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nephrology management diagnosis differential causes hypertonic comparison hypernatremia k lactated lr normal ns pharmacology physiologic potassium protocol ringers severe siadh
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 ... volume restriction alone ... can be high or low ... : Hypovolemia, Hypervolemia
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
water loss, Serum Sodium ... 300 mmol/kg • Hypertonic ... saline administration ... mannitol, glucosuria Low ... Urine Osmolality
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline ... for Treatment of ... Hyponatremic Encephalopathy ... L. 5) Monitor urine ... #Hypertonic #Saline
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... polydipsia • Hypervolemia ... causes #nephrology #sodium ... #low
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline The goal of acute management is to
Hyponatremia with ... with Hypertonic ... Saline The goal ... probably not the low ... #treatment #Hypertonic
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... Measure urine osmolality ... Treatment: Treatment ... syndrome. 3% saline ... management #nephrology #sodium
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
- Protective effects ... Is Dangerous in Hyperkalemia ... decreased renal blood flow ... Decreased GFR, urine ... #pharmacology #effects
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Hypertonic Saline ... give specific treatment ... #Management #algorithm ... #treatment #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
lysis) ± Urine ... acidosis) • Low ... Redistribution Treatments ... Use gtt, NOT hypertonic ... Slow - don’t delay
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... colon 0.9% Normal Saline ... : • If Urine osmolality ... Has many side effects ... #nephrology #treatment
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