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diagnosis nephrology differential management cardiology chf clinical criticalcare ebv foamed heartfailure hypernatremia hypotonic icu oncology osmolality pharmacology physiologic polydipsia potomania
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 ... , Renal Sodium loss ... differential #diagnosis #table
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypovolemic - Give ... , SSRIs) - SIADH ... diagnosis #nephrology #sodium
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Etiologies of Hypernatremia ... Insensible losses Sodium ... hypercalcemia - Chronic hypokalemia ... Differential #Diagnosis #Table ... #Causes
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
hypervolemic, hypovolemic ... Measured urine sodium ... #hyponatremia #ADH ... #RAAS #Hypovolemia ... EBV #potomania #SIADH
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
• ADH suppression ... with suppressed ADH ... Pseudohyponatremia, SIADH ... Osm, Serum Sodium ... , Urine Sodium
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
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 Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... • IF SIADH — ... look for cause ... #Management #algorithm ... #treatment #sodium
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Diagnosis Algorithm ... in Cancer UOsm ... 100 mOsm/kg = Urine ... appropriate • Hypovolemia ... inappropriate • SIAD
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... patient causing hypovolemia ... the determined cause ... #differential #algorithm ... #table #foamed
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