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management diagnosis differential hypernatremia neurology siadh syndrome guillain guillainbarre hypertonic hypotonic physicalexam physiologic pisa pleurothotonus posture protocol rhabdomyolysis table
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... • Hypertonic saline ... #Nephrology #Differential ... #Causes
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of ... Hyponatremic Encephalopathy ... May repeat until clinical ... Increase in sodium ... L. 5) Monitor urine
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
usually caused by ... Measure urine osmolality ... syndrome. 3% saline ... #management #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... volume restriction alone ... #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... colon 0.9% Normal Saline ... : • If Urine osmolality ... SIADH #Management #hyponatremia ... #nephrology #treatment
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... DI; high dilute urine ... hyper/isotonic saline ... #management #nephrology ... #sodium
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... SIADH — look for cause ... give specific treatment ... #Management #algorithm ... #treatment #sodium
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... meningococcal, H1N1) Clinical ... Clinical Features ... /constipation, hyponatremia ... #neurology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... 0.9% NS • If Urine ... SIADH #Management #hyponatremia ... #nephrology #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Dermatomyositis Clinical ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... #treatment #nephrology
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