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nephrology diagnosis differential management treatment adh cancer ebv evaluation hypotonic hypovolemia oncology osmolality potomania raas thiazides workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... or Ineffective (UNa ... differential #diagnosis #table
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... Check Uosm and/or Urine ... status and measure UNa ... tests Step 5: If SIADH ... considered likely, the cause
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
electrolyte abnormality caused ... among the possible causes ... Another important physiological ... Measured urine sodium ... EBV #potomania #SIADH
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... Saline: • If Urine ... osmolality < 538 AND UNa ... #Management #hyponatremia
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
administered • This can cause ... promoting passive sodium ... 0.9% NS • If Urine ... osmolality < 538 AND UNa ... #Management #hyponatremia
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... 100 mOsm/kg = Urine ... inappropriate • SIAD ... chemotherapy, nausea
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