11 results
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential Diagnosis ... water loss, Serum Sodium ... mannitol, glucosuria Low ... • Burns • ICU ... Hypernatremia #Nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... In short, best outcomes ... cause aspiration, hyperkalemia ... #CriticalCare # ... Refractory #Seizures #Algorithm
Hypokalemia Diagnostic Algorithm
To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... Algorithm To assess ... potassium-to-creatinine ratio on a spot ... #Hypokalemia #Diagnosis ... #nephrology #low
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot ... Rhabdomyolysis Treatment ... Gitelman #Syndrome #diagnosis ... #nephrology #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... patient causing hypovolemia ... #algorithm #management ... heartfailure #chf #criticalcare ... #icu #clinical
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Hyponatremia: • Hypovolemia ... #diagnosis #causes ... #nephrology #sodium ... #low
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
must now lose a ... the ECF causes Hyperkalemia ... #foamed #criticalcare ... #management #diagnosis ... #treatment #pharmacology
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
solutions may have ↑ sodium ... circulation → ↓Mg Hypocalcemia ... dysfunction or low ... Toxicity #toxicology #nephrology ... #diagnosis