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management diagnosis differential nephrology cardiology chf diuresis foamed heartfailure hypernatremia pharmacology clinical congestive diuretics excretion hyperkalemia hypertonic hypotonic icu k
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Check Urine Osmolality ... • Hypovolemic: Diuretics ... #sodium
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
use in acute heart ... (B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... #CHF #Algorithm
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 ... differential #diagnosis #table
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 ... 3 questions to work ... Measure urine osmolality ... in 100 mL boluses ... 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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute pulmonary ... Heart failure (in ... of blood loss in ... Tolvaptan) • Treatment ... #Medications #Table
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... lysis) ± Urine ... Elimination (see Table ... K+ for cations in ... tid) - caution in
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... with presence of pulmonary ... excreted using diuretics ... #differential #algorithm ... #table #foamed
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