16 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... - RAAS ON (UNa ... - RAAS OFF (UNa ... #Algorithm #diagnosis ... #sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... or Ineffective (UNa ... : SIADH, Renal Sodium ... #differential #diagnosis ... #table #sodium
Hyponatremia - Correction for Hyperglycemia

#Diagnosis #Pseudohyponatremia #Hyperglycemia #Glucose #Correction #Formula #Sodium #Na
Hyponatremia - Correction ... Hyperglycemia #Diagnosis ... Correction #Formula #Sodium ... #Na
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... Diagnosis Table ... MatthewHoMD #Hyponatremia ... #Differential #Diagnosis ... Table #nephrology #sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... acid >4 • Urine Na ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis ... #sodium #low #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... carcinoma of the lung ... #Differential #Diagnosis ... Table #Causes #Sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) Sodium ... reabsorption 5) ↓ Na ... Pathophysiology #diagnosis ... #nephrology #hyponatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Pain, Primary lung ... using this as a long-term ... promoting passive sodium ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia
Visualizing Hypotonic Hyponatremia

 • UNa reveals RAAS activity.
 • UOsm reveals ADH activity.
 • ADH secretion
Visualizing Hypotonic Hyponatremia ... • UNa reveals ... #Hypotonic #Hyponatremia ... Graph #nephrology #diagnosis ... #sodium