8 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
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
comparison to that ... Measured urine sodium ... #hyponatremia #ADH ... #Hypovolemia #EBV ... #potomania #SIADH
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
of cases, ADH ( ... Measure urine osmolality ... volume status (EABV ... include vaptans (HF ... management #nephrology #sodium
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 ... vaptans) • Blocks ADH ... #Management #hyponatremia
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... Saline: • If Urine ... antagonists: • Blocks ADH ... #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
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
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