14 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Step #1 - Consider ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology ... #insipidus #DI
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
1 . ... Repeat the sodium ... Step 2. ... HYPERVOLEMIC • CHF ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... Check Urine Osmolality ... renal mechanism 2) ... #Algorithm #nephrology ... #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
the first 1-2 hours ... . 2) Serum sodium ... Increase in sodium ... L. 5) Monitor urine ... #Treatment #management
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 ... #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Indications for Hypertonic ... increasing Na ~5mEq 2. ... with 5% Dextrose in ... Correction #goal #rate #management ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... 1) Is it hypotonic ... 2) Is ADH elevated ... Measure urine osmolality ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
osm (in DI; high ... is a clue). 1) ... water unavailable 2) ... Diagnosis #Treatment #management ... #nephrology #sodium
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
intravenous; SGLT2‐I, sodium–glucose ... linked transporter 2 ... ultrafiltration; UO, urine ... #HeartFailure #Cardiology ... #Management
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treatment Options 1. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia # ... nephrology #treatment