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Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... ≥ POsm - Vasopressin-Dependent ... Cortisol deficiency UOsm ... #hyponatremia #diagnosis
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
- Differential Diagnosis ... Diuresis (Urine Osm ... <100 mOsm/kg) ... 100-200 mOsm/kg ... #Differential #Diagnosis
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
135 meq/L, serum Osm ... < 275 mosm/kg) ... Urine Na, Urine Osm ... Hyponatremia #Algorithm #Diagnosis
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 ... #Hyponatremia #Diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
• ADH Present (Uosm ... be high or low Uosm ... • ADH Present (Uosm ... #differential #diagnosis ... #table #sodium
Hyponatremia Differential Diagnosis Table • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential Diagnosis ... Table • Step ... • Urine Osm ... #Differential #Diagnosis ... #Table #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... ) Euvolemic • UOsm ... Toast Diet • UOsm ... Stress, Nausea, Pulmonary ... #Algorithm #diagnosis
Central vs Nephrogenic Diabetes Insipidus - Desmopressin Challenge Give desmopressin (intranasal, SQ, IV) and monitor UOsm every
IV) and monitor UOsm ... • No Rise in UOsm ... < 45% rise in UOsm ... 15-50% rise in UOsm ... Desmopressin #Challenge #diagnosis
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm Not the "classic" Volume based approach. #Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic ... Pathophysiology #Diagnosis ... Differential #Nephrology #UOsm
Hypernatremia - Diagnostic Evaluation Algorithm Step 1: Consider history. Most patients presenting with hypernatremia are either very
Hypernatremia - Diagnostic ... Step 2: Check Uosm ... using initial Uosm ... Hypernatremia #Diagnosis
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