10 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 ... restriction alone in ... SIADH RAAS Inactive ... , Renal Sodium loss
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
In their most basic ... serum osmolality, urine ... osmolality and urinary sodium ... the patient has SIADH ... #Algorithm #Differential
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... comparison to that ... Measured urine sodium ... #Hypovolemia #EBV ... #potomania #SIADH
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
In the vast majority ... Measure urine osmolality ... volume status (EABV ... include vaptans (HF ... management #nephrology #sodium
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... Diuretic #Diuresis #CHF ... #HeartFailure #Cardiology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... Saline: • If Urine ... #Management #hyponatremia ... #nephrology #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... not improving in ... SIADH • IF SIADH ... #Management #algorithm ... #treatment #sodium
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... in Cancer UOsm ... 100 mOsm/kg = Urine ... inappropriate • SIAD
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
suspected to be in ... status and low urine ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf