10 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Na >1 is predictive ... restriction alone in ... #sodium #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... Measure urine osmolality ... include vaptans (HF ... #management #nephrology ... #sodium
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... Diuretic #Diuresis #CHF ... #HeartFailure #Cardiology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
osm (in DI; high ... dilute urine output ... is a clue). 1) ... #management #nephrology ... #sodium
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Options 1. ... promoting passive sodium ... SIADH #Management #hyponatremia ... #nephrology #treatment
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
restriction: • Restrict 1 ... promoting passive sodium ... Saline: • If Urine ... SIADH #Management #hyponatremia ... #nephrology #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... status and low urine ... are excellent at evaluating ... #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... perioperative #Risk #Evaluation
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... lysis) ± Urine ... Elimination (see Table ... 5-10U reg IV + 1- ... #potassium #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
(formerly Type 1) ... • Urine sodium ... Treatment Overview ... liver transplant evaluation ... Syndrome #Hepatology #Nephrology