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diagnosis differential nephrology management hypernatremia table workup alkalosis anesthesia anesthesiology cardiology causes checklist chf clinical crisis foamed gitelman heartfailure hyperthermia
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Algorithm Cl- ... loop or thiazide diuretics ... alkalosis • Normal/low ... Urine chloride is ... #urine #Algorithm
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
water loss, Serum Sodium ... administration • Osmotic diuresis ... mannitol, glucosuria Low ... Urine Osmolality ... • Burns • ICU
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... • Euvolemic (Low ... • Hypovolemic: Diuretics ... #nephrology #sodium
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 ... : SIADH, Renal Sodium ... can be high or low ... Primary polydipsia), Low
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... doses - consider ITU ... Add Diuretics, Consider ... #Management #algorithm ... #treatment #sodium
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... urine output. ... with presence of pulmonary ... excreted using diuretics ... #icu #clinical
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
❹ Call for MH treatment ... • Ice packing ... Hyperkalaemia: calcium chloride ... hyperventilate, sodium ... forced alkaline diuresis
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