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nephrology diagnosis treatment differential table adh cerebral constipation ebv enema evaluation fleet hypertonic hypotonic hypovolemia impaction low mineraloil osmolality pathophysiology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 3) Urine ... Sodium 4) Serum ... Low Uric Acid → SIADH
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) Sodium ... from tubules 3) ... → Increased urine ... diagnosis #nephrology #hyponatremia ... #comparison
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... Check Uosm and/or Urine ... Gravity Step 3: ... tests Step 5: If SIADH ... considered likely, the cause
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 ... restriction alone in SIADH ... , Renal Sodium loss
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 ... SatyaPatelMD #SIADH ... #Management #hyponatremia
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
hospitalization) 3. ... administered • This can cause ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
body water in comparison ... among the possible causes ... in blood urea causes ... Measured urine sodium ... EBV #potomania #SIADH
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... hours. 2) Serum sodium ... Increase in sodium ... L. 5) Monitor urine ... Saline #Treatment #management
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... • IF SIADH — ... look for cause ... #Management #algorithm ... #treatment #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... Then, ask 3 questions ... Measure urine osmolality ... Diagnosis #Treatment #management ... #nephrology #sodium
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