6 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
ON (UNa < 30): ... SIADH, Medications ... Reset osmostat, Cerebral ... solute intake, Beer potomania ... Algorithm #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
RAAS Inactive ... or Ineffective (UNa ... (Uosm ≥100): SIADH ... Insufficiency, Cerebral ... solute intake (Beer potomania
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
consequence of cerebral ... #hyponatremia #ADH ... #EBV #potomania ... #SIADH #Thiazides ... #UNAa #osmolality
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
secretion (SIADH ... carcinoma of the lung ... osmostat - Cerebral ... polydipsia - Beer potomania ... Table #Causes #Sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... promoting passive sodium ... < 538 AND UNa + ... antagonists: • Blocks ADH ... #nephrology #treatment
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... NS • If Urine osmolality ... < 538 AND UNa + ... vaptans) • Blocks ADH