12 results
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... - Checklist ... sodium excretion ... @PulmCrit #AKI ... #Nephrology #CriticalCare
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : SIADH, Renal Sodium ... Renal Losses (AKI ... diagnosis #table #sodium ... #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... Neurological event 2) Sodium ... → Increased urine ... #diagnosis #nephrology ... #hyponatremia #
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) Check Urine ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... Measure urine osmolality ... Treatment #management #nephrology ... #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... Saline: • If Urine ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia ... #nephrology #treatment
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... list here, ie hyponatremia ... , AKI, etc.) ... CPK, HIV, EtOH, Urine ... #ICU #Pearls #Checklist
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
promoting passive sodium ... 0.9% NS • If Urine ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia ... #nephrology #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Weakness - Dark urine ... Labs: • CPK 5X ULN ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... hour with goal urine
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... with symptomatic hyponatremia ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium