19 results
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 ... : SIADH, Renal Sodium ... : Hypovolemia, Hypervolemia
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
Acute Hyperkalemia Management
 • Membrane Stabilization: Calcium Gluconate (10%), Hypertonic (3%) Normal Saline
 • Shifters: Insulin
Acute Hyperkalemia ... Gluconate (10%), Hypertonic ... (3%) Normal Saline ... #Management #treatment ... #potassium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
water loss, Serum Sodium ... 145 mmol/L High Urine ... 300 mmol/kg • Hypertonic ... saline administration ... glucosuria Low Urine
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... 90 minutes) • Sodium ... diuretic (often with saline ... LouLectures #Hyperkalemia
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... polydipsia • Hypervolemia ... #Differential #Algorithm ... causes #nephrology #sodium
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... with Hypertonic ... Saline The goal ... #treatment #Hypertonic ... #Saline #nephrology
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
Treatment of Hyperkalemia
Membrane Stabilization
 • Calcium Gluconate (10%)
 • Hypertonic (3%) Normal Saline
Shifters:
 • Insulin (Short
Treatment of Hyperkalemia ... Gluconate (10%) • Hypertonic ... (3%) Normal Saline ... Furosemide • Sodium ... Bicarbonate • Sodium
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