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diagnosis nephrology adh differential hypotonic hypovolemia osmolality pathophysiology physiologic potomania raas saltwasting table thiazides unaa
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... Renal losses, Cerebral ... uric acid <4 • SIADH ... algorithm #diagnosis ... #sodium #low #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... → Increased urine ... diagnosis #nephrology #hyponatremia ... #comparison
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
than the normal volume-based ... algorithm Urine ... , Renal Sodium loss ... can be high or low ... Insufficiency, Cerebral
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
OFF (UNa > 30): SIADH ... Reset osmostat, Cerebral ... Primary polydipsia, Low ... solute intake, ... #sodium #nephrology
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
body water in comparison ... consequence of cerebral ... Measured urine sodium ... #Hypovolemia #EBV ... #potomania #SIADH
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