9 results
hyponatremia diagnosis nephrology management treatment algorithm differential table causes cerebral comparison criticalcare ebv hyperacute hypotonic hypovolemia hypoxemia hypoxia osmolality pathophysiology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
restriction alone in SIADH ... or Ineffective (UNa ... (Uosm ≥100): SIADH ... , Renal Sodium loss ... solute intake, UNa
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Hyponatremia: • ADH ... - RAAS ON (UNa ... - RAAS OFF (UNa ... > 30): SIADH, Medications ... Algorithm #diagnosis #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Salt Wasting vs SIADH ... Neurological event 2) Sodium ... Hypovolaemia → ADH ... reabsorption 5) ↓ Na ... #SaltWasting #SIADH
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... pain, primary lung ... promoting passive sodium ... osmolality < 538 AND UNa ... antagonists: • Blocks ADH
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Pain, Primary lung ... promoting passive sodium ... osmolality < 538 AND UNa ... vaptans) • Blocks ADH
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Inappropriate ADH ... secretion (SIADH ... carcinoma of the lung ... insufficiency ADH ... Table #Causes #Sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
the total body sodium ... concentration (UNa ... intravascular volume; UNa ... EBV #potomania #SIADH ... #Thiazides #UNAa
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Heart Failure - Add ... Add Diuretics, Consider ... Normalizes in SIADH ... • IF SIADH — ... algorithm #treatment #sodium
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Alveolar Hemorrhage (DAH ... (JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... • Aspiration/PNA
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