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diagnosis differential algorithm nephrology management causes sodium hypernatremia treatment table pathophysiology endocrinology neurology correction electrolytes pharmacology seizures signs symptoms workup
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Inappropriate - Consider: SIADH ... Cortisol deficiency UOsm ... @NephroMD #hyponatremia
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... : • ADH ON (UOsm ... OFF (UNa > 30): SIADH ... wasting • ADH OFF (UOsm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... restriction alone in SIADH ... ≥100): SIADH, Renal ... Physiologic #Hypotonic #Hyponatremia
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Consider whether Posm ... Step 2: Check Uosm ... tests Step 5: If SIADH ... DrEricStrong #Hyponatremia
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... ) Euvolemic • UOsm ... Toast Diet • UOsm ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment ... Fluid restriction SIADH ... reversible - If Uosm ... DrEricStrong #Hyponatremia
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Algorithm in Cancer UOsm ... ≥ 100 mOsm/kg = ... inappropriate • SIAD ... metastases) #Hyponatremia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... True hyponatremia ... If Posm >285 mOsm ... urine osmolality (Uosm ... EBV #potomania #SIADH
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... 135 meq/L, serum Osm ... < 275 mosm/kg) ... Urine Na, Urine Osm ... #Hyponatremia
Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status Hypervolemic hypernatremia - CHF
and Features of Hyponatremia ... Hypervolemic hypernatremia ... Normovolemic hyponatremia ... - Drugs - SIADH ... Diarrhea #Hyponatremia
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