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nephrology diagnosis differential management hypernatremia causes low hypertonic saline siadh 1 2 3 cancer cardiology chf congestive di diabetes diuresis
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... water Extrarenal hypotonic ... Central diabetes insipidus ... salt intake: • Hypertonic ... Causes #nephrology #sodium
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypo-osmolar Hypotonic ... HypoNatremia Algorithm ... Status, Check Urine ... Na, Urine Osm ... #Hyponatremia
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 ... glucosuria Low Urine ... kg • Diabetes Insipidus
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Urologic irrigants Hypotonic ... #Algorithm #diagnosis ... #sodium #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... sodium and serum ... sodium low, uric ... - Urine sodium ... #Differential #Algorithm
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Differential Diagnosis Algorithm ... administration Hypertonic ... Primary polydipsia Hypotonic ... Central Diabetes Insipidus ... Nephrogenic Diabetes Insipidus
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... - Diabetes Insipidus ... #Sodium #nephrology ... #insipidus #DI
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The ... normal volume-based algorithm ... Urine Na+K / serum ... : SIADH, Renal Sodium ... diagnosis #table #sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline ... for Treatment of ... Hyponatremic Encephalopathy ... Increase in sodium ... L. 5) Monitor urine
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