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nephrology diagnosis management differential hypotonic physiologic primary
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 ... intake (Primary polydipsia ... differential #diagnosis #table
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... - Primary Polydipsia ... , SSRIs) - SIADH ... diagnosis #nephrology #sodium
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
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... secretion (SIADH ... failure - Primary polydipsia ... Differential #Diagnosis #Table ... #Causes #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 ... Treat underlying cause ... promoting passive sodium ... 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
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