH ... Hyponatremia #Treatment #Algorithm
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... insufficiency, SIADH ... Differential #Diagnosis #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... OFF (UNa > 30): SIADH ... #Hyponatremia #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... , SSRIs) - SIADH ... Differential #Diagnosis #Algorithm
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... #Hyponatremia #algorithm
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 ... Present (Uosm ≥100): SIADH
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