12 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... mmol/L - true hyponatremia ... administration Step 3. ... renal failure #Hypernatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... 2) Urine Osmolarity ... 3) Urine Sodium ... Rachel Stern MD #Hyponatremia ... #Differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... 2) Is ADH elevated ... Treatment of hyponatremia ... augmentation with DDAVP
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... 2) Check urine ... osmolality 3) ADH ... @kidney_boy #Hyponatremia ... #hyponatremia #
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... renal mechanism 2) ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... Uglucose Step #3 ... DrEricStrong #Hypernatremia ... #Management #Algorithm
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... Overcorrection of Hyponatremia ... MetroHealth_EM #Hyponatremia
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
in Hyponatremia ... 2 mcg IV q8h • ... Monitor sodium every 2 ... Clamp #Protocol #Hyponatremia ... #management #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... and Treatment Hypernatremia ... Treatment of hypernatremia ... correction of chronic hypernatremia ... @EmmGeezee #Hypernatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Basically anything 2. ... hospitalization) 3. ... NS • If Urine osmolality ... SatyaPatelMD #SIADH #Management ... #hyponatremia #