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Algorithm for Management of SIADH with Fluid Restriction and Urea

by Helbert Rondon, MD @NephroMD

#SIADH #Management #algorithm
Management of SIADH ... @NephroMD #SIADH ... Management #algorithm #treatment
Cancer agents and Electrolyte Disorders
 • Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg
Axitinib,
Cisplatin from Low ... Cetuximab- due to low ... Bevacizumab, Volociximab-SIADH ... Methotrexate- SIADH ... Cisplatin- due to low
Diabetes Insipidus vs Syndrome of Inappropriate ADH (SIADH) - Comparison Table

Diabetes Insipidus - Inadequate ADH
SIADH -
Inappropriate ADH (SIADH ... Inadequate ADH SIADH ... Diabetes #Insipidus #SIADH
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Uric Acid - Low ... Uric Acid → SIADH ... nephrology #sodium #low
Low-Flow Priapism Treatment #Management #Anatomy #Urology #Ischemic #Priapism #Overview #RebelEM
Low-Flow Priapism ... Treatment #Management
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Fluid restriction SIADH ... Reset Osmostat - Treatment ... #Hyponatremia #Treatment
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Inappropriate - Consider: SIADH ... Primary polydipsia, Low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... can be high or low ... Primary polydipsia), Low
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Beer Potomania - Low ... insufficiency, SIADH
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... SatyaPatelMD #SIADH ... hyponatremia #nephrology #treatment