62 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... - RAAS ON (UNa ... - RAAS OFF (UNa ... Primary polydipsia, Low ... #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... solute intake, UNa ... Primary polydipsia), Low
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... acid: - Urine sodium ... low, uric acid ... and uric acid low ... #Differential #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
acid >4 • Urine Na ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Vasopressin-Dependent • UNa ... Cirrhosis • UNa ... Primary polydipsia, Low ... #differential #algorithm
How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
How much sodium ... saline = 0.9% sodium ... meq/L) x (23 mg Na ... meq) = 3,542 mg Na ... about as much sodium
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... pulm edema not PNA ... according to Blue Protocol ... a lot of B lines ... but need to know how