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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 ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Treatment of Hyperkalemia
Membrane Stabilization
 • Calcium Gluconate (10%)
 • Hypertonic (3%) Normal Saline
Shifters:
 • Insulin (Short
Treatment of Hyperkalemia ... Gluconate (10%) • Hypertonic ... (3%) Normal Saline ... #Medications #Interventions ... #Table #Onset #
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
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
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
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,
Etiology: • Medications ... lysis) ± Urine ... Elimination (see Table ... STOP offending medications ... Use gtt, NOT hypertonic
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
post-operative phenomenon, medications ... promoting passive sodium ... colon 0.9% Normal Saline ... : • If Urine osmolality ... #nephrology #treatment