9 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypertonic Hyponatremia ... Urologic irrigants Hypotonic ... Medications (diuretics), Hypothyroidism ... #diagnosis #sodium
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
Treatment of Thyroid Storm ... Lugol's Solution Sodium ... #thyroidstorm #hyperthyroidism
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
have a case of hypotonic ... normal volume-based algorithm ... : SIADH, Renal Sodium ... or low Uosm), Hypothyroidism ... diagnosis #table #sodium
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... , Recent TURP Hypotonic ... Renal Failure, Hypothyroidism ... Hypertonic Hyponatremia ... causes #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Differential Diagnosis Algorithm ... water loss, Serum Sodium ... 300 mmol/kg • Hypertonic ... Differential #Diagnosis #Algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... • SIADH • hypothyroidism ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... CKD, Thiazides, Hypothyroidism ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
acid <4 • SIADH, Hypothyroidism ... #Hyponatremia #algorithm ... #diagnosis #sodium
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Hyponatremia Hypertonic ... after infusion of Hypertonic ... including the hypertonic ... Hyponatremia #Management #algorithm ... #treatment #sodium