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diagnosis hypernatremia nephrology differential management treatment perioperative preop preoperative stratification
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Workup Step ... #1 - Consider the ... history Step #2 ... Uglucose Step #3 ... #insipidus #DI
Hypernatremia - Diagnostic Evaluation Algorithm Step 1: Consider history. Most patients presenting with hypernatremia are either very
1: Consider history ... Step 2: Check Uosm ... has DI, determine ... #Evaluation #Algorithm ... #Sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
1 . ... Repeat the sodium ... Step 2. ... administration Step 3. ... HYPERVOLEMIC • CHF
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... Check Urine Osmolality ... renal mechanism 2) ... Euvolemic: Diabetes insipidus ... #sodium
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... Step 1: Consider ... elevated Step 2: ... Gravity Step 3: ... #Evaluation #Algorithm
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
osm (in DI; high ... water unavailable 2) ... post-obstructive 3) ... Diabetes Insipidus ... puts patients at risk
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
to work through ... 1) Is it hypotonic ... 2) Is ADH elevated ... Measure urine osmolality ... puts patients at risk
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... disease b) CHF ... > 1% risk of CV ... event, follow ACC algorithm ... one post op Cardiology
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