15 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Utilizing Uric Acid ADH ... promotes Urea/uric ... Rachel Stern MD #Hyponatremia
Thiazide induced Hyponatremia - Pathophysiology
 • Reduced distal delivery
 • Inhibition of the NCC (dilution capcity)-
Thiazide induced Hyponatremia ... mechanism • Reduced urea ... permeability increased - ADH ... independent / ADH ... Thiazide #induced #Hyponatremia
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... status turns off ADH ... #Treatment #Algorithm ... #Management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... volume overload Urea ... into ammonium by urease-producing ... antagonists: • Blocks ADH ... #hyponatremia #
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... body water in comparison ... Rise in blood urea ... True hyponatremia ... #hyponatremia #ADH
Diagnostic Approach to Hyponatremia
Box A:
 • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Ineffective Osmoles: Urea ... Wilkinsonjonny #Hyponatremia ... #Diagnosis #Algorithm
Algorithm for Management of SIADH with Fluid Restriction and Urea

by Helbert Rondon, MD @NephroMD

#SIADH #Management #algorithm
Algorithm for Management ... Restriction and Urea ... NephroMD #SIADH #Management ... #algorithm #treatment ... #urea #nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Urea powder • Induces ... into ammonium by urease-producing ... vaptans) • Blocks ADH ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
Restriction in Hyponatremia ... + Medication (Urea ... #Restriction #Hyponatremia ... #diagnosis #management
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Heart Failure - Add ... FE Urate post correction ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm