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management diagnosis differential nephrology cardiology causes shock table cardiogenic checklist clinical congestive diuresis foamed hypernatremia hypertonic hypotonic icu pharmacology physiologic
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 ... #CHF #Algorithm ... #Congestive #HeartFailure
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... especially thiazide diuretics ... Reduced GFR, AKI/CRF ... Hypo-osmolar urine
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... especially thiazide diuretics ... Reduced GFR, AKI/CRF ... Hypo-osmolar urine
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 ... : SIADH, Renal Sodium ... diagnosis #table #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... of Hyponatremic ... Increase in sodium ... L. 5) Monitor urine ... of a free water diuresis
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
In the vast majority ... Measure urine osmolality ... in 100 mL boluses ... include vaptans (HF ... management #nephrology #sodium
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 ... unavailable 2) Osmotic Diuresis ... management #nephrology #sodium
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP <90, drop in ... Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Add Diuretics, Consider ... not improving in ... #Management #algorithm ... #treatment #sodium
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
cardiogenic pulmonary ... hypovolemia - Diuresis ... Revascularization, treatment ... #Checklist #CHF ... #Cardiogenic #HeartFailure
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