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diagnosis differential nephrology hypernatremia cardiology checklist chf foamed heartfailure table workup acutepe anesthesia anesthesiology causes clinical congestive crisis diuresis embolism
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
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 ... HeartFailure #Cardiology #Management
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
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
of Hyponatremic ... L. 5) Monitor urine ... of a free water diuresis ... #management #protocol ... #hyponatremia
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... DI; high dilute urine ... unavailable 2) Osmotic Diuresis ... #management #nephrology ... #sodium
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
Pulmonary Embolism Treatment Systemic Thrombolysis - Exclude contraindications. - Indications: - Massive PE (definite indication)
Pulmonary Embolism ... over 2 hrs - Low ... - 2% risk of ICH ... #AcutePE #Management ... #CriticalCare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
1.5 High CO / Low ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
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
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