9 results
Hypernatremia Diagnosis and Workup

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

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... #Workup #Algorithm ... #nephrology #sodium
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... ) MAP > 60-65 2) ... #criticalcare # ... algorithm #treatment ... #management
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
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... 2) Is ADH elevated ... Measure urine osmolality ... #nephrology #sodium
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
occurs in only 2- ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium ... #management #nephrology
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
list here, ie hyponatremia ... /management of shock ... CPK, HIV, EtOH, Urine ... Pearls #Checklist #diagnosis ... #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf ... #criticalcare #