64 results
Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
and Features of Hyponatremia ... Hypervolemic hypernatremia ... - CHF - Cirrhosis ... Normovolemic hyponatremia ... - Diuretics
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... -> free water diuresis ... DrEricStrong #Hyponatremia ... #Management
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... volume loss - diuretics ... HYPERVOLEMIC • CHF ... renal failure #Hypernatremia
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... 1) Check Urine ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... Differential Algorithm ... and hypervolemic hyponatremia ... low in euvolemic hyponatremia ... kidney_boy #True #Hyponatremia
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... ultrafiltration; UO, urine ... #CHF #Algorithm ... #HeartFailure #Cardiology ... #Management
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Hypernatremia ... 145 mmol/L High Urine ... administration • Osmotic diuresis ... Hyperventilation #Hypernatremia
Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Hyponatremia - Differential ... and Evaluation Algorithm ... always consider urine ... when evaluating hyponatremia ... amzn.to/3rEtbK8 #Hyponatremia
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Algorithm (Serum ... Status, Check Urine ... Na, Urine Osm ... #Hyponatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... especially thiazide diuretics ... Reduced GFR, AKI/CRF ... Hypo-osmolar urine ... osmole intake #Hyponatremia