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management diagnosis nephrology differential chf clinical criticalcare heartfailure table adh cancer congestive diuresis echocardiogram hypertonic hypotonic hypovolemia icu oncology osmolality
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
use in acute heart ... (B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... #HeartFailure #Cardiology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... restriction alone in ... , Renal Sodium loss
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
causes the hyponatremia ... release of anti-diuretic ... Measured urine sodium ... #Hypovolemia #EBV ... #potomania #SIADH
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
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... of Hyponatremic ... Increase in sodium ... L. 5) Monitor urine ... of a free water diuresis
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Treat underlying cause ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia
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 - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
usually caused by ... Measure urine osmolality ... volume status (EABV ... the underlying cause ... management #nephrology #sodium
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... excreted using diuretics ... the determined cause ... #differential #algorithm ... #foamed #heartfailure
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
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