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diagnosis nephrology cardiology heartfailure cardiomyopathy clinical congestive criticalcare diuresis diuretic foamed hypernatremia hypotonic icu lazy peripartum pharmacology physiologic polydipsia primary
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 ... restriction alone in ... #differential # ... diagnosis #table
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
In their most basic ... serum osmolality, urine ... osmolality and urinary sodium ... the patient has SIADH ... #Algorithm #Differential
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 ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... include vaptans (HF ... #Differential # ... #management #nephrology ... #sodium
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia ... #nephrology #treatment
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
(B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... Diuretic #Diuresis #CHF ... HeartFailure #Cardiology #Management
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... osm (in DI; high ... dilute urine output ... #management #nephrology ... #sodium
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... not improving in ... SIADH • IF SIADH ... #Management #algorithm ... #treatment #sodium
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
occurs in only ... diabetes insipidus Differential ... Pseudohyponatremia, SIADH ... , Urine Sodium ... Polydipsia #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... #diagnosis #differential ... #algorithm #management ... #table #foamed ... #heartfailure #chf
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