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Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... - RAAS ON (UNa ... Cirrhosis, Nephrotic syndrome ... #Algorithm #diagnosis ... #sodium #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypo-osmolar Hypotonic ... HypoNatremia Algorithm ... #Algorithm #Diagnosis ... #Nephrology #Differential ... #Hypotonic
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... water Extrarenal hypotonic ... #Differential #Diagnosis ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
or Ineffective (UNa ... solute intake, UNa ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis ... table #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential Diagnosis ... Cardiac failure #Hyponatremia ... #Differential #Diagnosis ... Algorithm #Causes #nephrology
Visualizing Hypotonic Hyponatremia • UNa reveals RAAS activity. • UOsm reveals ADH activity. • ADH secretion
Visualizing Hypotonic ... Hyponatremia ... • UNa reveals RAAS ... Graph #nephrology ... #diagnosis #sodium
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Vasopressin-Dependent • UNa ... Cirrhosis • UNa ... #diagnosis #differential ... algorithm #causes #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
, Recent TURP Hypotonic ... Cirrhosis, Nephrotic Syndrome ... Hypothyroidism Hypertonic ... Differential #Algorithm #diagnosis ... #causes #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Indications for Hypertonic ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... rate #management #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Nephrotic syndrome
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